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
Hauptverfasser: Xiong, Xu, MD, DrPH, Pridjian, Gabriella, MD, Dickey, Richard P., MD, PhD
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container_title American journal of obstetrics and gynecology
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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 (
doi_str_mv 10.1016/j.ajog.2013.04.012
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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 (&lt;28 weeks), early preterm (&lt;32 weeks), and preterm birth (&lt;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 (&lt;28 weeks), early preterm (&lt;32 weeks), and preterm birth (&lt;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 (&lt;28 weeks), early preterm (&lt;32 weeks), and preterm birth (&lt;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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