Sociocultural factors that affect pregnancy outcomes in two Dissimilar Immigrant Groups in the United States - 10/08/11
, Latha Palaniappan, MD, Guido Urizar, PhD, Yun Wang, MS, Stephen P. Fortmann, MD, Jeffrey B. Gould, MD
Reprint requests: Ashima Madan, MD, 750 Welch Rd, Suite 315, Stanford University School of Medicine, Palo Alto, CA 94304.Résumé |
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.
Le texte complet de cet article est disponible en PDF.Abbreviations : LBW, NMR, SGA
Plan
Vol 148 - N° 3
P. 341-346 - mars 2006 Retour au numéro
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