Abstract
The purpose of this study was to determine whether the elevated risk for low birth weight (LBW) infants among black mothers would persist when biologic, behavioral, and socioeconomic factors (as measured by socioeconomic status, level of education, and marital status) were controlled. It was found that the odds ratios for the risk of LBW for blacks/whites persisted above 1.5, regardless of what subgroups were used and what factors were controlled. The black/white odds ratios were, however, less than 2.0 when cigarette smoking was not a risk factor and higher than 2.0 when it was. In fact, the highest odds ratios, up to 2.65, occurred among the smoking group. These data suggest that smoking may have a more strongly negative effect among black than white pregnant mothers. In general, the effect of race on the LBW risk was much less strong than that of risk factors that can be influenced, such as adverse maternal practices.
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Selected References
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- 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]
- Geronimus A. T. The effects of race, residence, and prenatal care on the relationship of maternal age to neonatal mortality. Am J Public Health. 1986 Dec;76(12):1416–1421. doi: 10.2105/ajph.76.12.1416. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harvey D. R., Cooper L. V., Stevens J. F. Plasma calcium and magnesium in newborn babies. Arch Dis Child. 1970 Aug;45(242):506–509. doi: 10.1136/adc.45.242.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller H. C. A model for studying the pathogenesis and incidence of low-birth-weight infants. Am J Dis Child. 1983 Apr;137(4):323–327. doi: 10.1001/archpedi.1983.02140300005002. [DOI] [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]