Document Detail


The differential association between education and infant mortality by nativity status of Chinese American mothers: a life-course perspective.
MedLine Citation:
PMID:  21088264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Integrating evidence from demography and epidemiology, we investigated whether the association between maternal achieved status (education) and infant mortality differed by maternal place of origin (nativity) over the life course of Chinese Americans.
METHODS: We conducted a population-based cohort study of singleton live births to US-resident Chinese American mothers using National Center for Health Statistics 1995 to 2000 linked live birth and infant death cohort files. We categorized mothers by nativity (US born [n = 15 040] or foreign born [n = 150 620]) and education (≥ 16 years, 13-15 years, or ≤ 12 years), forming 6 life-course trajectories. We performed Cox proportional hazards regressions of infant mortality.
RESULTS: We found significant nativity-by-education interaction via stratified analyses and testing interaction terms (P < .03) and substantial differentials in infant mortality across divergent maternal life-course trajectories. Low education was more detrimental for the US born, with the highest risk among US-born mothers with 12 years or less of education (adjusted hazard ratio = 2.39; 95% confidence interval = 1.33, 4.27).
CONCLUSIONS: Maternal nativity and education synergistically affect infant mortality among Chinese Americans, suggesting the importance of searching for potential mechanisms over the maternal life course and targeting identified high-risk groups and potential downward mobility.
Authors:
Qing Li; Louis G Keith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-18
Journal Detail:
Title:  American journal of public health     Volume:  101     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-14     Completed Date:  2011-06-13     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  899-908     Citation Subset:  AIM; IM    
Affiliation:
Center for Social Medicine and Sexually Transmitted Diseases, Department of Sociology, University of Alabama at Birmingham, 35205, USA. youliqing@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Asian Americans / statistics & numerical data*
China / ethnology
Cohort Studies
Educational Status*
Emigrants and Immigrants / statistics & numerical data
Female
Humans
Infant
Infant Mortality*
Mothers / statistics & numerical data*
Population Groups / statistics & numerical data
Proportional Hazards Models
Risk Factors
Young Adult
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