Online Program

Disparity and social determinants of preterm birth in Taiwan - a study of national data

Wednesday, November 6, 2013 : 11:32 a.m. - 11:52 a.m.

Shu-Ti Chiou, MD, PhD, Department of Health; National Yang-Ming University, Bureau of Health Promotion; Institute of Public Health, New Taipei City, Taiwan
Yu-Hsuan Lin, Bureau of Health Promotion, Department of Health, The Executive Yuan, Taiwan, Taichung City, Taiwan
Baai-Shyun Hurng, PhD, Department of Health, Health Promotion Administration, Ministry of Health and Welfare, Taichung City, Taiwan
Chi-Hsiang Chung, Population and Health Survey Research Center, Bureau of Health Promotion, Department of Health, Taiwan, Taichung City, Taiwan
Jen-Huai Chiang, Bureau of Health Promotion, Department of Health, Taiwan, ROC, New Taipei City, Taiwan
Background Preterm birth is the leading cause of newborn deaths and social determinants of health play a major role. In Taiwan, increasing preterm rates were observed from 8.5% to 9.3% of live births over the past decade. This study aims to examine the disparities in preterm birth among mothers characterized by their socio-demographic factors. Method We used Birth Reporting Database and Birth Registration Database to obtain comprehensive information of the mothers and the newborns; then linked the data with Assisted Reproduction Database governed for information about utilization of assisted reproductive technology. Infant deaths were indentified by linking birth data with the death certificates. A total of 1,206,965 live births from 2004 to 2009 were included for analysis. Result The socio-demographic risk factors of preterm birth including: mothers aged less than 20 years old and over 30 years old, lower educational attainment of the mother, indigenous mothers and mothers lived in mountain area or remote area after adjusted other relative factors. Mothers who used assisted reproductive technology for conception also had higher chance of preterm births (OR= 1.30; CI: 1.23-1.37). Conclusions The results demonstrated preterm birth rates varies among sub-populations characterized by their socio-demographic factors. In spite of the well-recognized and universal coverage National Health Insurance and well-established prenatal care services, gaps in rates of preterm birth were observed. Comprehensive approaches that enable timely identification of high risk mothers and well-delivery of services to the need are essential to prevent pre-term birth and may subsequently reduce avoidable infant mortality.

Learning Areas:

Other professions or practice related to public health
Public health or related public policy
Public health or related research

Learning Objectives:
Identify the socio-demographic factors associate with preterm birth in Taiwan

Keyword(s): Birth Outcomes, Social Inequalities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was head of the Surveillance and Research Division, Health Promotion Administration, Ministry of Health and Welfare, Taiwan.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.