Journal of Pediatrics
Volume 148, Issue 3, 2006, Pages 341-346

Sociocultural factors that affect pregnancy outcomes in two Dissimilar Immigrant Groups in the United States (Article)

Madan A.* , Palaniappan L. , Urizar G. , Wang Y. , Fortmann S.P. , Gould J.B.
  • a Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States
  • b Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States
  • c Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States
  • d Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States
  • e Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States
  • f Department of Pediatrics, Stanford Research Prevention Center, Stanford University School of Medicine, Stanford, CA, United States

Abstract

Objective: To compare perinatal risks and outcomes in foreign- and U.S.-born Asian-Indian and Mexican women. Study design: We evaluated 6.4 million U.S. vital records for births during 1995-2000 to white, foreign- and U.S.-born Asian-Indian and Mexican women. Risks and outcomes were compared by use of χ2 and logistic regression. Results: With the exception of increased teen pregnancy and tobacco use, the favorable sociodemographic profile and increased rate of adverse outcomes seen in foreign-born Asian Indians persisted in their U.S.-born counterparts. In contrast, foreign-born Mexicans had an adverse sociodemographic profile but a low incidence of low birth weight (LBW), whereas U.S.-born Mexicans had an improved sociodemographic profile and increased LBW, prematurity and neonatal death. Conclusions: Perinatal outcomes deteriorate in U.S.-born Mexican women. In contrast, the paradoxically increased incidence of LBW persists in U.S.-born Asian-Indian women. Further research is needed to identify the social and biologic determinants of perinatal outcome. © 2006 Elsevier Inc. All rights reserved.

Author Keywords

[No Keywords available]

Index Keywords

immigrant educational status Asian prenatal care Maternal Age logistic regression analysis Hypertension, Pregnancy-Induced Indian Continental Population Groups human Asia controlled study priority journal comparative study hypertension Logistic Models Infant, Premature Mexico United States Humans Hispanic smoking Adolescent Infant, Newborn female risk factor Risk Factors newborn pregnancy cultural factor Pregnancy in Adolescence adolescent pregnancy Infant, Low Birth Weight Incidence Article low birth weight pregnancy outcome adult prematurity outcome assessment Infant Mortality Emigration and Immigration placenta previa newborn death
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33646014416&doi=10.1016%2fj.jpeds.2005.11.028&partnerID=40&md5=4963073a34fd5c19eff77d951a7fcc3a
DOI: 10.1016/j.jpeds.2005.11.028
ISSN: 00223476
Cited by: 48
Original Language: English