Abstract
Objectives
Low birthweight and preterm birth are risk factors for infant mortality and persistent
problems. This study uses representative data to assess whether distinct latent profiles
of co-occurring medical and psychosocial factors have implications for preterm birth
and low birthweight.
Methods
Data are from the Pregnancy Risk Assessment Monitoring System, a cross-sectional survey
constituting representative data on pregnancies from 2012 to 2013. Latent class analysis
derived classes of pregnant women potentially at risk for low birthweight and/or preterm
birth.
Results
Latent class analysis identified five homogenous profiles of interrelated psychosocial
and medical factors. Risk was greatest for the profile marked by high rates of medical
factors, followed by a high risk for a profile marked by a combination of very low
income and psychosocial factors. Two profiles involving low income and very low income
also indicated greater risk for adverse birth outcomes related to socioeconomic status.
Conclusions
More attention should be paid to screening for and addressing psychosocial risk in
concert with prenatal care. Women who show high-risk profiles can be monitored and
supported by an interdisciplinary care team, when warranted.
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Biography
Sara Shaw, PhD, is a Research Scientist in the Early Childhood Department at Child Trends. Sara's work focuses on using community-based research to promote the positive development of children who experience adversity and trauma in early childhood.
Biography
Janette Herbers, PhD, is an Assistant Professor in the Department of Psychological and Brain Sciences at Villanova University. She researches risk and resilience in child development. Her work seeks to understand how positive parenting and interventions support adaptation in adverse contexts.
Biography
J. J. Cutuli, PhD, is an Assistant Professor in the Department of Psychology at Rutgers University — Camden. As a developmental scientist, his work considers the interplay of factors that contribute to resilience or poor outcomes for children and families.
Article info
Publication history
Published online: July 25, 2019
Accepted:
June 17,
2019
Received in revised form:
June 15,
2019
Received:
July 6,
2018
Footnotes
Funding statement: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Identification
Copyright
© 2019 Jacobs Institute of Women's Health. Published by Elsevier Inc.
