Abstract
OBJECTIVES. This study examines differentials in mean birthweight and the risk for low birthweight among various Asian-American groups in New York State (n = 499,377). METHODS. Using resident singleton live-birth records from New York State for 1985 and 1986, Asian-American births were compared with Black, American Indian, and White births. Multivariate ordinary least squares and logistic regression models were used to analyze ethnic differences. RESULTS. Compared with White births, the expected mean difference in birthweight was -115 g for Chinese, -235 g for Japanese, -164 g for Filipinos, -120 g for Blacks, and 74 g for American Indians. The risk for low birthweight was 45% higher for Filipinos and 49% higher for Blacks as compared with Whites. CONCLUSIONS. Results of this study suggest substantial heterogeneity in mean birthweight and risk for low birthweight among ethnic groups in general and the major Asian-American groups in particular. Interestingly, after controlling for ethnic differences in sociodemographic risk factors, Filipinos appear to resemble Blacks much more closely than they do their Japanese and Chinese counterparts with respect to risk for low birthweight.
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- Alexander G. R., Baruffi G., Mor J. M., Kieffer E. C., Hulsey T. C. Multiethnic variations in the pregnancy outcomes of military dependents. Am J Public Health. 1993 Dec;83(12):1721–1725. doi: 10.2105/ajph.83.12.1721. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dougherty C. R., Jones A. D. Th determinants of birth weight. Am J Obstet Gynecol. 1982 Sep 15;144(2):190–200. doi: 10.1016/0002-9378(82)90627-5. [DOI] [PubMed] [Google Scholar]
- Kleinman J. C. Infant mortality among racial/ethnic minority groups, 1983-1984. MMWR CDC Surveill Summ. 1990 Jul;39(3):31–39. [PubMed] [Google Scholar]
- Kramer M. S. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ. 1987;65(5):663–737. [PMC free article] [PubMed] [Google Scholar]
- Liberatos P., Link B. G., Kelsey J. L. The measurement of social class in epidemiology. Epidemiol Rev. 1988;10:87–121. doi: 10.1093/oxfordjournals.epirev.a036030. [DOI] [PubMed] [Google Scholar]
- Lin-Fu J. S. Population characteristics and health care needs of Asian Pacific Americans. Public Health Rep. 1988 Jan-Feb;103(1):18–27. [PMC free article] [PubMed] [Google Scholar]
- Lin-Fu Jane S. Asian and Pacific Islander Americans: An Overview of Demographic Characteristics and Health Care Issues. Asian Am Pac Isl J Health. 1993 Summer;1(1):20–36. [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]
- 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]
- Wang X., Strobino D. M., Guyer B. Differences in cause-specific infant mortality among Chinese, Japanese, and white Americans. Am J Epidemiol. 1992 Jun 15;135(12):1382–1393. doi: 10.1093/oxfordjournals.aje.a116249. [DOI] [PubMed] [Google Scholar]
- Weeks J. R., Rumbaut R. G. Infant mortality among ethnic immigrant groups. Soc Sci Med. 1991;33(3):327–334. doi: 10.1016/0277-9536(91)90367-l. [DOI] [PubMed] [Google Scholar]