Ingreso hospitalario de los recién nacidos según el origen étnico y el país de procedencia de los progenitores en una área urbana de Barcelona

Solà, C. Puig; Palomero, Amparo Zarzoso; Garcı́a-Algar, Óscar; Reguant, Francesc Cots; Pust, Andrea Burón; Oliveres, Xavier Castells; Combelles, O. Vall

doi:10.1016/s0213-9111(08)75354-8

Cited by 15 publications

(10 citation statements)

References 28 publications

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“…All groups show a lower risk of LBW with the exceptions of EU-15 and USA & Canada, with no conclusive differences, and sub-Saharan Africa, who show a significantly higher risk. These results support previous evidence in Spain for most groups29 30 and a disadvantage for babies of sub-Saharan descent 30 31. The advantage is also observed among LBW at term babies (proxy of babies with intrauterine growth restriction).…”

Section: Discussionsupporting

confidence: 90%

Too heavy, too late: investigating perinatal health outcomes in immigrants residing in Spain. A cross-sectional study (2009–2011)

Juárez

Revuelta-Eugercios

2014

J Epidemiol Community Health

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Section: Discussionsupporting

confidence: 90%

Too heavy, too late: investigating perinatal health outcomes in immigrants residing in Spain. A cross-sectional study (2009–2011)

Juárez

Revuelta-Eugercios

2014

J Epidemiol Community Health

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“…Worse birth outcomes (shorter gestation length, lower birth weight) among Roma in comparison with non-Roma mothers were confirmed in Czech Republic (Bobak et al 2005; Rambouskova et al 2009), Slovakia (Rimarova et al 2004), Hungary (Joubert 1991) and Spain (Sola et al 2008). Higher morbidity (incidence of bronchitis, pneumonia, viral diseases, otitis media, influenza and intestinal infections) of Roma children 0–2 years of age as compared to non-Roma children was confirmed by Dostal et al (2010).…”

Section: Discussionmentioning

confidence: 94%

“…Worse birth outcomes as well as higher morbidity in early childhood used to be attributed to maternal education (Bobak et al 2005; Dostal et al 2010), maternal smoking (Dostal et al 2010; Rambouskova et al 2009; Rimarova et al 2004), a lack of prenatal care (Sola et al 2008) and poor living conditions (Monasta et al 2008). Incidence of health problems among Roma children aged 0–5 years living in Roma settlements was associated with years spent living at the camp, overcrowding, housing conditions, use of wood-burning stoves, the presence of rats and issues related to the quality of sanitation and drains (Monasta et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia

Rosicova

Gecková

Dijk

et al. 2010

Int J Public Health

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ObjectiveExploring the associations of regional differences in infant mortality with selected socioeconomic indicators and ethnicity could offer important clues for designing public health policy measures.MethodsData included perinatal and infant mortality in the 79 districts of the Slovak population in 2004. Linear regression was used to analyse the contribution of education, unemployment, income and proportion of Roma population on regional differences in perinatal and infant mortality rates.ResultsAll the explored socioeconomic indicators and ethnicity individually contributed significantly to both perinatal and infant mortality, with the exception of income. In the model exploring the influence of all these variables together on perinatal and infant mortality, only the effect of the proportion of Roma population remained significant. This model explained 34.9% of the variance for perinatal and 36.4% of the variance for infant mortality.ConclusionsLiving in Roma settlements indicates an accumulation of socioeconomic disadvantage. Health literacy, health-related behaviour and many other factors might contribute to the explanation of the differences in infant mortality, and a better understanding of these processes might help us to design tailored interventions.

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“…These are related to what has been called the “healthy immigrant effect” or the “epidemiologic paradox”, which states that immigrant women are likely to have better health outcomes, including reproductive outcomes, because they are younger and have healthier lifestyles. This effect was first described in Latino immigrants (mainly Mexican women) in the United States [ 1 ] and has also been described in African immigrant women in Europe [ 2 – 4 ] and in Spain [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 82%

The Role of Prenatal Care and Social Risk Factors in the Relationship between Immigrant Status and Neonatal Morbidity: A Retrospective Cohort Study

et al. 2015

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Background and AimLiterature evaluating association between neonatal morbidity and immigrant status presents contradictory results. Poorer compliance with prenatal care and greater social risk factors among immigrants could play roles as major confounding variables, thus explaining contradictions. We examined whether prenatal care and social risk factors are confounding variables in the relationship between immigrant status and neonatal morbidity.MethodsRetrospective cohort study: 231 pregnant African immigrant women were recruited from 2007–2010 in northern Spain. A Spanish population sample was obtained by simple random sampling at 1:3 ratio. Immigrant status (Spanish, Sub-Saharan and Northern African), prenatal care (Kessner Index adequate, intermediate or inadequate), and social risk factors were treated as independent variables. Low birth weight (LBW < 2500 grams) and preterm birth (< 37 weeks) were collected as neonatal morbidity variables. Crude and adjusted odds ratios (OR) were estimated by unconditional logistic regression with 95% confidence intervals (95% CI).ResultsPositive associations between immigrant women and higher risk of neonatal morbidity were obtained. Crude OR for preterm births in Northern Africans with respect to nonimmigrants was 2.28 (95% CI: 1.04–5.00), and crude OR for LBW was 1.77 (95% CI: 0.74–4.22). However, after adjusting for prenatal care and social risk factors, associations became protective: adjusted OR for preterm birth = 0.42 (95% CI: 0.14–1.32); LBW = 0.48 (95% CI: 0.15–1.52). Poor compliance with prenatal care was the main independent risk factor associated with both preterm birth (adjusted OR inadequate care = 17.05; 95% CI: 3.92–74.24) and LBW (adjusted OR inadequate care = 6.25; 95% CI: 1.28–30.46). Social risk was an important independent risk factor associated with LBW (adjusted OR = 5.42; 95% CI: 1.58–18.62).ConclusionsPrenatal care and social risk factors were major confounding variables in the relationship between immigrant status and neonatal morbidity.

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Ingreso hospitalario de los recién nacidos según el origen étnico y el país de procedencia de los progenitores en una área urbana de Barcelona

Cited by 15 publications

References 28 publications

Too heavy, too late: investigating perinatal health outcomes in immigrants residing in Spain. A cross-sectional study (2009–2011)

Too heavy, too late: investigating perinatal health outcomes in immigrants residing in Spain. A cross-sectional study (2009–2011)

Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia

The Role of Prenatal Care and Social Risk Factors in the Relationship between Immigrant Status and Neonatal Morbidity: A Retrospective Cohort Study

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