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Updated: Oct 5, 2025
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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Household unmet basic needs in the first 1000 days and preterm birth status
Margaret G Parker1, Stephanie Ettinger de Cuba2, Lindsey J Rateau3
1Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. Margaret.parker@bmc.org.
Summary
Families with preterm infants experienced more unmet basic needs, including housing, energy, food, and healthcare hardships, compared to families with term infants. This highlights disparities in essential resource access for vulnerable populations.
Area of Science:
- Public Health
- Neonatal Research
- Socioeconomic Determinants of Health
Background:
- Unmet basic needs, encompassing housing, energy, food, and healthcare hardships, are critical social determinants of health.
- Preterm birth is associated with significant short- and long-term health challenges for infants.
- Understanding the intersection of socioeconomic factors and adverse birth outcomes is crucial for targeted interventions.
Purpose of the Study:
- To investigate the association between unmet basic needs and preterm birth status.
- To analyze the relationship of individual and composite unmet needs with varying degrees of prematurity.
- To identify specific hardships disproportionately affecting families of preterm infants.
Main Methods:
- Cross-sectional analysis of a large dataset (17,926 families) from 2011-2018.
- Categorization of preterm infants based on gestational age: <31 weeks, 31-33 weeks, and 34-36 weeks, compared to term infants (≥37 weeks).
- Multivariable multinomial logistic regression models were employed to assess the odds of unmet needs.
Main Results:
- Over 60% of families with preterm infants reported at least one unmet basic need, versus 56% for term infants (p=0.007).
- Infants born <31 weeks' gestation had higher odds of healthcare hardships (aOR 1.28).
- Infants born 34-36 weeks' gestation showed increased odds of experiencing one (aOR 1.19) or at least two unmet needs (aOR 1.15).
Conclusions:
- Unmet basic needs are significantly more prevalent in families with preterm infants compared to those with term infants.
- Specific hardships, such as healthcare access issues, are elevated in extremely preterm infants.
- These findings underscore the need for socioeconomic support systems for families of preterm infants.
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