| Maternal birthplace, ethnicity, and low birth weight in California. | |
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MedLine Citation:
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PMID: 9811289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although immigrants to the United States are usually ethnic minorities and socioeconomically disadvantaged, foreign-born women generally have lower rates of low birth weight infants than do US-born women. OBJECTIVE: To measure the relationship between maternal birthplace, ethnicity, and low birth weight infants. DESIGN: Retrospective cohort study of birth certificate data. SETTING: California, 1992. SUBJECTS: Singleton infants (n = 497 868) born to Asian, black, Latina, and white women. MAIN OUTCOME MEASURES: Very low birth weight (500-1499 g), moderately low birth weight (1500-2499 g), and normal birth weight (2500-4000 g, reference category). RESULTS: Foreign-born Latina women generally had less favorable maternal characteristics than US-born Latinas, yet foreign-born Latina women were less likely to have moderately low birth weight infants (odds ratio, 0.91; 95% confidence interval, 0.86-0.96) than US-born Latinas after adjusting for maternal age, education, marital status, parity, tobacco use, use of prenatal care, and gestational age. While foreign-born Asian women generally had a less favorable profile of maternal characteristics than US-born Asians, there was no statistically significant difference in the odds of very low birth weight or moderately low birth weight infants between foreign- and US-born Asian women. Foreign-born black women had more favorable maternal characteristics than US-born women, but there was no significant nativity difference in very low birth weight or moderately low birth weight between foreign- and US-born black women after adjusting for maternal and infant factors. CONCLUSIONS: The relationship between maternal birthplace and low birth weight varies by ethnicity. Further study is needed to understand the favorable pregnancy outcomes of foreign-born Latina women. |
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Authors:
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E Fuentes-Afflick; N A Hessol; E J Pérez-Stable |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 152 ISSN: 1072-4710 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 1998 Nov |
Date Detail:
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Created Date: 1998-11-23 Completed Date: 1998-11-23 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1105-12 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Medical Effectiveness Research Center for Diverse Populations, Institute for Health Policy Studies, University of California, San Francisco 94110, USA. elenaf@itsa.ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Birth Weight California / epidemiology Cohort Studies Cross-Cultural Comparison Emigration and Immigration* Ethnic Groups* Female Humans Infant, Low Birth Weight* Infant, Newborn Infant, Very Low Birth Weight* Parity Pregnancy Pregnancy Outcome / ethnology* Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
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HS07373/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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