Risk Factors for Low Birth Weight Infants of Hispanic, African American, and White Women in Bexar County, Texas

Tierney-Gumaer, Rosalie; Reifsnider, Elizabeth

doi:10.1111/j.1525-1446.2008.00723.x

Cited by 15 publications

(10 citation statements)

References 43 publications

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“…It has been demonstrated that compared with white women, a higher percentage of African ancestry women who deliver prematurely have less post-high school education,[14–16, 41] but the association of education and IVH has been previously unexplored.…”

Section: Discussionmentioning

confidence: 99%

“…Women of African ancestry are at greater risk for preterm labor and delivery than white women,[13–16] and, even in the era of sophisticated perinatal intensive care strategies, a disproportionate number of very low birth weight infants are born to African ancestry mothers. [14, 15] Compared with white women, more African ancestry women who deliver prematurely have inadequate prenatal care and less education, and their neonates are less likely to receive surfactant or assisted ventilation.…”

mentioning

confidence: 99%

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Maternal Race, Demography, and Health Care Disparities Impact Risk for Intraventricular Hemorrhage in Preterm Neonates

Shankaran¹,

Ai²,

Maller-Kesselman³

et al. 2014

The Journal of Pediatrics

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Objective To determine whether risk factors associated with Grade (Gr) 2–4 intraventricular hemorrhage (IVH) differs between African ancestry and white subjects. Study design Inborn, appropriate for gestational age (GA) infants with birth weights (BW) 500–1250 grams and exposed to >1 dose of antenatal steroids were enrolled in 24 neonatal intensive care units. Cases had Gr 2–4 IVH and controls matched for site, race and BW range had 2 normal ultrasounds read centrally. Multivariate logistic regression modeling identified factors associated with IVH across African ancestry and white race. Results Subjects included 579 African ancestry or white race infants with Gr 2–4 IVH and 532 controls. Mothers of African ancestry children were less educated, and white case mothers were more likely to have > 1 prenatal visit and have a multiple gestation (P ≤.01 for all). Increasing GA (P =.01), preeclampsia (P < .001), complete antenatal steroid exposure (P = .02), cesarean delivery (P < .001) and white race (P = .01) were associated with decreased risk for IVH. Chorioamnionitis (P = .01), Apgar< 3 at 5 min (P < .004), surfactant (P < .001) and high frequency ventilation (P < .001) were associated with increased risk for IVH. Among African ancestry infants, having >1 prenatal visit was associated with decreased risk (P = .02). Among white infants, multiple gestation was associated with increased risk (P < .001) and higher maternal education with decreased IVH risk (P < .05). Conclusion Risk for IVH differs between African ancestry and white infants and may be attributable to both race and health care disparities.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Maternal Race, Demography, and Health Care Disparities Impact Risk for Intraventricular Hemorrhage in Preterm Neonates

Shankaran¹,

Ai²,

Maller-Kesselman³

et al. 2014

The Journal of Pediatrics

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“…The following variables obtained from the baby's birth certificate were assessed as possible confounders: maternal age, race, education, marital status, prenatal care (categorized as adequate, intermediate, or inadequate), prepregnancy body mass index (BMI), gestational weight gain (categorized as appropriate or not appropriate according to maternal prepregnancy BMI), delivery type (vaginal or c‐section), alcohol use, and smoking (Canady, Bullen, Holzman, Broman, & Tian, 2008; Crane, White, Murphy, Burrage, & Hutchens, 2009; La Coursiere, Baksh, Bloebaum, & Varner, 2006; McCoy, Beal, Shipman, Payton, & Watson, 2006; Odendaal, Steyn, Elliott, & Burd, 2009; Stéphan‐Blanchard et al, 2008; Tierney‐Gumaer & Reifsnider, 2008; Wilson et al, 2004). Additional variables were also examined as potential confounders: Medicaid and insurance status, and maternal emotional state during pregnancy measured as one of the happiest times of my life, a happy time with few problems, moderately hard time, a very hard time, or one of the worst times of my life (Rich‐Edwards et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

Physical Activity Prior to and During Pregnancy and Risk of Postpartum Depressive Symptoms

Ersek

Huber

2009

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Limited access to health care has been related with worse reproductive results (prematurity, low birth weight) in immigrant populations [30][31][32][33] . A change along the period in the method used for gestational age determination might have an impact on the estimated gestational age.…”

Section: Discussionmentioning

confidence: 99%

Shortening of gestational length among native-born and immigrants in Spain (1997–2008)

et al. 2011

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During the last decade there have been significant socio-demographic changes in Spain with potential impact on gestational length. The aim of the study was to describe the evolution of gestational age during 1997-2008, separately for native-born and immigrant population, in order to assess their contribution to the overall pattern of gestational length.A cross-sectional study of 5,018,229 singleton births born between 1997 and 2008 was carried out. The annual mean of gestational age was calculated and compared by means of ANOVA test, globally and also separately for natives and immigrants. Proportions of deliveries by gestational age and maternal characteristics were calculated in 4 periods and compared by means of Chi-square tests. Crude and adjusted multinomial logistic regression models were fitted separately for native-born and immigrant women.Our results show that in the last 12 years a progressive shortening in the mean gestational age has taken place in Spain. While the overall decrease of gestational length along the period was 1.5 days, closer to that in Spanish women (1.1 days), it was 2.3 days among immigrants. In both groups this shortening was mainly due to an increase in the proportion of 37-39 weeks deliveries at the expense of a substantial decrease in those with 40 weeks. These trends remained after controlling for known confounding variables such as maternal age, parity and occupation.Further analysis of its causes and public health implications are recommended.

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Risk Factors for Low Birth Weight Infants of Hispanic, African American, and White Women in Bexar County, Texas

Abstract: This study confirmed previous findings that African American women are at a higher risk for LBW deliveries and demonstrated that Anglo and Hispanic women have similar rates of LBW deliveries.

Cited by 15 publications

References 43 publications

Maternal Race, Demography, and Health Care Disparities Impact Risk for Intraventricular Hemorrhage in Preterm Neonates

Maternal Race, Demography, and Health Care Disparities Impact Risk for Intraventricular Hemorrhage in Preterm Neonates

Physical Activity Prior to and During Pregnancy and Risk of Postpartum Depressive Symptoms

Shortening of gestational length among native-born and immigrants in Spain (1997–2008)

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