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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Diving into CDC pregnancy data in the United States: longitudinal study and interactive application.

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Summary

Preterm birth (PTB) rates are rising, particularly late PTBs, with significant racial disparities. Short interpregnancy intervals and increased maternal age are confirmed risk factors. This study highlights trends from 1968-2021.

Keywords:
CDCR Shinydata analysislongitudinal studymaternal morbiditypreterm birth

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Area of Science:

  • Public Health
  • Epidemiology
  • Reproductive Health

Background:

  • Preterm birth (PTB) is a leading cause of neonatal mortality and morbidity.
  • Understanding long-term trends and risk factors for PTB is crucial for public health interventions.
  • CDC natality data provides a valuable resource for analyzing PTB trends over decades.

Purpose of the Study:

  • To conduct a longitudinal analysis of PTB risk factors using CDC natality data from 1968 to 2021.
  • To identify trends in PTB outcomes and their association with demographic and clinical factors.
  • To develop an accessible tool for researchers and clinicians to explore PTB data.

Main Methods:

  • Longitudinal analysis of CDC Natality data (1968-2021).
  • Examination of PTB trends across race, maternal age, education, and interpregnancy intervals (IPIs).
  • Development of an interactive RShiny web application (CDC NatView) for data exploration.

Main Results:

  • An upward trend in late PTBs was observed.
  • Significant racial disparities in PTB rates persist between African American and White populations.
  • Increasing maternal age and short interpregnancy intervals were confirmed as PTB risk factors.

Conclusions:

  • The study highlights concerning trends in late PTBs and persistent racial disparities.
  • Increased maternal age and short IPIs are significant risk factors for PTB.
  • The CDC NatView tool offers a valuable resource for further research into PTB and maternal morbidities.