Document Detail

Neonatal Outcomes for Immigrant vs. Native-Born Mothers in Taiwan: An Epidemiological Paradox.
MedLine Citation:
PMID:  20432059     Owner:  NLM     Status:  In-Data-Review    
In Taiwan, immigrant women by marriage face social discrimination due to widespread impressions that they give birth to low birth weight, high-risk, high cost babies due to their lower socioeconomic status, shorter stature, and lower pre-pregnant weight than native-born Taiwanese women. This study compared crude and adjusted birth outcomes of immigrant mothers (Chinese and Vietnamese) relative to native-born Taiwanese, and tested for the phenomenon of an epidemiological paradox of favorable neonatal outcomes among immigrants. Data from patient charts of all singleton live births during 2002-2007, weighing ≥500 and <4,000 g, and ≥20 weeks gestational age at a regional hospital in Kaohsiung, Taiwan, were used. Multiple regression analysis was used to test the hypothesis controlling for maternal characteristics (demographics, national origin, obstetric and prenatal factors) and neonatal characteristics (birth weight, gestational age). Of 3,267 births satisfying the inclusion criteria, 19.0% were to Chinese and Vietnamese mothers. Crude birth weight was lowest for Taiwanese mothers, who also had the highest rate of preterm delivery (<37 weeks). The adjusted birth weight for Chinese and Vietnamese mothers was 87.7 and 74.7 g higher, respectively than native-born Taiwanese (both P < 0.001). Chinese and Vietnamese mothers also had lower odds of preterm birth (ORs 0.46 and 0.47, respectively). Findings support paradoxically better neonatal outcomes among Chinese and Vietnamese immigrant mothers in Taiwan. Findings can be used to initiate public education to reverse the widespread negative perceptions and attitudes towards immigrant spouses in Taiwan.
Sudha Xirasagar; Jung-Chung Fu; Jihong Liu; Janice C Probst; Duey-Perng Lin
Related Documents :
3792259 - Proportionality of small-for-gestational age babies at birth: perinatal associations an...
645699 - The epidemiology of respiratory distress syndrome in norway.
16570709 - Ultrasound measurement of corporeal (penile) length in newborns.
1514409 - The neonatal morbidity and mortality of low birth weight neonates.
12663149 - Placental weight and its ratio to birthweight in a ukrainian city.
3591799 - Genetic and environmental influences on human birth weight.
1690029 - Hemoglobin oxygen dissociation (p50) in bronchopulmonary dysplasia.
9583419 - Risk factors for preterm birth subtypes.
22922559 - Facultative to strict anaerobes ratio in the preterm infant microbiota: a target for in...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Maternal and child health journal     Volume:  15     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  269-79     Citation Subset:  IM    
Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, 800 Sumter Street, Columbia, SC, 29208, USA,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Development and psychometric evaluation of a 10-item short form inventory of gambling situations.
Next Document:  Late childbearing and changing risks of adverse birth outcomes in Korea.