ArticleJournal of perinatology : official journal of the California Perinatal Association2022
Associations between maternal residential rurality and maternal health, access to care, and very low birthweight infant outcomes.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed.
- The Relationship between Social Vulnerability Index, Area Deprivation Index, and Child Opportunity Index, and Treatment Course Characteristics in Infants with Surgically Intervenable Congenital Anomalies.American journal of perinatology · 2026Article
- A Spatial Analytic Approach to Maternal Health Following Hurricane Florence (2018).Maternal and child health journal · 2026Article
- Accelerating birth equity using collaborative systems mapping.Health research policy and systems · 2025Article
- Health differences between rural and non-rural Texas counties based on 2023 County Health Rankings.BMC health services research · 2025Article
- Mortality trends in extremely premature neonates: insights from the CDC WONDER database from 1999 to 2023.Frontiers in pediatrics · 2025Article
- The implications of using maternity care deserts to measure progress in access to obstetric care: a mixed-integer optimization analysis.BMC health services research · 2024Article
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInfant mortality is increased in isolated rural areas. This study compares prenatal factors, access to care, and health outcomes for very-low birthweight (VLBW) infants by degree of maternal residential rurality.
methodsThis descriptive population-based retrospective cohort study used the California Perinatal Quality Care Collaborative registry to study VLBW infants. Rurality was assigned as urban, large rural, and small rural/isolated using the Rural Urban Commuting Area codes. We used hierarchical random effect models to test the association of rurality with survival without major morbidity.
resultsThe study included 38 614 dyads. VLBW survival without major morbidity decreased with increasing rurality and the relationship remained significant for small rural/isolated areas (OR 0.79, p = 0.03) after adjustment. Birth weight, gestational age, and infant sex were similar across geographic groups.
conclusionA rural urban disparity exists for VLBW survival without major morbidity. Our findings generate hypotheses about factors that may be driving these disparities.
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