{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:36:06Z","timestamp":1777631766636,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to evaluate whether patient\u2010level neighborhood deprivation index (NDI) was associated with termination of pregnancy consideration and completion in patients presenting with fetal myelomeningocele.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort analysis of patients with fetal myelomeningocele presenting to a fetal treatment center (FTC) in Illinois between 2018 and 2024. The exposure was NDI calculated from patient zip codes. The NDI was analyzed as both a dichotomous and ordinal exposure. The co\u2010primary outcomes were abortion consideration prior to FTC consultation, ascertained by nurse intake, and abortion completion after consultation. Bivariate and log\u2010binomial regression analyses were performed. Covariates were selected based on <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.10 on bivariate analyses. Otherwise, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05 indicated statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 157 participants were included. Evaluation of neighborhood deprivation as a dichotomous exposure revealed no association with abortion consideration or completion. AdditionallLy, no association was found on log binomial modeling after controlling for gestational age at presentation to the FTC and maternal race or ethnicity for abortion consideration (aRR 0.87, 95% CI 0.59\u20131.28) or completion (aRR 0.86, 95% CI 0.59\u20131.28). These results were similar when treating the NDI as an ordinal exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contrary to our hypothesis, NDI is not associated with abortion consideration or completion in patients with fetal myelomeningocele.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6633","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T03:30:33Z","timestamp":1720582233000},"page":"1170-1178","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neighborhood deprivation is not associated with abortion consideration or completion in patients with fetal myelomeningocele"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6576-1631","authenticated-orcid":false,"given":"Steven T.","family":"Papastefan","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery The Chicago Institute for Fetal Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Department of Surgery Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqi","family":"Bian","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"},{"name":"Department of Medical Humanities and Bioethics Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manmeet","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery The Chicago Institute for Fetal Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William S.","family":"Marriott","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery The Chicago Institute for Fetal Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joyceline A.","family":"Ito","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery The Chicago Institute for Fetal Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Fry","sequence":"additional","affiliation":[{"name":"Neonatology and Palliative Care Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimen F.","family":"Shaaban","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery The Chicago Institute for Fetal Health Ann &amp; Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Department of Surgery Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6952-9955","authenticated-orcid":false,"given":"Ashish","family":"Premkumar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Section of Maternal Fetal Medicine Pritzker School of Medicine at the University of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.12.peds19449"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101584.2010.01170.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3233\/npm\u2010180208"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.3942"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.12065"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.15530"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1014379"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.12.001"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(04)17445\u2010x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5674"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.6080"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2022.1.peds21425"},{"key":"e_1_2_10_14_1","first-page":"1","article-title":"Sociodemographic disparities in fetal surgery for myelomeningocele: a single\u2010center retrospective review","author":"Foy AB","year":"2021","journal-title":"J Neurosurg Pediatr"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2019.11.019"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.11.033"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/m13\u20102946"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp1802313"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2008.080408"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010049075"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.100916"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.11761"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2023.01.019"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/ede.0000000000001655"},{"key":"e_1_2_10_25_1","volume-title":"Reproductive Health Act of Illinois; Illinois General Assembly","author":"Assembly IG","year":"2019"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20102576"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/17445647.2020.1750066"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.7.peds15336"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16538"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16316"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.11613\/bm.2017.030201"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166909"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15122854"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15020329"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12664"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113362"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010014716"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107745"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372\u2010017\u20100040\u20104"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5383"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.07.002"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0029\u20107844(01)01673\u20108"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.08.010"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5267"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0095\u20105108(03)00046\u20100"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0963180119000409"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2022.11.018"},{"issue":"10","key":"e_1_2_10_48_1","first-page":"34","article-title":"Measuring community vulnerability to natural and anthropogenic hazards: the centers for disease control and prevention's social vulnerability index","volume":"80","author":"Flanagan BE","year":"2018","journal-title":"J Environ Health"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1089\/heq.2017.0005"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.6633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,17]],"date-time":"2024-11-17T12:08:44Z","timestamp":1731845324000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.6633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,9]]},"references-count":48,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/pd.6633"],"URL":"https:\/\/doi.org\/10.1002\/pd.6633","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,9]]},"assertion":[{"value":"2024-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}