Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States
Objective The objective of the study was to examine racial and ethnic differences in preterm births in infants conceived by in vitro fertilization (IVF). Study Design A retrospective cohort study was conducted of 97,288 singleton and 40,961 twin pregnancies resulting from fresh, nondonor IVF cycles...
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Veröffentlicht in: | American journal of obstetrics and gynecology 2013-08, Vol.209 (2), p.128.e1-128.e6 |
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creator | Xiong, Xu, MD, DrPH Pridjian, Gabriella, MD Dickey, Richard P., MD, PhD |
description | Objective The objective of the study was to examine racial and ethnic differences in preterm births in infants conceived by in vitro fertilization (IVF). Study Design A retrospective cohort study was conducted of 97,288 singleton and 40,961 twin pregnancies resulting from fresh, nondonor IVF cycles using 2006-2010 data from the Society for Assisted Reproductive Technology Clinic Online Reporting System. Results Rates of very early preterm ( |
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Study Design A retrospective cohort study was conducted of 97,288 singleton and 40,961 twin pregnancies resulting from fresh, nondonor IVF cycles using 2006-2010 data from the Society for Assisted Reproductive Technology Clinic Online Reporting System. Results Rates of very early preterm (<28 weeks), early preterm (<32 weeks), and preterm birth (<37 completed weeks) varied across racial and ethnic groups in both singleton and twin pregnancies. In singletons, with white women as the referent, after adjustment of confounding variables, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of very early preterm birth, early preterm birth, and preterm birth in black women were 4.8 (95% CI, 4.1–5.7), 3.9 (95% CI, 3.4–4.4), and 2.1 (95% CI, 1.9–2.3). Hispanic women had a significantly lower rate of preterm births as compared with black women and similar or slightly higher rates as compared with white women. Native American women were not at an increased risk of any types of preterm births; Asian women were at a reduced risk of preterm twin births (adjusted OR, 0.8; 95% CI, 0.7–0.9). Conclusion There exist notable racial and ethnic disparities in preterm births in infants conceived by IVF, suggesting that mechanisms other than socioeconomic disparities contribute to this difference.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2013.04.012</identifier><identifier>PMID: 23583211</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; African Americans ; Cohort Studies ; ethnicity ; European Continental Ancestry Group ; Female ; Fertilization in Vitro ; Health Status Disparities ; Hispanic Americans ; Humans ; Infant, Newborn ; in vitro fertilization ; Obstetrics and Gynecology ; Pregnancy ; Premature Birth - ethnology ; preterm birth ; race ; Retrospective Studies ; United States</subject><ispartof>American journal of obstetrics and gynecology, 2013-08, Vol.209 (2), p.128.e1-128.e6</ispartof><rights>Mosby, Inc.</rights><rights>2013 Mosby, Inc.</rights><rights>Copyright © 2013 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-a5480a6eeeceec865f4580964b3af42c5cdecb2b09a448cf89e4a76a8574c2a33</citedby><cites>FETCH-LOGICAL-c411t-a5480a6eeeceec865f4580964b3af42c5cdecb2b09a448cf89e4a76a8574c2a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2013.04.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23583211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiong, Xu, MD, DrPH</creatorcontrib><creatorcontrib>Pridjian, Gabriella, MD</creatorcontrib><creatorcontrib>Dickey, Richard P., MD, PhD</creatorcontrib><title>Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The objective of the study was to examine racial and ethnic differences in preterm births in infants conceived by in vitro fertilization (IVF). Study Design A retrospective cohort study was conducted of 97,288 singleton and 40,961 twin pregnancies resulting from fresh, nondonor IVF cycles using 2006-2010 data from the Society for Assisted Reproductive Technology Clinic Online Reporting System. Results Rates of very early preterm (<28 weeks), early preterm (<32 weeks), and preterm birth (<37 completed weeks) varied across racial and ethnic groups in both singleton and twin pregnancies. In singletons, with white women as the referent, after adjustment of confounding variables, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of very early preterm birth, early preterm birth, and preterm birth in black women were 4.8 (95% CI, 4.1–5.7), 3.9 (95% CI, 3.4–4.4), and 2.1 (95% CI, 1.9–2.3). Hispanic women had a significantly lower rate of preterm births as compared with black women and similar or slightly higher rates as compared with white women. Native American women were not at an increased risk of any types of preterm births; Asian women were at a reduced risk of preterm twin births (adjusted OR, 0.8; 95% CI, 0.7–0.9). Conclusion There exist notable racial and ethnic disparities in preterm births in infants conceived by IVF, suggesting that mechanisms other than socioeconomic disparities contribute to this difference.</description><subject>Adult</subject><subject>African Americans</subject><subject>Cohort Studies</subject><subject>ethnicity</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Fertilization in Vitro</subject><subject>Health Status Disparities</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>in vitro fertilization</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Premature Birth - ethnology</subject><subject>preterm birth</subject><subject>race</subject><subject>Retrospective Studies</subject><subject>United States</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd-K1DAUh4Mo7uzqC3ghufSmNf_aSUEEWdZVWBBcF7wLp-mpc2qnHZPMwPg0PotPZuqsXnghBEIO3-9Avh9jz6QopZD1y6GEYf5SKiF1KUwppHrAVlI066K2tX3IVkIIVTR6bc_YeYzD8lSNeszOlK6sVlKuWPoInmDkMHUc02YizzuKOwiUCCOnie8CJgxb3lJIm98TmnqYUuR-njzSATveHvPw548DpTDzHkOikb5DonmBedogv5soZfA2QcL4hD3qYYz49P6-YHdvrz5dvituPly_v3xzU3gjZSqgMlZAjYg-H1tXvamsaGrTauiN8pXv0LeqFQ0YY31vGzSwrsFWa-MVaH3BXpz27sL8bY8xuS1Fj-MIE8776KSRVdU0jakyqk6oD3OMAXu3C7SFcHRSuMW2G9xi2y22nTAu286h5_f79-0Wu7-RP3oz8OoEYP7lgTC46AmztY4C-uS6mf6___U_cT9SrgjGr3jEOMz7MGV_TrqonHC3S8FL3VILoWv5Wf8CfNeobQ</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Xiong, Xu, MD, DrPH</creator><creator>Pridjian, Gabriella, MD</creator><creator>Dickey, Richard P., MD, PhD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130801</creationdate><title>Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States</title><author>Xiong, Xu, MD, DrPH ; Pridjian, Gabriella, MD ; Dickey, Richard P., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-a5480a6eeeceec865f4580964b3af42c5cdecb2b09a448cf89e4a76a8574c2a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Cohort Studies</topic><topic>ethnicity</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Fertilization in Vitro</topic><topic>Health Status Disparities</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>in vitro fertilization</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Premature Birth - ethnology</topic><topic>preterm birth</topic><topic>race</topic><topic>Retrospective Studies</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiong, Xu, MD, DrPH</creatorcontrib><creatorcontrib>Pridjian, Gabriella, MD</creatorcontrib><creatorcontrib>Dickey, Richard P., MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiong, Xu, MD, DrPH</au><au>Pridjian, Gabriella, MD</au><au>Dickey, Richard P., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>209</volume><issue>2</issue><spage>128.e1</spage><epage>128.e6</epage><pages>128.e1-128.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Objective The objective of the study was to examine racial and ethnic differences in preterm births in infants conceived by in vitro fertilization (IVF). Study Design A retrospective cohort study was conducted of 97,288 singleton and 40,961 twin pregnancies resulting from fresh, nondonor IVF cycles using 2006-2010 data from the Society for Assisted Reproductive Technology Clinic Online Reporting System. Results Rates of very early preterm (<28 weeks), early preterm (<32 weeks), and preterm birth (<37 completed weeks) varied across racial and ethnic groups in both singleton and twin pregnancies. In singletons, with white women as the referent, after adjustment of confounding variables, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of very early preterm birth, early preterm birth, and preterm birth in black women were 4.8 (95% CI, 4.1–5.7), 3.9 (95% CI, 3.4–4.4), and 2.1 (95% CI, 1.9–2.3). Hispanic women had a significantly lower rate of preterm births as compared with black women and similar or slightly higher rates as compared with white women. Native American women were not at an increased risk of any types of preterm births; Asian women were at a reduced risk of preterm twin births (adjusted OR, 0.8; 95% CI, 0.7–0.9). Conclusion There exist notable racial and ethnic disparities in preterm births in infants conceived by IVF, suggesting that mechanisms other than socioeconomic disparities contribute to this difference.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>23583211</pmid><doi>10.1016/j.ajog.2013.04.012</doi></addata></record> |
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subjects | Adult African Americans Cohort Studies ethnicity European Continental Ancestry Group Female Fertilization in Vitro Health Status Disparities Hispanic Americans Humans Infant, Newborn in vitro fertilization Obstetrics and Gynecology Pregnancy Premature Birth - ethnology preterm birth race Retrospective Studies United States |
title | Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States |
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