Titre : | A Population-based Case-Control Study of Stillbirth : The Relationship of Significant Life Events to the Racial Disparity for African Americans (2013) |
Auteurs : | Carol-Jr HOGUE ; Corette-B PARKER ; Eunice Kennedy Shriver National Institute of Child Health and Human Development Stillbirth Collaborative Research Network Writing Group (Etats-Unis) ; Marian WILLINGER ; Department of Obstetrics and Gynecology, University of Texas (Galveston TX, Etats-Unis) ; Division of Maternal-Fetal Medicine Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio (San Antonio TX, Etats-Unis) ; Jeff-R TEMPLE ; Carla-M BANN ; Division of Maternal-Fetal Medicine. Department of Obstetrics and Gynecology. School of Medicine, University of Utah (Salt Lake City UT, Etats-Unis) ; Maternal Fetal Medicine Unit, Intermountain Healthcare (Salt Lake City UT, Etats-Unis) ; Robert-M SILVER ; Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development (Bethesda MD, Etats-Unis) ; Donald-J DUDLEY ; Matthew-A KOCH ; Statistics and Epidemiology Unit, Rti International (Research Triangle Park NC, Etats-Unis) ; Donald-R COUSTAN ; Barbara-J STOLL ; Uma-M REDDY ; Michael-W VARNER ; George-R SAADE ; Deborah CONWAY ; Robert-L GOLDENBERG |
Type de document : | Article |
Dans : | American journal of epidemiology (vol. 177, n° 8, Avril 2013) |
Pagination : | 755-767 |
Langues: | Anglais |
Mots-clés : | Population ; Enquête cas témoin ; Epidémiologie ; Mort né ; Race ; Homme ; Changement ; Stress ; Facteur socioéconomique ; Facteur psychosocial |
Résumé : | [BDSP. Notice produite par INIST-CNRS GsCR0xsr. Diffusion soumise à autorisation]. Stillbirths (fetal deaths occurring at>20 weeks'gestation) are approximately equal in number to infant deaths in the United States and are twice as likely among non-Hispanic black births as among non-Hispanic white births. The causes of racial disparity in stillbirth remain poorly understood. A population-based case-control study conducted by the Stillbirth Collaborative Research Network in 5 US catchment areas from March 2006 to September 2008 identified characteristics associated with racial/ethnic disparity and interpersonal and environmental stressors, including a list of 13 significant life events (SLEs). The adjusted odds ratio for stillbirth among women reporting all 4 SLE factors (financial, emotional, traumatic, and partner-related) was 2.22 (95% confidence interval : 1.43,3.46). This association was robust after additional control for the correlated variables of family income, marital status, and health insurance type. There was no interaction between race/ethnicity and other variables. Effective ameliorative interventions could have a substantial public health impact, since there is at least a 50% increased risk of stillbirth for the approximately 21% of all women and 32% of non-Hispanic black women who experience 3 or more SLE factors during the year prior to delivery. |