Document Detail


Paternal race/ethnicity and birth outcomes.
MedLine Citation:
PMID:  18445802     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: I sought to identify whether there were associations between paternal race/ethnicity and birth outcomes among infants with parents of same- and mixed-races/ethnicities.
METHODS: Using the National Center for Health Statistics 2001 linked birth and infant death file, I compared birth outcomes of infants of White mothers and fathers of different races/ethnicities by matching and weighting racial/ethnic groups following a propensity scoring approach so other characteristics were distributed identically. I applied the same analysis to infants of Black parents and infants with a Black mother and White father.
RESULTS: Variation in risk factors and outcomes was found in infants of White mothers by paternal race/ethnicity. After propensity score weighting, the disparities in outcomes by paternal or parental race/ethnicity could be largely attributed to nonracial parental characteristics. Infants whose paternal race/ethnicity was unreported on their birth certificates had the worst outcomes.
CONCLUSIONS: The use of maternal race/ethnicity to refer to infant race/ethnicity in research is problematic. The effects of maternal race/ethnicity on birth outcomes are estimated to be much larger than that of paternal race/ethnicity after I controlled for all covariates. Not listing a father on the birth certificate had a strong association with outcomes, which might be a source of bias in existing data and a marker for identifying infants at risk.
Authors:
Sai Ma
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-04-29
Journal Detail:
Title:  American journal of public health     Volume:  98     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-13     Completed Date:  2008-12-02     Revised Date:  2011-03-01    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2285-92     Citation Subset:  AIM; IM    
Affiliation:
Pardee Rand Graduate School, Johns Hopkins School of Public Health, Baltimore, MD, USA. sma@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / education,  ethnology*,  statistics & numerical data
Analysis of Variance
Apgar Score
Birth Certificates
Birth Weight
Cohort Studies
Death Certificates
Educational Status
European Continental Ancestry Group / education,  ethnology*,  statistics & numerical data
Fathers / education,  statistics & numerical data*
Female
Health Status Disparities
Humans
Infant Mortality / ethnology
Infant, Newborn
Male
Marriage / ethnology
Pregnancy
Pregnancy Outcome / ethnology*
Regression Analysis
Risk Factors
Socioeconomic Factors
United States / epidemiology

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


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