Suchergebnisse

La grossesse et la petite enfance sont des moments-clés pour le développement des enfants, leur santé et leur bien-être tout au long de la vie. Naître et grandir dans une famille vivant dans la pauvreté est reconnu comme un facteur d'adversité important dont l'impact marque les indicateurs de santé périnatale et développementale. Cet article explore l'altération des systèmes de réponses au stress qui en découle et les conséquences sur la qualité des interactions parent-enfant. Il met en évidence des leviers d'action pour influencer favorablement le développement des enfants.

Objectives: 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.Methods: 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.Results: 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (p = 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.Conclusion: Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.