The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research

Montoya-Williams, Diana; Williamson, Victoria Guazzelli; Cardel, Michelle; Fuentes-Afflick, Elena; Maldonado-Molina, Mildred M.; Thompson, Lindsay A.

doi:10.1007/s10903-020-01117-z

Cited by 51 publications

(17 citation statements)

References 66 publications

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“…In addition, due to variability in use of labels and operationalizations of terms which can cause confusion in the literature, clear definitions used by the researchers should always be included and explained within the manuscript (e.g., “Although these terms are not interchangeable, we will use “Hispanic” as a shortened version of Hispanic/Latinx to indicate a population of people who are either from or descended from Spanish and Portuguese speaking Latin American countries. For more details, please see our methods section”; ( Montoya-Williams et al, 2021 ), p. 2). This can be challenging as such decisions often involve a balance of highlighting terms preferred by the study population (e.g., only 3% of Hispanics use the term ‘Latinx’), maintaining fidelity to the terms the participants were originally presented with while participating in the study, and using inclusive, current language (e.g., gender-inclusive terms such as ‘Latinx’ or ‘Latine’; Pew Research Center, 2020b ).…”

Section: Justice Equity Diversity and Inclusionmentioning

confidence: 99%

A practical guide for researchers and reviewers using the ABCD Study and other large longitudinal datasets

Saragosa-Harris

Chaku

MacSweeney

et al. 2022

Developmental Cognitive Neuroscience

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Section: Justice Equity Diversity and Inclusionmentioning

confidence: 99%

A practical guide for researchers and reviewers using the ABCD Study and other large longitudinal datasets

Saragosa-Harris

Chaku

MacSweeney

et al. 2022

Developmental Cognitive Neuroscience

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“…Findings from this study may therefore be considered in the creation of targeted interventions to improve birth outcomes among expectant Latina mothers in general, and specifically among those from Mexico and Central America. Indeed, as Latina women are distinct patients who experience different protective and risk factors to their health and the health of their children due to differences in their family’s country or origin and whether they identify as immigrants [ 55 ], it is critical that health care providers establish a greater understanding of the varying health needs within the often-aggregated group of Latina women.…”

Section: Discussionmentioning

confidence: 99%

Birth and prenatal care outcomes of Latina mothers in the Trump era: Analysis by nativity and country/region of origin

Gutiérrez

Dollar

2023

PLoS ONE

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We examined whether and how birth outcomes and prenatal care utilization among Latina mothers changed over time across years associated with the Trump sociopolitical environment, using restricted-use birth records from the National Center for Health Statistics (NCHS). To assess potential variation among subpopulations, we disaggregated the analyses by maternal nativity and country/region of origin. Our results indicate that both US- and foreign-born Latina mothers experienced increasingly higher risks of delivering low birthweight (LBW) and preterm birth (PTB) infants over the years associated with Trump’s political career. Among foreign-born Latinas, adverse birth outcomes increased significantly among mothers from Mexico and Central America but not among mothers from Puerto Rico, Cuba, and South America. Levels of inadequate prenatal care utilization remained largely unchanged among groups who saw increases in LBW and PTB, suggesting that changes in prenatal care did not generally explain the observed worsening of birth outcomes among Latina mothers during the Trump era. Results from this study draw attention to the possibility that the Trump era may have represented a source of chronic stress among the Latinx population in the US and add to the growing body of literature linking racism and xenophobia in the sociopolitical environment to declines in health among Latinx people, especially among targeted groups from Mexico and Central America.

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“…Nevertheless, if confirmed in additional data, these results would have implications for the potential of minimum wage policies to address maternal health inequities. Overall, Hispanic women have similar rates of adverse birth and pregnancy outcomes as White women; however, rates are highly heterogenous with regard to nativity and country of origin, so a higher minimum wage may reduce health inequities within Hispanic subgroups . Emerging research shows that American Indian or Alaska Native and Black women experience chronic racism-related stress in conjunction with poverty-related stress, which is associated with higher levels of SLEs regardless of income .…”

Section: Discussionmentioning

confidence: 99%

Association of Increasing the Minimum Wage in the US With Experiences of Maternal Stressful Life Events

2023

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ImportanceExposure to stressful life events (SLEs) before and during pregnancy is associated with adverse health for pregnant people and their children. Minimum wage policies have the potential to reduce exposure to SLEs among socioeconomically disadvantaged pregnant people.ObjectiveTo examine the association of increasing the minimum wage with experience of maternal SLEs.Design, Setting, and ParticipantsThis repeated cross-sectional study included 199 308 individuals who gave birth between January 1, 2004, and December 31, 2015, in 39 states that participated in at least 2 years of the Pregnancy Risk Assessment Monitoring Survey between 2004 and 2015. Statistical analysis was performed from September 1, 2022, to January 6, 2023.ExposureThe mean minimum wage in the 2 years prior to the month and year of delivery in an individual’s state of residence.Main Outcomes and MeasuresThe main outcomes were number of financial, partner-related, traumatic, and total SLEs in the 12 months before delivery. Individual-level covariates included age, race and ethnicity, marital status, parity, educational level, and birth month. State-level covariates included unemployment, gross state product, uninsurance, poverty, state income supports, political affiliation of governor, and Medicaid eligibility levels. A 2-way fixed-effects analysis was conducted, adjusting for individual and state-level covariates and state-specific time trends.ResultsOf the 199 308 women (mean [SD] age at delivery, 25.7 [6.1] years) in the study, 1.4% were American Indian or Alaska Native, 2.5% were Asian or Pacific Islander, 27.2% were Hispanic, 17.6% were non-Hispanic Black, and 48.8% were non-Hispanic White. A $1 increase in the minimum wage was associated with a reduction in total SLEs (−0.060; 95% CI, −0.095 to −0.024), financial SLEs (−0.032; 95% CI, −0.056 to −0.007), and partner-related SLEs (−0.019; 95% CI, −0.036 to −0.003). When stratifying by race and ethnicity, minimum wage increases were associated with larger reductions in total SLEs for Hispanic women (−0.125; 95% CI, −0.242 to −0.009).Conclusions and RelevanceIn this repeated cross-sectional study of women with a high school education or less across 39 states, an increase in the state-level minimum wage was associated with reductions in experiences of maternal SLEs. Findings support the potential of increasing the minimum wage as a policy for improving maternal well-being among socioeconomically disadvantaged pregnant people. These findings have relevance for current policy debates regarding the minimum wage as a tool for improving population health.

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The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research

Cited by 51 publications

References 66 publications

A practical guide for researchers and reviewers using the ABCD Study and other large longitudinal datasets

A practical guide for researchers and reviewers using the ABCD Study and other large longitudinal datasets

Birth and prenatal care outcomes of Latina mothers in the Trump era: Analysis by nativity and country/region of origin

Association of Increasing the Minimum Wage in the US With Experiences of Maternal Stressful Life Events

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