A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes

The association between a single interpregnancy interval (IPI) and birth outcomes has not yet been explored using matched methods. We modeled the odds of preterm birth, being small for gestational age, and having low birth weight in a second, live-born infant in a cohort of 192,041 sibling pairs bor...

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Main Authors: Regan, A., Pereira, Gavin
Format: Journal Article
Published: Oxford University Press 2018
Online Access:http://purl.org/au-research/grants/nhmrc/1099655
http://hdl.handle.net/20.500.11937/71844
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author Regan, A.
Pereira, Gavin
author_facet Regan, A.
Pereira, Gavin
author_sort Regan, A.
building Curtin Institutional Repository
collection Online Access
description The association between a single interpregnancy interval (IPI) and birth outcomes has not yet been explored using matched methods. We modeled the odds of preterm birth, being small for gestational age, and having low birth weight in a second, live-born infant in a cohort of 192,041 sibling pairs born in Western Australia between 1980 and 2010. The association between IPI and birth outcomes was estimated from the interaction between birth order and IPI (with 18–23 months as the reference category), using conditional logistic regression. Matched analysis showed the odds of preterm birth were higher for siblings born following an IPI of <6 months (adjusted interaction odds ratio = 1.22, 95% confidence interval: 1.06, 1.38) compared with those born after an IPI of 18–23 months. There were no significant differences for IPIs of <6 months for other outcomes (small for gestational age or low birth weight). This is the first study to use matched analyses to investigate the association between a single IPI on birth outcomes. IPIs of <6 months were associated with increased odds of preterm birth in second-born infants, although the association is likely smaller than previously estimated by unmatched studies.
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spelling curtin-20.500.11937-718442023-11-02T02:27:46Z A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes Regan, A. Pereira, Gavin The association between a single interpregnancy interval (IPI) and birth outcomes has not yet been explored using matched methods. We modeled the odds of preterm birth, being small for gestational age, and having low birth weight in a second, live-born infant in a cohort of 192,041 sibling pairs born in Western Australia between 1980 and 2010. The association between IPI and birth outcomes was estimated from the interaction between birth order and IPI (with 18–23 months as the reference category), using conditional logistic regression. Matched analysis showed the odds of preterm birth were higher for siblings born following an IPI of <6 months (adjusted interaction odds ratio = 1.22, 95% confidence interval: 1.06, 1.38) compared with those born after an IPI of 18–23 months. There were no significant differences for IPIs of <6 months for other outcomes (small for gestational age or low birth weight). This is the first study to use matched analyses to investigate the association between a single IPI on birth outcomes. IPIs of <6 months were associated with increased odds of preterm birth in second-born infants, although the association is likely smaller than previously estimated by unmatched studies. 2018 Journal Article http://hdl.handle.net/20.500.11937/71844 https://doi.org/10.1093/aje/kwy188 http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1047263 Oxford University Press unknown
spellingShingle Regan, A.
Pereira, Gavin
A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title_full A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title_fullStr A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title_full_unstemmed A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title_short A population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
title_sort population-based matched sibling analysis estimating the association between first interpregnancy interval and birth outcomes
url http://purl.org/au-research/grants/nhmrc/1099655
http://purl.org/au-research/grants/nhmrc/1099655
http://hdl.handle.net/20.500.11937/71844