Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

• Main Authors: Lindsay Osei (Author), Nicolas Vignier (Author), Mathieu Nacher (Author), Juliette Laumonnier (Author), Claude Conan (Author), Loreinzia Clarke (Author), Akoï Koivogui (Author), Sabrina Covis (Author), Luciano Valony (Author), Célia Basurko (Author), Solène Wiedner-Papin (Author), Alain Prual (Author), Thierry Cardoso (Author), Malika Leneuve-Dorilas (Author), Leslie Alcouffe (Author), Najeh Hcini (Author), Stéphanie Bernard (Author), Tiphanie Succo (Author), Françoise Vendittelli (Author), Narcisse Elenga (Author)
• Format: Book
• Published: Frontiers Media S.A., 2024-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Objectives: Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG.Methods: We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers.Results: 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (p = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55-1.77]), from Haiti (aOR = 1.24 [1.11-1.39]) or Guyana (aOR = 1.30 [1.01-1.68]) and lack of health insurance (aOR = 1.24 [1.10-1.40]) were associated with SGA newborns.Conclusion: Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.

Item Description

1661-8564
10.3389/ijph.2024.1606423