Household unmet basic needs in the first 1000 days and preterm birth status

J Perinatol. 2022 Mar;42(3):389-396. doi: 10.1038/s41372-022-01325-5. Epub 2022 Jan 31.

Abstract

Objective: To examine the relationship of individual and composite number of unmet basic needs (housing, energy, food, and healthcare hardships) in the past year with preterm birth status among children aged 0-24 months.

Study design: We examined cross-sectional 2011-18 data of 17,926 families with children aged 0-24 months. We examined children born <31 weeks', 31-33 weeks', and 34-36 weeks' gestation versus term (≥37 weeks) using multivariable multinomial logistic regression.

Results: At least 1 unmet basic need occurred among ≥60% of families with preterm children, compared to 56% of families with term children (p = 0.007). Compared to term, children born ≤30 weeks' had increased odds of healthcare hardships (aOR 1.28 [1.04, 1.56]) and children born 34-36 weeks' had increased odds of 1 (aOR 1.19 [1.05, 1.35]) and ≥2 unmet needs (aOR 1.15 [1.01, 1.31]).

Conclusion: Unmet basic needs were more common among families with preterm, compared to term children.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Cross-Sectional Studies
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Premature Birth* / epidemiology