Title | Sociocultural factors that affect pregnancy outcomes in two dissimilar immigrant groups in the United States. |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Madan A, Palaniappan L, Urizar G, Wang Y, Fortmann SP, Gould JB |
Journal | J Pediatr |
Volume | 148 |
Issue | 3 |
Pagination | 341-6 |
Date Published | 2006 Mar |
ISSN | 0022-3476 |
Keywords | Adolescent, Adult, Asia, Continental Population Groups, Educational Status, Emigration and Immigration, Female, Humans, Hypertension, Hypertension, Pregnancy-Induced, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Logistic Models, Maternal Age, Mexico, Placenta Previa, Pregnancy, Pregnancy in Adolescence, Pregnancy Outcome, Prenatal Care, Risk Factors, Smoking, United States |
Abstract | OBJECTIVE: To compare perinatal risks and outcomes in foreign- and U.S.-born Asian-Indian and Mexican women. STUDY DESIGN: We evaluated 6.4 million U.S. vital records for births during 1995-2000 to white, foreign- and U.S.-born Asian-Indian and Mexican women. Risks and outcomes were compared by use of chi2 and logistic regression. RESULTS: With the exception of increased teen pregnancy and tobacco use, the favorable sociodemographic profile and increased rate of adverse outcomes seen in foreign-born Asian Indians persisted in their U.S.-born counterparts. In contrast, foreign-born Mexicans had an adverse sociodemographic profile but a low incidence of low birth weight (LBW), whereas U.S.-born Mexicans had an improved sociodemographic profile and increased LBW, prematurity and neonatal death. CONCLUSIONS: Perinatal outcomes deteriorate in U.S.-born Mexican women. In contrast, the paradoxically increased incidence of LBW persists in U.S.-born Asian-Indian women. Further research is needed to identify the social and biologic determinants of perinatal outcome. |
DOI | 10.1016/j.jpeds.2005.11.028 |
Alternate Journal | J Pediatr |
PubMed ID | 16615964 |