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

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 th...

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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.
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100 1 0 |a Lindsay Osei  |e author 
700 1 0 |a Lindsay Osei  |e author 
700 1 0 |a Lindsay Osei  |e author 
700 1 0 |a Nicolas Vignier  |e author 
700 1 0 |a Nicolas Vignier  |e author 
700 1 0 |a Nicolas Vignier  |e author 
700 1 0 |a Mathieu Nacher  |e author 
700 1 0 |a Juliette Laumonnier  |e author 
700 1 0 |a Claude Conan  |e author 
700 1 0 |a Loreinzia Clarke  |e author 
700 1 0 |a Akoï Koivogui  |e author 
700 1 0 |a Sabrina Covis  |e author 
700 1 0 |a Luciano Valony  |e author 
700 1 0 |a Célia Basurko  |e author 
700 1 0 |a Solène Wiedner-Papin  |e author 
700 1 0 |a Alain Prual  |e author 
700 1 0 |a Thierry Cardoso  |e author 
700 1 0 |a Malika Leneuve-Dorilas  |e author 
700 1 0 |a Malika Leneuve-Dorilas  |e author 
700 1 0 |a Leslie Alcouffe  |e author 
700 1 0 |a Leslie Alcouffe  |e author 
700 1 0 |a Najeh Hcini  |e author 
700 1 0 |a Stéphanie Bernard  |e author 
700 1 0 |a Tiphanie Succo  |e author 
700 1 0 |a Françoise Vendittelli  |e author 
700 1 0 |a Françoise Vendittelli  |e author 
700 1 0 |a Narcisse Elenga  |e author 
245 0 0 |a Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention 
260 |b Frontiers Media S.A.,   |c 2024-02-01T00:00:00Z. 
500 |a 1661-8564 
500 |a 10.3389/ijph.2024.1606423 
520 |a 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. 
546 |a EN 
690 |a small for gestational age 
690 |a newborns 
690 |a French Guiana 
690 |a migrants 
690 |a health insurance 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n International Journal of Public Health, Vol 69 (2024) 
787 0 |n https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606423/full 
787 0 |n https://doaj.org/toc/1661-8564 
856 4 1 |u https://doaj.org/article/de73a1f9b35b4c40a6a56768b842719c  |z Connect to this object online.