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=Volume 69 - 2024

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=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.