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|Title||Racial and ethnic disparities in universal cervical length screening with transvaginal ultrasound.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Haviland MJ, Shainker SA, Hacker MR, Burris HH|
|Journal||J Matern Fetal Neonatal Med|
|Date Published||2016 Dec|
|Keywords||Adult, African Americans, Asian Continental Ancestry Group, Cervical Length Measurement, Cervix Uteri, Chi-Square Distribution, Continental Population Groups, Delayed Diagnosis, European Continental Ancestry Group, Female, Health Status Disparities, Hispanic Americans, Humans, Insurance Coverage, Mass Screening, Massachusetts, Pregnancy, Pregnancy Complications, Retrospective Studies, Young Adult|
OBJECTIVE: Determine if race or ethnicity is associated with missed or late transvaginal cervical length screening in a universal screening program.
METHODS: Retrospective cohort study of nulliparous women with singleton gestations and a fetal anatomical ultrasound from 16-24 weeks' gestation from January 2012 to November 2013. We classified women into mutually exclusive racial and ethnic groups: non-Hispanic black (black), Hispanic, Asian, non-Hispanic white (white), and other or unknown race. We used log-binomial regression to calculate the risk ratio (RR) and 95% confidence interval (CI) of missed or late (≥20 weeks' gestation) screening versus optimally timed screening between the different racial and ethnic groups.
RESULTS: Among the 2967 women in our study population, 971 (32.7%) had either missed or late cervical length screening. Compared to white women, black (RR: 1.3; 95% CI: 1.1-1.5) and Hispanic (RR:1.2; 95% CI: 1.01-1.5) women were more likely to have missed or late screening. Among women screened, black (versus white) women were more likely to be screened late (RR: 2.2; 95% CI: 1.6-3.1).
CONCLUSIONS: Black and Hispanic women may be more likely to have missed or late cervical length screenings.
|Alternate Journal||J. Matern. Fetal. Neonatal. Med.|
|PubMed Central ID||PMC5027177|
|Grant List||K23 ES022242 / ES / NIEHS NIH HHS / United States |
UL1 TR001102 / TR / NCATS NIH HHS / United States