Fetal Health Shocks and Early Inequalities in Health Capital Accumulation

Wehby, George L.; Nyarko, Kwame A.; López-Camelo, Jorge S.

doi:10.1002/hec.2901

Cited by 17 publications

(21 citation statements)

References 68 publications

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“…Among the many potential consequences early in life and during childhood are increased risks for fetal growth retardation [4], hospitalizations [5] and certain behavioral and psychosocial problems such as inattention/hyperactivity and separation anxiety disorder [6,7], which may be partly due to concerns about facial appearance and speech but also other factors such as the multiple needed surgical repairs and healthcare treatments [6]. …”

Section: Introductionmentioning

confidence: 99%

Comparing the Visual Analogue Scale and the Pediatric Quality of Life Inventory for Measuring Health-Related Quality of Life in Children with Oral Clefts

Wehby

Naderi

Robbins³

et al. 2014

IJERPH

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Objectives: To evaluate the performance of the Visual Analogue Scale (VAS), in measuring overall health-related Quality of Life (HRQoL) in children with oral clefts relative to the Pediatric Quality of Life Inventory 4.0 (PedsQLTM) Generic Core Scales, one of the most validated and commonly used methods to measure pediatric HRQoL. Methods: The study included a population-based sample of 307 children aged 5 to 10 years who were born in Iowa, New York, and Arkansas with non-syndromic oral clefts. Data on HRQoL were obtained using a VAS and PedsQLTM via self-administered interviews with the parents. We evaluated the correlations between the VAS and PedsQLTM total scores, and the correlations of each of these two scales with a series of child health and wellbeing indicators. Results: The VAS and PedsQLTM scores were well-correlated (r = 0.67). There were no prominent differences between the correlations of VAS and PedsQLTM with the selected indicators of child health and wellbeing; differences in correlations were less than 0.1. Differences in HRQoL by cleft type were more pronounced on the PedsQLTM. Conclusions: Our study finds the VAS to perform relatively well in measuring overall HRQoL among children with oral clefts. The VAS may be useful as a screening tool to identify children with oral clefts at risk of low HRQoL for referral into more comprehensive evaluations and for measuring average HRQoL across a sample of children.

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Section: Introductionmentioning

confidence: 99%

Comparing the Visual Analogue Scale and the Pediatric Quality of Life Inventory for Measuring Health-Related Quality of Life in Children with Oral Clefts

Wehby

Naderi

Robbins³

et al. 2014

IJERPH

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“…[6] Infants with CL/P have twice as large risk for low birth weight (<2500 grams) as unaffected infants and have lower birth weight by more than 100 and 600 grams with isolated and non-isolated clefts, respectively. [7] [8] CL/P result in feeding problems and ear infections,[9] require surgical interventions, and increase hospitalizations. [10] CL/P also increase infant mortality risks especially in less developed countries.…”

mentioning

confidence: 99%

Does the Relationship between Prenatal Care and Birth Weight Vary by Oral Clefts? Evidence Using South American and United States Samples

Nyarko

López-Camelo

Castilla

et al. 2013

The Journal of Pediatrics

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Objective To evaluate if the association between prenatal care use and birth weight (BW) varies for infants with cleft lip and/or cleft palate (CL/P), classified into isolated and non-isolated forms, compared with unaffected infants. Study design The study employed two datasets. The first included a multi-country sample of 2,405 infants with CL/P and 24,046 infants without CL/P born in 1996–2007 in South America. The second was a sample of 2,122 infants with CL/P and 297,415 without CL/P from the United States (U.S.) 2004 Natality dataset. Separate analyses were performed for the South American and U.S. samples. The association between prenatal care and BW was evaluated separately for isolated CL/P, non-isolated CL/P, and unaffected infants using regression models adjusting for several background characteristics. Results Prenatal care was associated with improved BW for all infant groups, with greater BW increases for infants with CL/P particularly non-isolated forms. In the South American sample, BW increased by 108, 69, and 40 grams on average per prenatal visit for infants with non-isolated CL/P, infants with isolated CL/P, and unaffected infants, respectively. In the U.S. sample, BW increased by 51, 21, and 16 grams on average per prenatal visit for these infant groups, respectively. Conclusions Prenatal care was associated with larger BW increases for pregnancies complicated with CL/P, particularly non-isolated forms, compared with unaffected pregnancies. Given that reduced BW is a well-recognized co-morbidity of CL/P, the findings highlight the importance of prenatal care for at-risk pregnancies as a tertiary-prevention intervention to reduce the health burden of CL/P.

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“…The ECLAMC data have been used in numerous studies of infant and maternal health in South America (e.g. Wehby et al, 2009a, 2009b, 2009c; 2010; Nyarko et al 2013a, 2013b; Wehby et al 2014; Woodhouse et al 2014; Wehby et al, 2015). …”

Section: Methodsmentioning

confidence: 99%

“…This period covers the 1995 recession and the major 1999–2002 economic crisis. We exclude infants with birth defects from this sample because the infant health outcomes we investigate such as birth weight, gestational age, or hospitalization status are influenced by birth defects (Nyarko et al, 2013b; Wehby et al, 2009b, 2014). The total sample with data on the study variables includes around 15,000 births born in 50 hospitals in 29 cities in 13 provinces.…”

Section: Methodsmentioning

confidence: 99%