Soon Min Lee1,2,3, Lillian Sie1,3, Jessica Liu1,3, Jochen Profit1,3, Henry C Lee4,5. 1. Department of Pediatrics, Division of Neonatal & Developmental Medicine, Stanford University, Stanford, CA, USA. 2. Department of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea. 3. California Perinatal Quality Care Collaborative (CPQCC), Stanford, CA, USA. 4. Department of Pediatrics, Division of Neonatal & Developmental Medicine, Stanford University, Stanford, CA, USA. hclee@stanford.edu. 5. California Perinatal Quality Care Collaborative (CPQCC), Stanford, CA, USA. hclee@stanford.edu.
Abstract
OBJECTIVE: To evaluate potential differences and to show the risk associated with small for gestational age (SGA) at birth and discharge among infants born to mothers of various Asian/Pacific islander (PI) races. STUDY DESIGN: In this retrospective cohort study, infants with weight <1500 g or 23-28 weeks gestation, born in California during 2008-2012 were included. Logistic regression models were used. RESULTS: Asian and PI infants in ten groups had significant differences in growth parameters, socioeconomic factors, and some morbidities. Overall incidences of SGA at birth and discharge were 21% and 50%, respectively; Indian race had the highest numbers (29%, 63%). Infants of parents with the same race were at increased risk of SGA at birth and discharge compared with mixed race parents. CONCLUSION: Specific Asian race should be considered when evaluating preterm growth. Careful consideration for the appropriateness of grouping Asian/PI races together in perinatal studies is warranted.
OBJECTIVE: To evaluate potential differences and to show the risk associated with small for gestational age (SGA) at birth and discharge among infants born to mothers of various Asian/Pacific islander (PI) races. STUDY DESIGN: In this retrospective cohort study, infants with weight <1500 g or 23-28 weeks gestation, born in California during 2008-2012 were included. Logistic regression models were used. RESULTS: Asian and PI infants in ten groups had significant differences in growth parameters, socioeconomic factors, and some morbidities. Overall incidences of SGA at birth and discharge were 21% and 50%, respectively; Indian race had the highest numbers (29%, 63%). Infants of parents with the same race were at increased risk of SGA at birth and discharge compared with mixed race parents. CONCLUSION: Specific Asian race should be considered when evaluating preterm growth. Careful consideration for the appropriateness of grouping Asian/PI races together in perinatal studies is warranted.
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