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. 1996 Jun;86(6):837–843. doi: 10.2105/ajph.86.6.837

Adverse pregnancy outcomes: differences between US- and foreign-born women in major US racial and ethnic groups.

G K Singh 1, S M Yu 1
PMCID: PMC1380404  PMID: 8659659

Abstract

OBJECTIVES: This study examined whether there were significant differentials between US-born and foreign-born women in risks of infant mortality, low birthweight, and preterm birth and whether these differentials, if they existed, varied across major US racial/ethnic groups. METHODS: Multivariate logistic regression was applied to national linked birth/infant death records for 1985 through 1987 to estimate overall and ethnic-specific maternal nativity effects on pregnancy outcomes. RESULTS: Substantial maternal nativity differences in risks of infant mortality and low birthweight were found, with the magnitude of the nativity effect varying significantly across racial/ethnic groups. Overall, foreign-born status was associated with 7% and 20% lower risks of low birthweight and infant mortality, respectively. However, the reduced risk of adverse pregnancy outcome associated with immigrant status tended to be substantially larger for Blacks, Cubans, Mexicans, and Chinese than for other ethnic groups. CONCLUSIONS: Maternal nativity status, along with ethnicity, may serve as an important axis of differentiation in birth outcome studies. Further research needs to be conducted to assess the effects of behavioral, cultural, and psychosocial factors in explaining the nativity differentials observed here.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams M. M. The continuing challenge of preterm delivery. JAMA. 1995 Mar 1;273(9):739–740. [PubMed] [Google Scholar]
  2. Becerra J. E., Hogue C. J., Atrash H. K., Pérez N. Infant mortality among Hispanics. A portrait of heterogeneity. JAMA. 1991 Jan 9;265(2):217–221. [PubMed] [Google Scholar]
  3. Berkowitz G. S., Papiernik E. Epidemiology of preterm birth. Epidemiol Rev. 1993;15(2):414–443. doi: 10.1093/oxfordjournals.epirev.a036128. [DOI] [PubMed] [Google Scholar]
  4. Cabral H., Fried L. E., Levenson S., Amaro H., Zuckerman B. Foreign-born and US-born black women: differences in health behaviors and birth outcomes. Am J Public Health. 1990 Jan;80(1):70–72. doi: 10.2105/ajph.80.1.70. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Collins J. W., Jr, Shay D. K. Prevalence of low birth weight among Hispanic infants with United States-born and foreign-born mothers: the effect of urban poverty. Am J Epidemiol. 1994 Jan 15;139(2):184–192. doi: 10.1093/oxfordjournals.aje.a116980. [DOI] [PubMed] [Google Scholar]
  6. Cramer J. C. Social factors and infant mortality: identifying high-risk groups and proximate causes. Demography. 1987 Aug;24(3):299–322. [PubMed] [Google Scholar]
  7. David R. J. The quality and completeness of birthweight and gestational age data in computerized birth files. Am J Public Health. 1980 Sep;70(9):964–973. doi: 10.2105/ajph.70.9.964. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Guendelman S., Gould J. B., Hudes M., Eskenazi B. Generational differences in perinatal health among the Mexican American population: findings from HHANES 1982-84. Am J Public Health. 1990 Dec;80 (Suppl):61–65. doi: 10.2105/ajph.80.suppl.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. James S. A. Racial and ethnic differences in infant mortality and low birth weight. A psychosocial critique. Ann Epidemiol. 1993 Mar;3(2):130–136. doi: 10.1016/1047-2797(93)90125-n. [DOI] [PubMed] [Google Scholar]
  10. Kleinman J. C., Fingerhut L. A., Prager K. Differences in infant mortality by race, nativity status, and other maternal characteristics. Am J Dis Child. 1991 Feb;145(2):194–199. doi: 10.1001/archpedi.1991.02160020086023. [DOI] [PubMed] [Google Scholar]
  11. Nersesian W. S. Infant mortality in socially vulnerable populations. Annu Rev Public Health. 1988;9:361–377. doi: 10.1146/annurev.pu.09.050188.002045. [DOI] [PubMed] [Google Scholar]
  12. Sanderson M., Placek P. J., Keppel K. G. The 1988 National Maternal and Infant Health Survey: design, content, and data availability. Birth. 1991 Mar;18(1):26–32. doi: 10.1111/j.1523-536x.1991.tb00050.x. [DOI] [PubMed] [Google Scholar]
  13. Singh G. K., Kposowa A. J. A comparative analysis of infant mortality in major Ohio cities: significance of socio-biological factors. Appl Behav Sci Rev. 1994;2(1):77–94. doi: 10.1016/1068-8595(94)90022-1. [DOI] [PubMed] [Google Scholar]
  14. Singh Gopal K., Yu Stella M. Pregnancy Outcomes Among Asian Americans. Asian Am Pac Isl J Health. 1993 Summer;1(1):63–78. [PubMed] [Google Scholar]
  15. Valanis B. M. Relative contributions of maternal social and biological characteristics to birth weight and gestation among mothers of different childhood socioeconomic status. Soc Biol. 1979 Fall;26(3):211–225. doi: 10.1080/19485565.1979.9988379. [DOI] [PubMed] [Google Scholar]
  16. Valanis B. M., Rush D. A partial explanation of superior birth weights among foreign-born women. Soc Biol. 1979 Fall;26(3):198–210. doi: 10.1080/19485565.1979.9988378. [DOI] [PubMed] [Google Scholar]
  17. 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]
  18. Weller R. H., Eberstein I. W., Bailey M. Pregnancy wantedness and maternal behavior during pregnancy. Demography. 1987 Aug;24(3):407–412. [PubMed] [Google Scholar]

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