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. 1993 May-Jun;108(3):363–371.

Ethnicity, maternal risk, and birth weight among Hispanics in Massachusetts, 1987-89.

B B Cohen 1, D J Friedman 1, C M Mahan 1, R Lederman 1, D Munoz 1
PMCID: PMC1403388  PMID: 8497575

Abstract

National data reveal that low birth weight and infant mortality rates among Hispanics are, in general, between the rates for whites and those for blacks. The question remains, do differences in low birth weight reflect distributions of known risk factors, or do ethnic differences persist after simultaneously adjusting for intervening variables? In this study, Massachusetts birth certificate data for 206,973 white non-Hispanic infants and 19,571 Hispanic infants are used to examine differences in low birth weight between white non-Hispanic and Hispanic infants, as well as variation among seven subgroups of Hispanic mothers--Puerto Rican, Dominican, Central American, South American, Mexican, Cuban, and other Hispanic. Regression analysis is used to estimate the association between risk factors and birth weight and the relative risk of low birth weight. Risk factors include ethnicity, demographic characteristics, biological factors, access to prenatal care, and infants' conditions. Results indicate substantial variation in mean birth weight, low birth weight, and levels of risk among Hispanic subgroups and between Hispanics and white non-Hispanics. Puerto Rican infants had the lowest mean birth weight and, in general, the highest level of risk factors in this population. None of the adjusted odds ratios for low birth weight for any Hispanic group was significantly elevated at the 95 percent level compared with white non-Hispanics. Findings in this study confirm the previous observations of the wide variation among Hispanic subgroups and the high level of risk among Puerto Ricans.(ABSTRACT TRUNCATED AT 250 WORDS)

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Selected References

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

  1. Amaro H., Whitaker R., Coffman G., Heeren T. Acculturation and marijuana and cocaine use: findings from HHANES 1982-84. Am J Public Health. 1990 Dec;80 (Suppl):54–60. doi: 10.2105/ajph.80.suppl.54. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Balcazar H., Cole G., Hartner J. Mexican-Americans' use of prenatal care and its relationship to maternal risk factors and pregnancy outcome. Am J Prev Med. 1992 Jan-Feb;8(1):1–7. [PubMed] [Google Scholar]
  3. 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]
  4. Burnam M. A., Hough R. L., Karno M., Escobar J. I., Telles C. A. Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. J Health Soc Behav. 1987 Mar;28(1):89–102. [PubMed] [Google Scholar]
  5. Chesney A. P., Chavira J. A., Hall R. P., Gary H. E., Jr Barriers to medical care of Mexican-Americans: the role of social class, acculturation, and social isolation. Med Care. 1982 Sep;20(9):883–891. doi: 10.1097/00005650-198209000-00002. [DOI] [PubMed] [Google Scholar]
  6. Dowling P. T., Fisher M. Maternal factors and low birthweight infants: a comparison of blacks with Mexican-Americans. J Fam Pract. 1987 Aug;25(2):153–158. [PubMed] [Google Scholar]
  7. Espino D. V., Maldonado D. Hypertension and acculturation in elderly Mexican Americans: results from 1982-84 Hispanic HANES. J Gerontol. 1990 Nov;45(6):M209–M213. doi: 10.1093/geronj/45.6.m209. [DOI] [PubMed] [Google Scholar]
  8. Estrada A. L., Treviño F. M., Ray L. A. Health care utilization barriers among Mexican Americans: evidence from HHANES 1982-84. Am J Public Health. 1990 Dec;80 (Suppl):27–31. doi: 10.2105/ajph.80.suppl.27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kaplan M. S., Marks G. Adverse effects of acculturation: psychological distress among Mexican American young adults. Soc Sci Med. 1990;31(12):1313–1319. doi: 10.1016/0277-9536(90)90070-9. [DOI] [PubMed] [Google Scholar]
  10. Kumanyika S. K., Golden P. M. Cross-sectional differences in health status in US racial/ethnic minority groups: potential influence of temporal changes, disease, and life-style transitions. Ethn Dis. 1991 Winter;1(1):50–59. [PubMed] [Google Scholar]
  11. Levin J. S., Markides K. S. Socioeconomic status and infant mortality among Hispanics in a southwestern city. Soc Biol. 1985 Spring-Summer;32(1-2):61–64. doi: 10.1080/19485565.1985.9988591. [DOI] [PubMed] [Google Scholar]
  12. Markides K. S., Levin J. S., Ray L. A. Determinants of physician utilization among Mexican-Americans. A three-generations study. Med Care. 1985 Mar;23(3):236–246. doi: 10.1097/00005650-198503000-00005. [DOI] [PubMed] [Google Scholar]
  13. Marks G., Garcia M., Solis J. M. Health risk behaviors of Hispanics in the United States: findings from HHANES, 1982-84. Am J Public Health. 1990 Dec;80 (Suppl):20–26. doi: 10.2105/ajph.80.suppl.20. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Scribner R., Dwyer J. H. Acculturation and low birthweight among Latinos in the Hispanic HANES. Am J Public Health. 1989 Sep;79(9):1263–1267. doi: 10.2105/ajph.79.9.1263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. 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]
  16. Solis J. M., Marks G., Garcia M., Shelton D. Acculturation, access to care, and use of preventive services by Hispanics: findings from HHANES 1982-84. Am J Public Health. 1990 Dec;80 (Suppl):11–19. doi: 10.2105/ajph.80.suppl.11. [DOI] [PMC free article] [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. Wells K. B., Hough R. L., Golding J. M., Burnam M. A., Karno M. Which Mexican-Americans underutilize health services? Am J Psychiatry. 1987 Jul;144(7):918–922. doi: 10.1176/ajp.144.7.918. [DOI] [PubMed] [Google Scholar]
  19. 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]
  20. Yip R., Li Z., Chong W. H. Race and birth weight: the Chinese example. Pediatrics. 1991 May;87(5):688–693. [PubMed] [Google Scholar]

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