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Table 2 Crude and adjusted odds ratios (with 95% confidence intervals in parentheses) for the prevalence of preterm birth according to birth year and maternal characteristics in California for the period 2007–2016

From: Temporal trends, patterns, and predictors of preterm birth in California from 2007 to 2016, based on the obstetric estimate of gestational age

Variable

Crude odds ratio

Adjusted odds ratio

OR (95% CI)

p-valuea

OR (95% CI)

p-valuea

Birth year

 2008

0.99 (0.98–1.00)

0.148

0.99 (0.97–1.00)

0.110

 2009

0.95 (0.93–0.96)

<.001

0.94 (0.92–0.96)

<.001

 2010

0.93 (0.91–0.94)

<.001

0.92 (0.91–0.94)

<.001

 2011

0.92 (0.90–0.93)

<.001

0.91 (0.90–0.93)

<.001

 2012

0.92 (0.90–0.93)

<.001

0.91 (0.90–0.93)

<.001

 2013

0.91 (0.89–0.92)

<.001

0.90 (0.89–0.92)

<.001

 2014

0.89 (0.87–0.90)

<.001

0.89 (0.87–0.90)

<.001

 2015

0.92 (0.90–0.93)

<.001

0.91 (0.89–0.93)

<.001

 2016

0.94 (0.92–0.95)

<.001

0.93 (0.91–0.94)

<.001

 2007

Refb

 

Refb

 

Maternal age (years)

  < 20

1.16 (1.15–1.18)

<.001

1.07 (1.05–1.09)

<.001

 25–29

0.97 (0.96–0.98)

<.001

1.08 (1.07–1.10)

<.001

 30–34

1.01 (1.00–1.02)

0.015

1.24 (1.22–1.26)

<.001

 35–39

1.20 (1.19–1.22)

<.001

1.51 (1.49–1.54)

<.001

 40–54

1.54 (1.52–1.57)

<.001

1.92 (1.88–1.96)

<.001

 20–24 (ref)

Refb

 

Refb

 

Maternal race/ethnicity

 African American

1.77 (1.74–1.79)

<.001

1.64 (1.61–1.67)

<.001

 American Indian

1.46 (1.39–1.54)

<.001

1.26 (1.18–1.35)

<.001

 Asian

1.16 (1.14–1.17)

<.001

1.40 (1.38–1.42)

<.001

 Hispanic

1.23 (1.22–1.24)

<.001

1.22 (1.21–1.24)

<.001

 Multiple Race

1.26 (1.23–1.29)

<.001

1.23 (1.20–1.26)

<.001

 Other Unknown

1.35 (1.32–1.38)

<.001

1.26 (1.22–1.30)

<.001

 Pacific Islander

1.48 (1.41–1.55)

<.001

1.43 (1.35–1.51)

<.001

 White (ref)

Refb

 

Refb

 

Maternal education

  < High school

1.37 (1.36–1.38)

<.001

1.35 (1.33–1.38)

<.001

 High school diploma

1.28 (1.27–1.29)

<.001

1.30 (1.28–1.31)

<.001

 Some college/associate degree

1.27 (1.26–1.29)

<.001

1.28 (1.26–1.30)

<.001

 Unknown

1.39 (1.36–1.41)

<.001

1.30 (1.27–1.34)

<.001

 Bachelor’s degree or higher (ref)

Refb

 

Refb

 

Maternal nativity

 United States-born

1.08 (1.07–1.08)

<.001

1.15 (1.14–1.16)

<.0001

 Foreign-born (ref)

Refb

 

Refb

 

Maternal demographic region

 Central Coast

0.97 (0.95–1.00)

0.023

1.01 (0.98–1.04)

0.621

 Greater Bay Area

1.03 (1.00–1.05)

0.022

1.04 (1.01–1.06)

0.007

 Inland Empire

1.14 (1.11–1.16)

<.001

1.13 (1.10–1.16)

<.001

 Los Angeles County

1.13 (1.11–1.15)

<.001

1.12 (1.09–1.14)

<.001

 Orange County

0.99 (0.97–1.02)

0.493

1.05 (1.02–1.08)

0.001

 Sacramento Area

1.03 (1.01–1.06)

0.016

1.05 (1.02–1.08)

0.001

 San Diego Area

1.07 (1.04–1.09)

<.001

1.13 (1.10–1.16)

<.001

 San Joaquin Valley

1.21 (1.18–1.24)

<.001

1.18 (1.15–1.22)

<.001

 Northern and Sierra (ref)

Refb

 

Refb

 

Source of prenatal care payment

 Medi-Cal (Public)

1.13 (1.12–1.14)

<.001

1.12 (1.11–1.13)

<.001

 Private insurance (ref)

Refb

 

Refb

 

cWIC participation

 No

0.95 (0.94–0.96)

<.001

1.13 (1.12–1.14)

<.001

 Yes (ref)

Refb

 

Refb

 

First trimester prenatal care initiation

 No

1.08 (1.07–1.09)

<.001

1.07 (1.06–1.09)

<.001

 Yes (ref)

Refb

 

Refb

 

Parity

 Primiparous

1.03 (1.02–1.04)

<.001

1.16 (1.15–1.17)

<.001

 Multiparous 6–12

1.84 (1.80–1.88)

<.001

1.35 (1.32–1.39)

<.001

 Multiparous 2–5 (ref)

Refb

 

Refb

 

Maternal smoking

 Yes

1.85 (1.81–1.89)

<.001

1.57 (1.53–1.62)

<.001

 No (ref)

Refb

 

Refb

 

Maternal prepregnancy body mass index (kg/m2)

 Underweight, < 18.5

1.23 (1.20–1.25)

<.001

1.23 (1.20–1.25)

<.001

 Overweight, 25.0–29.9

1.09 (1.08–1.09)

<.001

1.06 (1.05–1.07)

<.001

 Obese I–30.0–34.9

1.22 (1.21–1.23)

<.001

1.16 (1.15–1.17)

<.001

 Obese II, 35.0–39.9

1.31 (1.29–1.33)

<.001

1.24 (1.22–1.26)

<.001

 Obese III, ≥ 40

1.44 (1.42–1.47)

<.001

1.33 (1.30–1.36)

<.001

 Normal, 18.5–24.9 (ref)

Refb

 

Refb

 
  1. OR Odds ratio, AOR Adjusted odds ratio, CI Confidence interval, BMI Body mass index
  2. ap value determined using the χ2 test
  3. bRef Reference group
  4. cWIC Supplemental Nutrition Program for Women, Infants, and Children (household incomes below 185% of the federal poverty line are eligible for WIC)
  5. All singleton live births were delivered at 17–47 completed weeks of gestation based on obstetric estimates and birthweight of ≥500 g at birth. Births with missing information on gestational age or birthweight were excluded