Document Detail

Racial and ethnic differences in determinants of intrauterine growth retardation and other compromised birth outcomes.
MedLine Citation:
PMID:  9431287     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study examined the extent of variation by race/ethnicity in the prevalence of adverse birth outcomes, whether differentials persisted after other risk factors were controlled for, and whether the direction and magnitude of relationships differed by type of outcome. METHODS: A revised system of measurement was used to estimate multinomial logistic models in a large, nationally representative US data set. RESULTS: Considerable racial/ethnic variation was found across birth outcome categories; differences persisted in the adjusted parameter estimates; and the effects of other risk factors on birth outcomes were similar as to direction, but varied somewhat in magnitude. The odds of compromised birth outcomes were much higher among African Americans than among Mexican Americans and non-Hispanic Whites. CONCLUSIONS: In addition to persistent racial inequality, we found strong adverse effects of both inadequate and "adequate-plus" prenatal care and smoking. Risk of intrauterine growth retardation was higher in the absence of medical insurance, and risk of all adverse birth outcomes was lower among mothers participating in the Special Supplemental Food Program for Women, Infants, and Children.
W P Frisbie; M Biegler; P de Turk; D Forbes; S G Pullum
Related Documents :
1754497 - Gestational duration and birthweight in white, black and mixed-race babies.
1923197 - Black-white differences in newborn anthropometric measurements.
6867257 - Mortality among minority populations: a review of recent patterns and trends.
3658577 - Native american postneonatal mortality.
18081937 - Incidence of early posterior shoulder dislocation in brachial plexus birth palsy.
17408087 - Deaths: leading causes for 2003.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  87     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-02-03     Completed Date:  1998-02-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1977-83     Citation Subset:  AIM; IM    
Population Research Center, University of Texas at Austin 78712, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
African Americans* / statistics & numerical data
European Continental Ancestry Group* / statistics & numerical data
Fetal Growth Retardation / ethnology*,  genetics
Hispanic Americans*
Infant, Newborn
Logistic Models
Odds Ratio
Population Surveillance
Pregnancy Outcome / ethnology*,  genetics
Prenatal Care
Residence Characteristics
Risk Factors
Smoking / ethnology
Socioeconomic Factors
United States / epidemiology
Grant Support

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

Previous Document:  The Stanford Nutrition Action Program: a dietary fat intervention for low-literacy adults.
Next Document:  The pattern of maternal weight gain in women with good pregnancy outcomes.