Sociodemographic Profile Associated with Congenital Heart Disease among Infants Less than 1 Year Old

Author:

Tran Michelle1,Miner Anna1,Merkel Carlin1,Sakurai Kenton1,Woon Jessica1,Ayala John2,Nguyen Jennifer1,Lopez Jeraldine3,Votava-Smith Jodie K.1,Tran Nhu N.1

Affiliation:

1. University of Southern California/Children's Hospital of Los Angeles

2. Cardiac Registry Support

3. Children's Hospital of Los Angeles

Abstract

Abstract Background: Congenital heart disease (CHD) affects thousands of newborns each year in the United States (US). Infants born with CHD have an increased risk of adverse health outcomes compared to healthy infants. These outcomes include, but are not limited to, neurodevelopmental, surgical, and mortality-related outcomes. Previous US-based research has explored how sociodemographic factors may impact these health outcomes in infants with CHD; however, their impact on the risk of CHD is unclear. This study aims to explore the sociodemographic profile related to CHD to help address health disparities that arise from race and social determinants of health. Defining the sociodemographic factors associated with CHD will encourage policy change and the implementation of preventative measures. Methods: This study is a secondary analysis of longitudinally collected data. We compared infants with CHD and healthy controls. We used a questionnaire to collect sociodemographic data. Pearson’s chi-square test/Fisher’s exact tests analyzed the associations among different sociodemographic factors between infants with CHD and healthy controls. Results: We obtained sociodemographic factors from 30 healthy control infants and 39 infants with CHD. We found a statistically significant difference in maternal education between our 2 groups of infants (p=0.004). Conclusion: Maternal education is associated with CHD. Future studies are needed to further characterize sociodemographic factors that may predict and impact the risk of CHD and to determine possible interventions that may help decrease health disparities regarding the risk of CHD.

Publisher

Research Square Platform LLC

Reference23 articles.

1. Centers for Disease Control and Prevention. Estimating the Number of People with Congenital Heart Defects Living in the United States. 2020. Available from https://www.cdc.gov/ncbddd/heartdefects/features/kf-chd-estimates-us.html

2. Impact of Family Socioeconomic Status on Health-Related Quality of Life in Children With Critical Congenital Heart Disease;Xiang L;J Am Heart Assoc,2019

3. Socio-economic inequalities in mortality in children with congenital heart disease: A systematic review and meta-analysis;Best KE;Paediatric and Perinatal Epidemiology,2019

4. Socioeconomic Mediators of Racial and Ethnic Disparities in Congenital Heart Disease Outcomes: A Population-Based Study in California;Peyvandi S;J Am Heart Assoc,2018

5. Neighbourhood maternal socioeconomic status indicators and risk of congenital heart disease;Miao Q;BMC Pregnancy Childbirth,2021

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