Title

Racial and ethnic disparities in universal cervical length screening with transvaginal ultrasound.

Year of Publication

2016

Number of Pages

4078-81

Date Published

2016 Dec

ISSN Number

1476-4954

Abstract

<p><strong>OBJECTIVE: </strong>Determine if race or ethnicity is associated with missed or late transvaginal cervical length screening in a universal screening program.</p>

<p><strong>METHODS: </strong>Retrospective cohort study of nulliparous women with singleton gestations and a fetal anatomical ultrasound from 16-24 weeks' gestation from January 2012 to November 2013. We classified women into mutually exclusive racial and ethnic groups: non-Hispanic black (black), Hispanic, Asian, non-Hispanic white (white), and other or unknown race. We used log-binomial regression to calculate the risk ratio (RR) and 95% confidence interval (CI) of missed or late (≥20 weeks' gestation) screening versus optimally timed screening between the different racial and ethnic groups.</p>

<p><strong>RESULTS: </strong>Among the 2967 women in our study population, 971 (32.7%) had either missed or late cervical length screening. Compared to white women, black (RR: 1.3; 95% CI: 1.1-1.5) and Hispanic (RR:1.2; 95% CI: 1.01-1.5) women were more likely to have missed or late screening. Among women screened, black (versus white) women were more likely to be screened late (RR: 2.2; 95% CI: 1.6-3.1).</p>

<p><strong>CONCLUSIONS: </strong>Black and Hispanic women may be more likely to have missed or late cervical length screenings.</p>

DOI

10.3109/14767058.2016.1157577

Alternate Title

J. Matern. Fetal. Neonatal. Med.

PMID

26987873

WATCH THIS PAGE

Subscription is not available for this page.