Monika Mitra1, Ilhom Akobirshoev2, Michael M McKee3, Lisa I Iezzoni4. 1. Lurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts. Electronic address: mmitra@brandeis.edu. 2. Lurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts. 3. Department of Family Medicine, University of Michigan, Ann Arbor, Michigan. 4. The Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts.
Abstract
INTRODUCTION: The purpose of this study is to estimate the national occurrence of deliveries in women with hearing loss and to compare their birth outcomes to women without hearing loss. METHODS: This study examined the 2008-2011 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project in 2015 to compare birth outcomes in women with hearing loss and without. Birth outcomes included preterm birth and low birth weight. Multivariate regression analyses compared birth outcomes between women with and without hearing loss, controlling for maternal age, racial and ethnic identity, type of health insurance, comorbidity, region of hospital, location and teaching status of the hospital, ownership of the hospital, and median household income for mother's ZIP code. RESULTS: Of an estimated 17.9 million deliveries, 10,462 occurred in women with hearing loss. In adjusted regression analyses controlling for demographic characteristics, women with hearing loss were significantly more likely than those without hearing loss to have preterm birth (OR=1.28, 95% CI=1.08, 1.52, p<0.001) and low birth weight (OR=1.43, 95% CI=1.09, 1.90, p<0.05). CONCLUSIONS: This study provides a first examination of the pregnancy outcomes among women with hearing loss in the U.S. This analysis demonstrates significant disparities in birth outcomes between women with and without hearing loss. Understanding and addressing the causes of these disparities is critical to improving pregnancy outcomes among women with hearing loss.
INTRODUCTION: The purpose of this study is to estimate the national occurrence of deliveries in women with hearing loss and to compare their birth outcomes to women without hearing loss. METHODS: This study examined the 2008-2011 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project in 2015 to compare birth outcomes in women with hearing loss and without. Birth outcomes included preterm birth and low birth weight. Multivariate regression analyses compared birth outcomes between women with and without hearing loss, controlling for maternal age, racial and ethnic identity, type of health insurance, comorbidity, region of hospital, location and teaching status of the hospital, ownership of the hospital, and median household income for mother's ZIP code. RESULTS: Of an estimated 17.9 million deliveries, 10,462 occurred in women with hearing loss. In adjusted regression analyses controlling for demographic characteristics, women with hearing loss were significantly more likely than those without hearing loss to have preterm birth (OR=1.28, 95% CI=1.08, 1.52, p<0.001) and low birth weight (OR=1.43, 95% CI=1.09, 1.90, p<0.05). CONCLUSIONS: This study provides a first examination of the pregnancy outcomes among women with hearing loss in the U.S. This analysis demonstrates significant disparities in birth outcomes between women with and without hearing loss. Understanding and addressing the causes of these disparities is critical to improving pregnancy outcomes among women with hearing loss.
Authors: Stacy Beck; Daniel Wojdyla; Lale Say; Ana Pilar Betran; Mario Merialdi; Jennifer Harris Requejo; Craig Rubens; Ramkumar Menon; Paul F A Van Look Journal: Bull World Health Organ Date: 2009-09-25 Impact factor: 9.408
Authors: Monika Mitra; Michael M McKee; Ilhom Akobirshoev; Anne Valentine; Grant Ritter; Jianying Zhang; Kimberly McKee; Lisa I Iezzoni Journal: Am J Prev Med Date: 2020-01-15 Impact factor: 5.043