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Prevalence of congenital cardiovascular malformations varies by race and ethnicity
Tania Mangones1, Amitoz Manhas, Paul Visintainer
1Division of Newborn Medicine, Department of Pediatrics, Maimonides Infants and Children's Hospital of Brooklyn, United States.
Insights
Congenital cardiovascular malformations (CCVMs) are most prevalent in Non-Hispanic White populations in New York State's Hudson Valley Region. Hispanics showed a consistently lower risk for most CCVMs, indicating racial disparities in these common birth defects.
Area of Science:
- Cardiology
- Pediatrics
- Public Health
Background:
- Congenital cardiovascular malformations (CCVMs) are leading causes of infant morbidity and mortality.
- Limited data exists on the association between CCVMs and race/ethnicity.
- This study addresses CCVM prevalence by race in New York State's Hudson Valley Region (HVR).
Purpose of the Study:
- To determine the prevalence of CCVMs across different racial and ethnic groups in the HVR.
- To identify potential disparities in CCVM occurrence based on race and ethnicity.
Main Methods:
- Utilized data from the NYS Department of Health Congenital Malformations Registry (1992-2001).
- Analyzed live-birth cases diagnosed up to 2 years of age.
- Calculated prevalence using race/ethnic-specific births and employed Poisson regression models.
Main Results:
- Overall CCVM prevalence was highest in Non-Hispanic White (14.4/1000) and lowest in Hispanic (8.8/1000) populations.
- Hispanics exhibited a lower risk for most CCVMs compared to Non-Hispanic Whites.
- Minimal temporal and regional variations in prevalence were observed.
Conclusions:
- Non-Hispanic White individuals in the HVR have the highest prevalence of CCVMs.
- Hispanic populations consistently demonstrate a lower risk for CCVMs and specific related anomalies.
- Findings highlight racial and ethnic disparities in congenital cardiovascular malformations.
Background:
Congenital cardiovascular malformations (CCVMs) are the most common forms of congenital defects, contributing to morbidity and mortality in neonates but information on the association of CCVMs and race is limited. This study aims to determine prevalence of congenital cardiovascular malformations (CCVMs) in the Hudson Valley Region (HVR) of NY State (NYS) by race and ethnicity.
Methods:
NYS Department of Health Vital Statistics and Congenital Malformations Registry data were obtained by race and ethnicity (1992-2001) across the HVR. Live-birth cases that were diagnosed up to 2 years of age were included in year-of-birth registration. Prevalence was calculated using race/ethnic specific births. Poisson regression models, adjusting for number of live births by race, time and county, as specified were used for analysis.
Results:
There were 3075 CCVMs of 2303 children from a birth population of 235,230. Overall prevalence of CCVMs was highest for Non-Hispanic White (NHW; 14.4/1000 live births) followed by Non-Hispanic Black (12.8/1000 live births), Others (12.5/1000 live births), and then Hispanics (8.8/1000 live births). Similarly, the risk ratio of all CCVMs was lowest for Hispanics. Hispanics had a lower risk as compared to NHW in each CCVM category except with hypoplastic left heart syndrome and patent ductus arteriosus. There were minimal temporal and regional differences.
Conclusions:
In the HVR, all CCVMs and specific anomalies have the highest prevalence in NHW with Hispanics consistently maintaining a lower risk.
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