title: [An example of research and actions related to perinatal mortality in Guadeloupe. Factors and profiles of sociodemographic risk].
abstract: Perinatal risk factors in Guadeloupe (French West Indies) have been analysed from a community-based case-control survey. Two hundred and sixty four perinatal deaths were involved along with 605 controls. Principal component factor analysis of individual risk characteristics was used to identify risk group profiles. These risk profiles were: "single women of low socio-economical status" (17% of the variability), "traditional Caribbean housewives" (14%), "single adolescents" (7%), and "immigrant women" (10%). Only the three first were significantly associated with a poor outcome for the current pregnancy. This approach may be fruitful in planning for public health interventions to prevent perinatal risk. Also, risk profile concepts may be well-accepted by physicians and care providers, in routine practice, for screening of individual at-risk patients.
authors.affiliation: Jeune Formation INSERM de Recherches épidémiologiques, cliniques et moléculaires, et Service de Pédiatrie et Néonatologie, Centre Hospitalier-Régional de Pointe-à-Pitre/Abymes, Guadeloupe, Antilles françaises.
authors.forename: F
authors.initials: F
authors.lastname: de Caunes
authors.forename: G R
authors.initials: GR
authors.lastname: Alexander
authors.forename: C
authors.initials: C
authors.lastname: Berchel
authors.forename: J P
authors.initials: JP
authors.lastname: Guengant
authors.forename: E
authors.initials: E
authors.lastname: Papiernik
mesh_terms: D003153:Community Health Services; D003710:Demography; D004641:Emigration and Immigration; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D012044:Regression Analysis; D012307:Risk Factors; D015406:Single Parent; D012959:Socioeconomic Factors; D014900:West Indies
vernacular_title: Un exemple de recherche-action sur la mortalité périnatale en Guadeloupe. II. Facteurs et profils de risque socio-démographiques.