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Short-term outcomes of Jewish and Arab preterms: a population-based comparison

Yair Kasirer1,2, Brian Reichman3,4, Inna Zaslavsky-Paltiel3

  • 1Department of Neonatology, the Shaare Zedek Medical Center, Jerusalem, Israel. yairkasir@szmc.org.il.

Journal of Perinatology : Official Journal of the California Perinatal Association
|August 6, 2020
PubMed

Insights

Arab infants experienced higher mortality and neonatal morbidities compared to Jewish infants. This significant ethnic disparity in outcomes for very low birth weight (VLBW) infants persisted over two decades.

Area of Science:

  • Neonatal research
  • Public health
  • Perinatal epidemiology

Background:

  • Ethnic disparities in infant health outcomes are a significant public health concern.
  • Understanding these disparities is crucial for developing targeted interventions.
  • Previous research has indicated potential differences in outcomes among various ethnic groups in Israel.

Purpose of the Study:

  • To compare short-term outcomes between Arab and Jewish infants in Israel.
  • To analyze mortality and major neonatal morbidities based on ethnicity.
  • To investigate the persistence of ethnic disparities over time.

Main Methods:

  • Utilized the Israel national very low birth weight (VLBW) infant database.
  • Included VLBW infants (<32 weeks gestation) born between January 1995 and December 2016.
  • Employed multivariable logistic regression to assess the association between ethnicity and adverse outcomes.

Main Results:

  • The study included 22,431 VLBW infants (27.7% Arab, 72.3% Jewish) without congenital malformations.
  • Arab infants exhibited significantly higher odds ratios for mortality and most neonatal morbidities.
  • Despite a temporal decline in mortality for both groups, the ethnic disparity remained constant.

Conclusions:

  • A significant and persistent ethnic disparity in VLBW infant outcomes was identified.
  • These disparities in neonatal health between Arab and Jewish infants require attention.
  • Policy changes and educational initiatives may help address some of the identified health disparities.
Abstract

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