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Trends in selected birth defects among parents from below poverty line population in Karnataka during 2010-2020
D C Nanjunda1, S Jyothi Lakshmi2, H Rajesh Acharya3
1Associate Professor, Centre for the Study of Social Exclusion and Inclusive Policy, University of Mysore, Mysore, Karnataka, India.
Insights
Birth defects like anorectal malformations and hypospadias are common in newborns from below poverty line (BPL) families in Karnataka. Increased parental age and male sex are risk factors, potentially linked to socioeconomic status and healthcare access.
Area of Science:
- Public Health
- Neonatal Medicine
- Socioeconomic Determinants of Health
Background:
- Birth defects pose a significant global health challenge, disproportionately affecting vulnerable populations.
- Socioeconomic status is a known determinant of maternal and child health outcomes.
- Limited data exists on the prevalence and types of birth defects in below poverty line (BPL) communities in South India.
Purpose of the Study:
- To identify and quantify common birth defects in newborns from BPL families in Karnataka, India.
- To explore potential associations between parental age, infant sex, and specific birth defects.
- To investigate the role of socioeconomic factors in neonatal outcomes within this population.
Main Methods:
- Analysis of 10-year birth defect data from 3672 newborns in BPL families, sourced from the Suvarna Arogya Suraksha Trust.
- Statistical examination of defect prevalence, including anorectal malformations, hypospadias, and hernias.
- Correlation analysis between parental age, infant sex, and types of birth defects.
Main Results:
- Anorectal malformations (50.3%) and hypospadias (33.1%) were the most prevalent birth defects.
- Increased parental age correlated with higher risks of birth defects, especially anorectal malformations.
- Male newborns exhibited a higher incidence of birth defects compared to females.
Conclusions:
- Poverty and low socioeconomic status are hypothesized contributors to poor maternal healthcare, leading to increased birth defect rates in BPL families.
- Targeted interventions and improved healthcare access are crucial for mitigating birth defect risks in disadvantaged communities.
- Further research is needed to elucidate the causal pathways linking socioeconomic factors to specific neonatal abnormalities.
Abstract:
The aim of the study is to reveal the common birth defects among parents of newborns belonging to the below poverty line (BPL) category in Karnataka state (South India) by analyzing Suvarna Arogya Suraksha Trust data. In the last 10 years, 3672 kids in BPL families have been born with various birth abnormalities. It is found that 50.3% of newborns have anorectal malformations, 33.1% have hypospadias, 6.0% have diaphragmatic hernia, 5.1% have esophageal atresia, and 2.8% have intestinal atresia and obstruct. As a parent's age rises, the likelihood of having a child with birth abnormalities raise as well, particularly anorectal malformations than diaphragmatic hernia. Male newborns have a higher risk of birth defects. We hypothesized that poverty, material deprivation, and low socioeconomic profile throughout the life course among the BPL community could be some of the key reasons for poor maternal health care and related neonatal outcomes.
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