Adverse pregnancy outcomes: differences between US- and foreign-born women in major US racial and ethnic groups.

Singh, Gopal K.; Yu, Stella M.

doi:10.2105/ajph.86.6.837

Cited by 345 publications

(258 citation statements)

References 21 publications

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“…Foreign-born women tend to have more favorable behavioral risk factors than U.S.-born women. Compared with those born in the U.S., foreign-born women reportedly smoke less tobacco and drink less alcohol during their pregnancy (Rosenberg et al, 2005;Leslie et al, 2006;McDonald et al, 2008), use less marijuana and cocaine (Singh and Yu, 1996), and engage in healthier nutritional practices. Foreign-born women also have higher intakes of protein and vitamins, including folic acid (Abrams and Guendelman, 1995), and greater consumption of fruits and vegetables; consumption levels decline with longer residence in the U.S. (Gordon-Larsen et al, 2003;Lin et al, 2003;Dubowitz et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Salemi

Pierre

Tanner

et al. 2009

Birth Defects Research

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BACKGROUND:The prevalence of gastroschisis is increasing in many parts of the world, although the etiology is largely unexplained. Young maternal age has been the only consistently identified, strong risk factor. The objective of this study was to examine the role of maternal nativity in relation to other suspected risk factors for gastroschisis in Florida. METHODS: We conducted a retrospective cohort study of singleton infants born in Florida from 1998-2003. Gastroschisis cases were identified from the Florida Birth Defects Registry. Demographic and perinatal data were obtained from birth records. Multivariable Poisson regression was used to estimate adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) for each factor of interest. RESULTS: The 6-year birth prevalence of gastroschisis was 3.26 per 10,000 live births, and the annual rate increased 41% during the study period. In addition to maternal age and marital status, maternal race/ethnicity and nativity were significantly associated with the risk of delivering an infant with gastroschisis. Compared with non-Hispanic white women, non-Hispanic black women had the lowest risk of delivering an infant with gastroschisis (PR, 0.19; 95% CI, 0.13-0.26), followed by Hispanic women (PR, 0.60; 95% CI, 0.43-0.83). Women born outside the United States were significantly less likely than U.S.-born women to deliver an infant with gastroschisis (PR, 0.59; 95% CI, 0.41-0.86). CONCLUSIONS: Although young maternal age remains a strong significant risk factor for gastroschisis in Florida, other factors such as maternal race/ ethnicity and nativity could be important in explaining the increasing prevalence of gastroschisis. Birth

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Section: Discussionmentioning

confidence: 99%

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Salemi

Pierre

Tanner

et al. 2009

Birth Defects Research

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“…Research over the past decade has suggested that the differences in perinatal outcomes for Black babies may be a result of inequities in health care [17]. According to the literature, foreign-born Asian and Mexican women have markedly lower rates of moderately low and very low birth weight and have infant mortality rates comparable to White women [15].…”

Section: Discussionmentioning

confidence: 99%

A Secondary Analysis of Race/Ethnicity and other Maternal Factors Affecting Adverse Birth Outcomes in San Bernardino County

Nanyonjo

Montgomery

Modeste

et al. 2007

Matern Child Health J

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Objectives-Though it is the largest county in the lower United States, minimal attention has been given to the elevated rates of poor perinatal outcomes and infant mortality in San Bernardino County. This study sought to analyze adverse birth outcomes such as low birth weight, and infant mortality as an outcome of specific proxy maternal sociodemographic factors.Methods-Data from the California Department of Health Services Office of Vital Statistics birth cohort of mothers delivering between 1999 and 2001 (N = 1,590,876 participants) were analyzed. Of those, 5.5% (n = 86,736) were births in San Bernardino County. Low birth weight, very low birth weight, death in infants less than one year of age, and other maternal sociodemographic factors were explored. All events of low birth weight and deaths among infants less than one year of age were used as significant variables in statistical models.Results-Black mothers experienced more than twice the rate of very low birth weight (3.89) than their White counterparts (1.39). The most significant contributors to adverse birth outcomes among Black women were length of gestation and maternal education, whereas the most significant predictor of infant mortality was birth weight.Conclusions-This study demonstrates that traditional risk factors such as length of gestation and maternal age only partially explain adverse birth outcomes. These findings highlight the need to advocate for the systematic collection of data on maternal education and length gestation and for the promotion of public health initiatives that address these inequities in our most vulnerable of populations.

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“…On the death certificates, decedents were classified as foreign born if they were born in any of the US territories (eg, Puerto Rico, Guam, Virgin Islands) or other foreign countries listed, as has been done in previous literature exploring nativity status and mortality 26, 27, 28. In the 2000 and 2010 censuses, however, individuals self‐identified as US born if they were born within the 50 states or the District of Columbia or “outside the United States” including Puerto Rico, the US Island Areas, or abroad of American parents.…”

Section: Methodsmentioning

confidence: 99%

Nativity Status and Cardiovascular Disease Mortality Among Hispanic Adults

Rodríguez

Hastings

et al. 2017

JAHA

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BackgroundHispanic persons represent a heterogeneous and growing population of any race with origins in Mexico, the Caribbean, Central America, South America, or other Spanish‐speaking countries. Previous studies have documented variation in cardiovascular risk and outcomes among Hispanic subgroups. Few studies have investigated whether these patterns vary by nativity status among Hispanic subgroups.Methods and ResultsWe used the National Center for Health Statistics mortality file to compare deaths of Hispanic (n=1 258 229) and non‐Hispanic white (n=18 149 774) adults (aged ≥25 years) from 2003 to 2012. We identified all deaths related to cardiovascular disease (CVD) and categorized them by subtype (all CVD, ischemic, or cerebrovascular) using the underlying cause of death (International Classification of Diseases, 10th Revision codes I00–I78, I20–I25, and I60–I69, respectively). Population estimates were calculated using linear interpolation from the 2000 and 2010 US censuses. CVD accounted for 31% of all deaths among Hispanic adults. Race/ethnicity and nativity status were recorded on death certificates by the funeral director using state guidelines. Nativity status was defined as foreign versus US born; 58% of Hispanic decedents were foreign born. Overall, Hispanic adults had lower age‐adjusted CVD mortality rates than non‐Hispanic white adults (296 versus 385 per 100 000). Foreign‐born Cubans, Mexicans, and Puerto Ricans had higher CVD mortality than their US‐born counterparts (rate ratio: 2.64 [95% confidence interval, 2.46–2.81], 1.17 [95% confidence interval, 1.15–1.21], and 1.91 [95% confidence interval, 1.83–1.99], respectively).ConclusionsMortality rates for total cardiovascular, ischemic, and cerebrovascular disease are higher among foreign‐ than US‐born Hispanic adults. These findings suggest the importance of disaggregating CVD mortality by disease subtype, Hispanic subgroup, and nativity status.

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Adverse pregnancy outcomes: differences between US- and foreign-born women in major US racial and ethnic groups.

Cited by 345 publications

References 21 publications

Maternal nativity as a risk factor for gastroschisis: A population‐based study

Maternal nativity as a risk factor for gastroschisis: A population‐based study

A Secondary Analysis of Race/Ethnicity and other Maternal Factors Affecting Adverse Birth Outcomes in San Bernardino County

Nativity Status and Cardiovascular Disease Mortality Among Hispanic Adults

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