Latina Birth Outcomes in California: Not so Paradoxical
| Autor: | Michael Curtis, Emma V. Sanchez-Vaznaugh, Paula Braveman, Susan Egerter, Katherine Heck, Kristen S. Marchi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Epidemiology Immigration Health Behavior Logistic regression California 0302 clinical medicine Pregnancy Risk Factors 030212 general & internal medicine health care economics and organizations media_common Socioeconomic disadvantage education.field_of_study Pregnancy Outcome Obstetrics and Gynecology Prenatal Care Hispanic or Latino Middle Aged humanities Population Surveillance population characteristics Premature Birth Female medicine.symptom 0305 other medical science Adult medicine.medical_specialty Adolescent media_common.quotation_subject Population Emigrants and Immigrants Infant health White People Article 03 medical and health sciences Young Adult medicine Humans education Socioeconomic status Mexico 030505 public health business.industry Public health Public Health Environmental and Occupational Health Infant Newborn social sciences Infant Low Birth Weight Low birth weight Logistic Models Socioeconomic Factors Pediatrics Perinatology and Child Health business human activities Demography |
| Zdroj: | Maternal and child health journal. 20(9) |
| ISSN: | 1573-6628 |
| Popis: | Objectives To investigate Latina-White differences in birth outcomes in California from 2003 to 2010, looking for evidence of the often-cited "Latina paradox" and assessing the possible role of socioeconomic factors in observed differences. MethodsUsing statewide-representative data from the California Maternal and Infant Health Assessment, an annual population-based postpartum survey, we compared rates of preterm birth (PTB) and low birth weight (LBW) in five groups: U.S.-born non-Latina Whites ("Whites"), U.S.-born Mexican-Americans, U.S.-born non-Mexican Latinas, Mexican immigrants, and non-Mexican Latina immigrants. Logistic regression models examined the relative likelihood of PTB and LBW for women in each Latina subgroup compared with Whites, before and after adjustment for socioeconomic and other covariates. Results In unadjusted analyses, women in each Latina subgroup appeared more likely than White women to have PTB and LBW, although the increased likelihood of LBW among Mexican immigrants was statistically non-significant. After adjustment for less favorable socioeconomic characteristics among Latinas compared with Whites, observed differences in the estimated likelihoods of PTB or LBW for Latina subgroups relative to Whites were attenuated and (with the exception of PTB among U.S.-born Mexican Americans) no longer statistically significant. Conclusions We found no evidence of a "Latina paradox" in birth outcomes, which some have cited as evidence that social disadvantage is not always health-damaging. As observed in several previous studies, our findings were non-paradoxical: consistent with their socioeconomic disadvantage, Latinas had worse birth outcomes than non-Latina White women. Policy-makers should not rely on a "Latina paradox" to ensure good birth outcomes among socioeconomically disadvantaged Latina women. |
| Databáze: | OpenAIRE |
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