|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|
|Date Published||2006 Mar|
|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|
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.
|Alternate Journal||J Pediatr|