Prevalence, predictors, and patterns of residential mobility by the parents of preterm infants
摘要
Describe how preterm infants experience residential mobility, or moving, before age 2 years.
Study designThis retrospective cohort study included 9267 preterm infants followed in a mid-Atlantic urban and suburban primary care network. Multivariable regression modeling identified patient and community factors associated with residential mobility, defined by a change in Census Block Group.
Results2494 infants (27%) moved before age 2 years; 559 (6%) moved more than once. Extreme prematurity, compared to late prematurity, was associated with increased odds of mobility (aOR 1.26, 95% CI 1.03–1.54). Governmental insurance, male sex, a positive or missing post-partum depression screen, and neighborhood deprivation were also positively associated with mobility. Among movers, 741 (30%) first relocated before 6 months of age, and mobility rates decreased with increasing chronologic age.
ConclusionEarly-life residential mobility is common among preterm infants, particularly extremely preterm infants. These findings have implications for discharge preparation among this vulnerable group.