| Explaining Racial Disparities in Infant Health in Brazil. | |
| | |
MedLine Citation:
|
PMID: 23409894 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objectives. We sought to quantify how socioeconomic, health care, demographic, and geographic effects explain racial disparities in low birth weight (LBW) and preterm birth (PTB) rates in Brazil. Methods. We employed a sample of 8949 infants born between 1995 and 2009 in 15 cities and 7 provinces in Brazil. We focused on disparities in LBW (< 2500 g) and PTB (< 37 gestational weeks) prevalence between infants of African ancestry alone or African mixed with other ancestries, and European ancestry alone. We used a decomposition model to quantify the contributions of conceptually relevant factors to these disparities. Results. The model explained 45% to 94% of LBW and 64% to 94% of PTB disparities between the African ancestry groups and European ancestry. Differences in prenatal care use and geographic location were the most important contributors, followed by socioeconomic differences. The model explained the majority of the disparities for mixed African ancestry and part of the disparity for African ancestry alone. Conclusions. Public policies to improve children's health should target prenatal care and geographic location differences to reduce health disparities between infants of African and European ancestries in Brazil. (Am J Public Health. Published online ahead of print February 14, 2013: e1-e10. doi:10.2105/AJPH.2012.301021). |
| | |
Authors:
|
Kwame A Nyarko; Jorge Lopez-Camelo; Eduardo E Castilla; George L Wehby |
Related Documents
:
|
3022224 - Clinical observations on mechanical ventilation for respiratory failure in bronchiolitis. 1907444 - Gastro-oesophageal reflux in mechanically ventilated preterm infants. 12813294 - Ten days of orotracheal intubation with successful extubation in an infant with junctio... 20124944 - Dysphagia testing and aspiration status in medically stable infants requiring mechanica... 6930994 - Premaxillary agenesis, ocular hypotelorism holoprosencephaly, and extracranial anomalie... 14974534 - Genetic parameters for calving difficulty, stillbirth, and birth weight for hereford an... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-2-14 |
Journal Detail:
|
Title: American journal of public health Volume: - ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2013 Feb |
Date Detail:
|
Created Date: 2013-2-15 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Kwame A. Nyarko and George L. Wehby are with the Department of Health Management and Policy, University of Iowa, Iowa City. Jorge Lopez-Camelo and Eduardo E. Castilla are with Estudio Colaborativo Latino Americano de Malformaciones Congenitas (ECLAMC), Centro de Educación Médica e Investigación Clínica, Buenos Aires, Argentina, and ECLAMC, Laboratório de Epidemiologia de Malformações Congênitas, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ethnicity and Postmigration Health Trajectory in New Immigrants to Canada.
Next Document: The Provision of Comprehensive Reproductive Health Services in Los Angeles: A Physician's Perspectiv...