Document Detail


Residential racial concentration and birth outcomes by nativity: do neighbors matter?
MedLine Citation:
PMID:  16708503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We examined the associations of residential segregation with poor birth outcomes (low birthweight, preterm) and with perinatal risk markers (maternal age, education and marital status, prenatal care and substance use, presence of paternal information on birth certificate) for foreign- and native-born black women in the Minnesota seven-county metropolitan area. METHODS: Data were from 1990-1999 Minnesota birth certificates linked to the 1990 U.S. census. We used multivariable logistic regression to examine the association of perinatal risk markers, low birthweight and preterm birth for foreign- and native-born black women by residential black concentration. RESULTS: Native-born black women had a higher prevalence of risk markers and were at almost 1.5 times the risk of foreign-born blacks for delivery of low-birthweight or preterm infants. Risk markers and poor birth outcomes were most prevalent in medium and high-black-concentration areas than low-concentration areas. Preterm birth was slightly positively associated with residential black concentration. CONCLUSIONS: Native-born black women were at higher risk than foreign-born women for delivery of preterm and low-birthweight infants. Residential black concentration was associated with risk markers and only slightly associated with preterm birth. Further study of why birth outcome differentials exist by nativity and residential black concentration may identify opportunities for community-based public health interventions.
Authors:
Anna Nibley Baker; Wendy L Hellerstedt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  98     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-05-19     Completed Date:  2006-06-30     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  172-80     Citation Subset:  IM    
Affiliation:
HealthInsight, Salt Lake City, UT, USA. abaker@healthinsight.org
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MeSH Terms
Descriptor/Qualifier:
Acculturation
Adult
Africa / ethnology
African Americans / classification*,  statistics & numerical data
Epidemiologic Studies
Female
Humans
Infant, Low Birth Weight*
Infant, Newborn
Minnesota / epidemiology
Pregnancy
Pregnancy Outcome / epidemiology,  ethnology*
Premature Birth / epidemiology,  ethnology*
Residence Characteristics / statistics & numerical data*
Risk Assessment
Risk Factors
Comments/Corrections

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


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