Adverse birth outcomes in New York City women: Revisiting the Hispanic Paradox

Borrell, Luisa N.; Montrull, Francisco Bolúmar; Rodriguez-Alvarez, Elena; Nieves, Christina

doi:10.1016/j.socscimed.2022.115527

Cited by 8 publications

(3 citation statements)

References 42 publications

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“…26 We also found no signi cant differences in gestational age at birth for Hispanic women compared to NH White women despite their socioeconomic disadvantage which could be a demonstration of the "Hispanic paradox", which refers to the seemingly contradictory nding that, despite facing socioeconomic disadvantages, Hispanic individuals in the U.S. tend to have better health outcomes than NH Whites. 27 A large proportion of Hispanic women in this study were from Mexico, but also many participated had other countries of origin. It is possible that the protective effects cited in previous work supporting the Hispanic paradox in Mexicans may have been offset by combining Mexican women in nuMoM2b with women from other countries.…”

Section: Public Health Implicationsmentioning

confidence: 87%

Associations between individual and structural level racism and gestational age at birth in the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be

Barcelona,

Chen,

Zhao

et al. 2024

Preprint

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The purpose of this study was to investigate the associations between multilevel racism and gestational age at birth among nulliparous non-Hispanic Black, non-Hispanic White and Hispanic women. We conducted a secondary analysis of data of the nuMoM2b Study (2010-2013) to examine the associations between individual and structural-level experiences of racism and discrimination and gestational age at birth among nulliparous women (n=7,732) at eight sites across the U.S. Measures included the individual Experiences of Discrimination (EOD) scale and the Index of Concentration (ICE) at the Extremes to measure structural racism. After adjustment,we observed a significant individual and structural racism interaction on gestational length (p=0.03). In subgroup analyses, we found that among these with high EOD scores, women who were from households concentrated in the more privileged group had significantly longer gestations (β = 1.07, 95% CI: 0.24, 1.90). Women who reported higher EOD scores and more economic privilege had longer gestations, demonstrating the moderating effect of ICE as a measure of structural racism. In conclusion, ICE may represent a modifiable factor in the prevention of adverse birth outcomes in nulliparas.

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Section: Public Health Implicationsmentioning

confidence: 87%

Associations between individual and structural level racism and gestational age at birth in the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be

Barcelona,

Chen,

Zhao

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…As in the findings in our case study of breastfeeding, previous studies of other health behaviors, conditions, and outcomes also suggest obscured disparities caused by aggregated analysis. In a study of racial disparities in COVID-19, researchers disaggregated case rates among the Native Hawaiian or Other Pacific Islander racial group twice: first, researchers disaggregated Native Hawaiian people and Pacific Islander people, and then they further disaggregated Pacific Islander data to 7 more specific sub-groups (12). When aggregated, COVID-19 case rates among Native Hawaiian or Other Pacific Islander people were higher than all other OMB racial groups (White, Black, American Indian or Alaskan Native, and Asian).…”

Section: Discussionmentioning

confidence: 99%

“…Population-level health indicators are often described relative to broad racial and ethnic categories. The aggregation of heterogeneous data can obscure within-group differences (8), limiting the understanding of health disparities among diverse subpopulations, including Hispanic, Asian, and Native Hawaiian or Other Pacific Islander populations (9)(10)(11)(12)(13)(14). However, guidance on data disaggregation has varied and changed over time (15)(16)(17).…”

mentioning

confidence: 99%

Disaggregation of Breastfeeding Initiation Rates by Race and Ethnicity — United States, 2020–2021

Marks,

Nakayama,

Chiang

et al. 2023

Prev. Chronic Dis.

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Voting Restrictions and Increased Odds of Adverse Birth Outcomes in the US

Liu,

Grinshteyn,

Cook

et al. 2024

J. Racial and Ethnic Health Disparities

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Background Disparities persist in adverse birth outcomes — preterm birth and small-for-gestational age (SGA) among racialized populations. Previous studies have indicated that voting restrictions are associated with health outcomes, such as access to health insurance and teenage birth rates. This paper examines whether the association between voting restrictions and adverse birth outcomes varies according to birthing individuals’ race/ethnicity. Methods These analyses merged individual-level 2019–2020 Pregnancy Risk Assessment Monitoring System (PRAMS, 8th edition) data with state-level exposure information. The exposure, the Cost of Voting Index (COVI), is a 2020 state-level measure of voting restrictions, and the outcomes were preterm birth and SGA. Multilevel logistic regression, survey-weighted models adjusted for sociodemographic and geographically-based characteristics. Subanalyses examined if the association differed by race (non-Hispanic White, non-Hispanic Black, Hispanic, API, Other). Results In the unadjusted model, a standard deviation increase in COVI was associated with increased odds of preterm birth (OR = 1.11, 95% CI = 0.98, 1.25) and SGA (OR = 1.12, 95% CI = 1.02, 1.22). The association for SGA was still significant in the fully adjusted models. Results differed by race/ethnicity with the largest effects among API (OR = 1.20, 95% CI = 0.95, 1.52) for preterm birth and OR = 1.27, 95% CI = 1.01, 1.59) for SGA respectively). Conclusion Our results suggest structural voting barriers disproportionately increase the odds of adverse birth outcomes, especially for API-birthing individuals. Increasing voting restrictions may amplify existing birth inequities.

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Adverse birth outcomes in New York City women: Revisiting the Hispanic Paradox

Cited by 8 publications

References 42 publications

Associations between individual and structural level racism and gestational age at birth in the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be

Associations between individual and structural level racism and gestational age at birth in the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be

Disaggregation of Breastfeeding Initiation Rates by Race and Ethnicity — United States, 2020–2021

Voting Restrictions and Increased Odds of Adverse Birth Outcomes in the US

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