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Predictors of Low Birth Weight in Kansas

Presenter: V. James (Jim) Guillory, DO, MPH, FACPM Title: Predictors of Low Birth Weight in Kansas Presented: Feb. 4, 2014 Abstract: Context: Low birth weight (LBW) is associated with infant morbidity and mortality. This is the first study of LBW in Kansas using vital statistics to determine maternal and health care system factors associated with LBW. Outcomes: Low birth weight. Objective: Determine if prenatal care, maternal socio-demographic or medical factors, or insurance status were associated with LBW. Methods: Birth certificate data were merged with Medicaid eligibility data and subjected to logistic regression analysis. Results: Of the 37,081 single vaginal births, LBW rates were 5.5% overall, 10.8% for African Americans, and 5% for White Americans. Lacking private insurance was associated with 34% more LBW infants (AOR 1.34; 95% CI 1.13–1.58), increased comorbidity, and late or less prenatal care. Low birth weight was associated with maternal medical comorbidity and with previous adverse birth outcomes. Conclusions: Insurance status, prenatal care, and maternal health during pregnancy are associated with LBW. Private insurance was consistently associated with more prenatal care and better outcomes. This study has important implications regarding health care reform. Presenter's bio: Dr. Jim Guillory was a professor in the School of Health Management (which became the College of Graduate Health Studies). He received his Master of Public Health from the Arnold School of Public Health, University of South Carolina, in 1997 as part of the requirements of completing an ABPM certified residency in preventive medicine and public health. He completed his internship in 1986 and he earned a degree in Osteopathic Medicine from Kansas City University of Medicine and Biosciences in 1985. He received a masters degree in Biochemistry in 1983 from the University of Kansas and was awarded a bachelor of science degree in Environmental Science from Lamar University in 1974. He completed fellowships in Healthcare and Public Health Policy and Leadership. These were the National Public Health Leadership Institutes sponsored by the Centers for Disease Control and Prevention and the U.S. Public Health Service | Health Resources and Services Administration primary care policy fellowships. Primary research activities focus on the determinants of maternal and child health, particularly factors leading to disparities in infant morbidity and mortality and the association between insurance status, prenatal care, and health. His work has resulted in numerous publications in peer-reviewed journals and presentations. Dr. Guillory was board certified in family medicine and preventive medicine and public health. Jim is no longer with us; he passed away on February 14, 2016.