Objective <p>Describe how preterm infants experience residential mobility, or moving, before age 2 years.</p> Study design <p>This 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.</p> Results <p>2494 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.</p> Conclusion <p>Early-life residential mobility is common among preterm infants, particularly extremely preterm infants. These findings have implications for discharge preparation among this vulnerable group.</p>

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Prevalence, predictors, and patterns of residential mobility by the parents of preterm infants

  • Daria Murosko,
  • Timothy Nelin,
  • Priya Sharma,
  • Vicky Tam,
  • Elynna Volkova,
  • Kristan Scott,
  • Emily F. Gregory,
  • Scott Lorch

摘要

Objective

Describe how preterm infants experience residential mobility, or moving, before age 2 years.

Study design

This 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.

Results

2494 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.

Conclusion

Early-life residential mobility is common among preterm infants, particularly extremely preterm infants. These findings have implications for discharge preparation among this vulnerable group.