The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

5169.0: Wednesday, November 19, 2003 - 3:24 PM

Abstract #59961

Proportion of high-risk infants born in appropriate facilities by race/ethnicity, California 2001

Kim Y. Wells, CHES, Carol Lau, Zipora Weinbaum, PhD, and Ellen J. Stein, MD, MPH. Maternal and Child Health Branch, California Department of Health Services, 714 P Street, Room 476, Sacramento, CA 95814, (916) 654-5448,

BACKGROUND: A Healthy People 2010 (HP2010) objective is to increase to 90% the proportion of very low birth weight (VLBW) infants (<1,500 grams) born in facilities with the technology necessary to deliver and care for high-risk infants. This study examines California’s progress towards this goal and compares four race/ethnic groups. METHODS: California’s 2001 birth records were used to identify VLBW infants and their birth settings. Births were dichotomized into: 1) “appropriate” (“Regional” or “Community” hospital), and 2) “other” (“Intermediate” or non- Children Services hospital, or out of the hospital) and stratified by maternal race/ethnicity. Proportions and confidence intervals were calculated and Chi-square analysis performed. RESULTS: Of the 528,609 infants born in California hospitals in 2001, 1.1% were VLBW infants (n=6066). Overall 62.6% of VLBW infants were delivered in appropriate facilities (n=76) with 67.2% (95% confidence interval (CI), 64.1%-70.2%) of non-Hispanic Black, 62.9% (95% CI, 61.1%-64.7%) of Hispanic, 61.9% (95% CI, 59.6%-64.1%) of non-Hispanic White, and 56.6% (95% CI, 52.6%-60.6%) of Asian VLBW birth occurring in appropriate facilities (p<0.0013). Race/ethnic groups differ statistically in mean birth weight and insurance. Further analyses will explore this association with appropriate facilities. CONCLUSION: Overall, the proportion of VLBW infants born in appropriate facilities is below the HP2010 objective. Asian VLBW infants are less likely than non-Hispanic Black and Hispanic to be born in appropriate facilities. Further targeting of all race/ethnic groups, particularly Asians is needed to identify and mitigate barriers to delivering VLBW infants in appropriate facilities.

Learning Objectives:

Keywords: Healthy People 2000/2010, Birth Outcomes

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Racial Disparities in Maternal and Child Health

The 131st Annual Meeting (November 15-19, 2003) of APHA