Document Detail

Preterm delivery and low birth weight among first-born infants of black and white college graduates.
MedLine Citation:
PMID:  1415148     Owner:  NLM     Status:  MEDLINE    
Reproductive outcomes were investigated in black and white female college graduates, presumed to be of similar socioeconomic status and similar risk profile with respect to environmental factors. Data were gathered by mail survey from graduates (1973-1985) of four Atlanta, Georgia, colleges between February and June 1988. Of 6,867 alumnae to whom questionnaires were mailed, 3,084 responded. A follow-up study of black nonrespondents yielded responses from 14% (335) of those who did not respond to the mail survey. For all graduates with a first live born at the time of survey (n = 1,089), the rates of preterm delivery, low birth weight, and infant mortality were 80.8, 82.6, and 14.6 per thousand births (primigravida), respectively. Compared with white graduates, black graduates had 1.67 times the risk of preterm delivery and 2.48 times the risk of low birth weight. Measures of social and economic status differed significantly by race. However, adjustment for these variables did not reduce the estimated risk for black graduates compared with whites. Analysis of the nonresponder survey suggested that respondent data alone overestimates the incidence of adverse outcomes in blacks; using nonresponder data, relative risks of 1.28 (preterm delivery) and 1.75 (low birth weight) were calculated as lower limits of the increased risk for blacks.
G A McGrady; J F Sung; D L Rowley; C J Hogue
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of epidemiology     Volume:  136     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-10-29     Completed Date:  1992-10-29     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  266-76     Citation Subset:  IM    
Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA 30310.
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MeSH Terms
African Americans
African Continental Ancestry Group*
Birth Order*
Continental Population Groups
Decision Trees
Educational Status*
European Continental Ancestry Group*
Income / statistics & numerical data
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Logistic Models
Marital Status
Pregnancy Outcome*
Risk Factors
Sampling Studies
Social Class
Socioeconomic Factors
Grant Support
CCR-R.O.-1403020//PHS HHS

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

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