Abstract Number:
3492
Submission Type:
Contributed Abstract
Contributed Abstract Type:
Paper
Participants:
Sueny Paloma Lima dos Santos (1), Eric Calloway (2), Ilana Chertok (3), Haile Zelalem (4)
Institutions:
(1) Graduate College, Ohio University College of Health Sciences and Professions, Athens, Ohio, USA, (2) Gretchen Swanson Center for Nutrition, Omaha, Nebraska, USA, (3) School of Nursing, Ohio University College of Health Sciences and Professions, Athens, Ohio, USA, (4) Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA
Co-Author(s):
Ilana Chertok
School of Nursing, Ohio University College of Health Sciences and Professions
Haile Zelalem
Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine
First Author:
Presenting Author:
Abstract Text:
Disparities in preterm and small for gestational age (SGA) among racial/ethnic groups are public health challenges in the U.S. The Comprehensive Prenatal Care Index (CPCI) was developed to assess the impact of prenatal care. We analyzed PRAMS data from 139,243 participants between 2016 and 2021. The CPCI was validated via Rasch modeling and analyzed with SAS PROC SURVEY, adjusting for demographic and health variables. The CPCI significantly influenced preterm, intermediate, and adequate quality care, increasing the odds of full-term birth by 56% and 91.3%, respectively. For SGA, intermediate care raised odds to 1.093 and adequate care to 1.149. Demonstrating uniform benefits across races/ethnicities, the CPCI highlights the significance of comprehensive prenatal care. In contrast, the Kotelchuck showed an increase in preterm birth risk only within its 'Adequate Plus' category, while the Kessner provided a mixed protective effect. The CPCI robustly predicts preterm and SGA outcomes, demonstrating that superior prenatal care significantly lowers birth outcome risks. It underscores the significance of comprehensive prenatal care components beyond mere healthcare utilization.
Keywords:
Prenatal care|Preterm birth|Small for gestational age|Comprehensive Prenatal Care Index|Racial and Ethnic disparities|
Sponsors:
Section on Statistics in Epidemiology
Tracks:
Miscellaneous
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