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Special Issue "Advances in Perinatal Epidemiology and Maternal/Child Health"

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Dear Colleagues,

This Special Issue focuses on research in the field of maternal and child health, including perinatal and pediatric epidemiology and health services research. We are interested in population-based research that provides generalizable insights into the causes and consequences of health disparities in pregnancy outcomes, maternal reproductive health, access to and quality of health services for preconception care, prenatal care, postpartum care, and infant and child health care. Single-center studies will not be considered for inclusion. Studies may come from clinical research sources, population-based administrative health databases, or representative sample surveys. Cross-national studies are encouraged, as well as systematic reviews provided the included studies meet the above criteria.

Prof. Dr. Russell S. Kirby
Guest Editor

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Keywords

population health
perinatal
pediatric
maternal health
child health
epidemiology
health services research

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13 pages, 1246 KiB

Open AccessArticle

Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018

Otobo I. Ujah

and

Russell S. Kirby

Int. J. Environ. Res. Public Health 2022, 19(20), 13027; https://doi.org/10.3390/ijerph192013027 - 11 Oct 2022

Viewed by 1249

Abstract

This study examined temporal trends in the association between rural–urban residence and the use of LARCs among women using a method of contraception. A secondary objective was to examine whether the association varied over time. This study was a secondary analysis of data collected by the Performance Monitoring for Action (PMA) project from Nigeria among women aged 15–49 in 2016 (N= 11,054), 2017 (N= 11,380), and 2018 (N = 11,106). Weighted multivariable logistic regression analyses examined the association between place of residence and the likelihood of LARC (overall and specific type) utilization. Using weighted multivariable logistic regression, we show that, of the 6488 women who were using a method of contraception, the rates of LARC utilization in urban areas were significantly lower than in rural areas (OR = 0.52, 95% CI 0.38–0.73), attributed mainly to the high utilization rates of implants. Women in urban areas were more likely to use intrauterine devices (IUDs) (OR = 1.90, 95% CI 1.09–3.30) compared to those in rural areas. Conversely, the use of implants was significantly lower among women in urban areas (OR = 0.39, 95% CI 0.28–0.54). Adjusting for all predictors, we observed a reduction, albeit not significantly different, in odds in overall LARC, IUD, and implant use in urban compared to rural areas. The use of LARCs increased between 2016 and 2018 and the association between LARC use and place of residence also differed by the PMA survey year. There is a need for programs and policies to close gaps in the disparities in overall and specific LARC utilization rates based on place of residence. Full article

(This article belongs to the Special Issue Advances in Perinatal Epidemiology and Maternal/Child Health)

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15 pages, 708 KiB

Open AccessArticle

Maternal Early-Life Risk Factors and Later Gestational Diabetes Mellitus: A Cross-Sectional Analysis of the UAE Healthy Future Study (UAEHFS)

Int. J. Environ. Res. Public Health 2022, 19(16), 10339; https://doi.org/10.3390/ijerph191610339 - 19 Aug 2022

Cited by 2 | Viewed by 2115

Abstract

Limited studies have focused on maternal early-life risk factors and the later development of gestational diabetes mellitus (GDM). We aimed to estimate the GDM prevalence and examine the associations of maternal early-life risk factors, namely: maternal birthweight, parental smoking at birth, childhood urbanicity, ever-breastfed, parental education attainment, parental history of diabetes, childhood overall health, childhood body size, and childhood height, with later GDM. This was a retrospective cross-sectional study using the UAE Healthy Future Study (UAEHFS) baseline data (February 2016 to April 2022) on 702 ever-married women aged 18 to 67 years. We fitted a Poisson regression to estimate the risk ratio (RR) for later GDM and its 95% confidence interval (CI). The GDM prevalence was 5.1%. In the fully adjusted model, females with low birthweight were four times more likely (RR 4.04, 95% CI 1.36–12.0) and females with a parental history of diabetes were nearly three times more likely (RR 2.86, 95% CI 1.10–7.43) to report later GDM. In conclusion, maternal birthweight and parental history of diabetes were significantly associated with later GDM. Close glucose monitoring during pregnancy among females with either a low birth weight and/or parental history of diabetes might help to prevent GDM among this high-risk group. Full article

(This article belongs to the Special Issue Advances in Perinatal Epidemiology and Maternal/Child Health)

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