Table 2.
Association between maternal race and the occurrence of cyanotic congenital heart disease in the USA. Chi-square test statistical analysis, result of maternal race (independent variable), confounders variables and cyanotic congenital heart disease (dependent variable) (Natality Public Use file, CDC, 2017). N = 3,864,754 live birth, maternal population of all race and origin = 325,719,178. n = 2130 CCHD birth were reported out of 3,8161,947 respondents
| Variables | CCHD (YES) | CCHD (NO) | P-value |
|---|---|---|---|
|
Maternal race (independent variable) White Black AIAN* Asian or PI** |
1665 (78.2) 334 (15.7) 38 (1.8) 93 (4.4) |
2,860,793 (74.2) 657,326 (17.0) 41,858 (1.1) 297,710 (7.7) |
0.01 |
| Confounders | |||
|
Mother’s age Under 35 years 35 to 54 years |
1685 (79.1) 445 (20.9) |
3,178,232 (82.4) 679,455 (17.6) |
0.01 |
|
Marital status Married Unmarried |
1274 (61.1) 811 (38.9) |
2,028,220 (59.9) 1,356,734 (40.1) |
0.27 |
|
Educational status Below University degree Above University degree |
1464 (69.5) 641 (30.5) |
2,574,948 (67.6) 1,233,655 (32.4) |
0.06 |
|
Mother’s nativity Born in the USA (50 US states) Born outside the USA (includes possessions) |
1749 (82.6) 368 (17.4) |
2,953,934 (76.7) 896,157 (23.3) |
0.01 |
|
Combined gestation Under 37 weeks 37 weeks over |
11,354 (66.6) 31,481 (62.4) |
5704 (33.4) 18,999 (37.6) |
0.01 |
|
Payment method Medicaid Private insurance Self-pay Other |
927 (43.9) 1034.6 (48.8) 89.7 (3.5) 81.0 (3.8) |
1,645,391 (42.9) 1,879,609.4 (49.0) 162,937.3 (4.2) 147,188.0 (3.8) |
0.35 |
|
Gonorrhea infection Yes No |
6 (0.3) 2116 (99.7) |
11,319 (0.3) 3,837,694 (99.7) |
0.93 |
|
Syphilis infection Yes No |
1 (0.0) 2121 (100) |
3892 (0.1) 3,845,121 (99.9) |
0.43 |
|
Chlamydia infection Yes No |
36 (1.7) 2086 (98.3) |
70,474 (1.8) 3,778,539 (98.2) |
0.64 |
|
Hepatitis B Yes No |
4 (0.2) 2118 (99.8) |
8978 (0.2) 3,840,035 (99.8) |
0.67 |
|
Hepatitis C Yes No |
14 (0.7) 2108 (99.3) |
18,056 (0.5) 3,830,957 (99.5) |
0.20 |
|
Use of ART Yes No |
33 (57.9) 24 (42.1) |
42,776 (63.4) 24,652 (36.6) |
0.39 |
|
Pre-pregnancy diabetes Yes No |
97 (4.6) 2029 (95.4) |
35,198 (0.9) 3,819,835 (99.1) |
0.01 |
|
Pre-pregnancy hypertension Yes No |
101 (4.8) 2025 (95.2) |
72,863 (1.9) 3,782,170 (98.1) |
0.01 |
|
Month prenatal care began 1 to 3rd month 4 to 6th month 7th to final month No prenatal care |
1350 (67.1) 414 (20.6) 205 (10.2) 44 (2.2) |
2,903,961 (77.2) 619,167 (16.5) 170,620 (4.5) 66,596 (1.8) |
0.01 |
|
Smoking status Yes No |
196 (9.3) 1919 (90.7) |
264,329 (6.9) 3,574,788 (93.1) |
0.01 |
|
Nutrition (WIC) Yes No |
708 (34.1) 1370 (65.9) |
1,450,583 (38.0) 2,362,729 (62.0) |
0.01 |
*American Indians and Alaska Native
**Asian or Pacific Islander