Abstract
Self reports from 1,645 Latino mothers of Mexican descent who participated in the Hispanic Health and Nutrition Examination Survey (HHANES) were used to relate the birthweight of their infants to the HHANES acculturation index. After controlling for parity, a one point increase on the acculturation scale was found to be associated with a 1.19 (95% CI = 1.05, 1.34) increase in risk of maternal low birthweight (LBW) (1.98 risk increase for four points). The estimated relative risk increased to 1.34 (1.12, 1.60) with controls for age at interview, wealth, city size, and years of education; controlling for current smoking status reduced the relative risk to 1.31. US-born respondents were also at increased risk relative to Mexican-born, but this relation was explained by acculturation. The effect of education was found to depend on level of acculturation. Years of education was unrelated to risk among the Mexican-oriented, while increased education was associated with reduced risk in the US-oriented. These results suggest that factors associated with a Mexican cultural orientation may be protective against the risk of LBW.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Axelsson G., Rylander R. Validation of questionnaire reported miscarriage, malformation and birth weight. Int J Epidemiol. 1984 Mar;13(1):94–98. doi: 10.1093/ije/13.1.94. [DOI] [PubMed] [Google Scholar]
- Barell V., Wax Y., Ruder A. Analysis of geographic differentials in infant mortality rates. The Or Yehuda community. Am J Epidemiol. 1988 Jul;128(1):218–230. doi: 10.1093/oxfordjournals.aje.a114944. [DOI] [PubMed] [Google Scholar]
- Burns T. L., Moll P. P., Rost C. A., Lauer R. M. Mothers remember birthweights of adolescent children: the Muscatine Ponderosity Family Study. Int J Epidemiol. 1987 Dec;16(4):550–555. doi: 10.1093/ije/16.4.550. [DOI] [PubMed] [Google Scholar]
- Darabi K. F., Ortiz V. Childbearing among young Latino women in the United States. Am J Public Health. 1987 Jan;77(1):25–28. doi: 10.2105/ajph.77.1.25. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harlow S. D., Linet M. S. Agreement between questionnaire data and medical records. The evidence for accuracy of recall. Am J Epidemiol. 1989 Feb;129(2):233–248. doi: 10.1093/oxfordjournals.aje.a115129. [DOI] [PubMed] [Google Scholar]
- Holck S. E., Warren C. W., Smith J. C., Rochat R. W. Alcohol consumption among Mexican American and Anglo women: results of a survey along the U.S.--Mexico border. J Stud Alcohol. 1984 Mar;45(2):149–154. doi: 10.15288/jsa.1984.45.149. [DOI] [PubMed] [Google Scholar]
- Lee K. S., Paneth N., Gartner L. M., Pearlman M. A., Gruss L. Neonatal mortality: an analysis of the recent improvement in the United States. Am J Public Health. 1980 Jan;70(1):15–21. doi: 10.2105/ajph.70.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Powell-Griner E., Streck D. A closer examination of neonatal mortality rates among the Texas Spanish surname population. Am J Public Health. 1982 Sep;72(9):993–999. doi: 10.2105/ajph.72.9.993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rochat R. W., Warren C. W., Smith J. C., Holck S. E., Friedman J. S. Family planning practices among Anglo and Hispanic women in U.S. counties bordering Mexico. Fam Plann Perspect. 1981 Jul-Aug;13(4):176–180. [PubMed] [Google Scholar]
- Selby M. L., Lee E. S., Tuttle D. M., Loe H. D., Jr Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population. Am J Public Health. 1984 Sep;74(9):998–1002. doi: 10.2105/ajph.74.9.998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shiono P. H., Klebanoff M. A., Graubard B. I., Berendes H. W., Rhoads G. G. Birth weight among women of different ethnic groups. JAMA. 1986 Jan 3;255(1):48–52. [PubMed] [Google Scholar]
- Tilley B. C., Barnes A. B., Bergstralh E., Labarthe D., Noller K. L., Colton T., Adam E. A comparison of pregnancy history recall and medical records. Implications for retrospective studies. Am J Epidemiol. 1985 Feb;121(2):269–281. doi: 10.1093/oxfordjournals.aje.a113997. [DOI] [PubMed] [Google Scholar]
- Trevino F. M. Vital and heath statistics for the US hispanic population. Am J Public Health. 1982 Sep;72(9):979–982. doi: 10.2105/ajph.72.9.979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ventura S. J., Taffel S. M. Childbearing characteristics of U.S.- and foreign-born Hispanic mothers. Public Health Rep. 1985 Nov-Dec;100(6):647–652. [PMC free article] [PubMed] [Google Scholar]
- Williams R. L., Binkin N. J., Clingman E. J. Pregnancy outcomes among Spanish-surname women in California. Am J Public Health. 1986 Apr;76(4):387–391. doi: 10.2105/ajph.76.4.387. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams R. L., Chen P. M. Identifying the sources of the recent decline in perinatal mortality rates in California. N Engl J Med. 1982 Jan 28;306(4):207–214. doi: 10.1056/NEJM198201283060404. [DOI] [PubMed] [Google Scholar]