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The use of missing birth record data as a marker for adverse reproductive outcomes: a geocoded analysis of birth

Adrienne J Headley1, Mark C Fulcomer, Matthew M Bastardi

  • 1Department of Obstetrics and Gynecology, Jersey Shore University Medical Center, Neptune, NJ, USA.

Insights

Missing birth record data impacts understanding adverse reproductive outcomes (AROs) and infant health disparities. Geocoding strategies may help identify socioeconomic factors linked to AROs in at-risk communities.

Area of Science:

  • Reproductive Health
  • Public Health Data Quality
  • Health Disparities Research

Background:

  • Adverse reproductive outcomes (AROs) disproportionately affect Black American infants, contributing to U.S. infant mortality.
  • Inaccurate birth record data quality, particularly missing data for AROs, hinders efforts to address infant mortality and health disparities.
  • Existing racial disparities in birth record reporting suggest a need for innovative data analysis strategies.

Purpose of the Study:

  • To analyze missing birth record data extent in New Jersey areas with high preterm birth rates.
  • To evaluate associations between missing birth record data and other AROs.
  • To explore geocoding applications for understanding maternal socioeconomic status (SES) risk factors and ARO resource allocation.

Main Methods:

  • Geocoding techniques using ZIP codes, census tracts, and block-groups to infer socioeconomic status (SES).
  • Analysis of birth record data to quantify missing information for AROs, focusing on preterm birth.
  • Statistical evaluation of relationships between data completeness and ARO prevalence.

Main Results:

  • Significant extent of missing birth record data identified in high-rate preterm birth areas.
  • Associations observed between missing data and other adverse reproductive outcomes.
  • Geocoding approaches show potential for linking SES indicators to AROs despite data gaps.

Conclusions:

  • Addressing missing birth record data is crucial for accurate ARO surveillance and reducing infant health disparities.
  • Geocoding strategies offer a promising avenue for inferring SES-related risks and guiding resource allocation for vulnerable populations.
  • Further research is needed to refine geocoding methods and improve birth data completeness.

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