AUTHOR=Osei Lindsay , Vignier Nicolas , Nacher Mathieu , Laumonnier Juliette , Conan Claude , Clarke Loreinzia , Koivogui Akoï , Covis Sabrina , Valony Luciano , Basurko Célia , Wiedner-Papin Solène , Prual Alain , Cardoso Thierry , Leneuve-Dorilas Malika , Alcouffe Leslie , Hcini Najeh , Bernard Stéphanie , Succo Tiphanie , Vendittelli Françoise , Elenga Narcisse 

TITLE=Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

JOURNAL=International Journal of Public Health

VOLUME=69

YEAR=2024

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1606423

DOI=10.3389/ijph.2024.1606423

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG.</p><p><bold>Methods</bold>: We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers.</p><p><bold>Results:</bold> 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (<italic>p</italic> &lt; 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (<italic>p</italic> = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55–1.77]), from Haiti (aOR = 1.24 [1.11–1.39]) or Guyana (aOR = 1.30 [1.01–1.68]) and lack of health insurance (aOR = 1.24 [1.10–1.40]) were associated with SGA newborns.</p><p><bold>Conclusion:</bold> Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.</p>