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Low Birth Weight Among Infants Born to Black Latina Women in the United States
Objectives To explore associations between race, nativity, and low birth weight (LBW) among Latina and non-Latina women, with special attention to the Black Latina subgroup. Methods Using US natality data from 2011 to 2013, we designed a population-based study to compare LBW (< 2500 g) rates acro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439288/ https://www.ncbi.nlm.nih.gov/pubmed/30604106 http://dx.doi.org/10.1007/s10995-018-2669-9 |
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author | Mydam, Janardhan David, Richard J. Rankin, Kristin M. Collins, James W. |
author_facet | Mydam, Janardhan David, Richard J. Rankin, Kristin M. Collins, James W. |
author_sort | Mydam, Janardhan |
collection | PubMed |
description | Objectives To explore associations between race, nativity, and low birth weight (LBW) among Latina and non-Latina women, with special attention to the Black Latina subgroup. Methods Using US natality data from 2011 to 2013, we designed a population-based study to compare LBW (< 2500 g) rates across six groups of women with self-identified race (N = 7,865,264)—White and Black Latina, foreign-born and US-born; non-Latina Black; and non-Latina White—creating 4 models for analysis: unadjusted (Model 1) and adjusted for sociodemographic factors (Model 2), sociodemographic plus medical risk factors (Model 3), and Model 3 factors plus smoking (Model 4). Results Infant LBW rate for Black Latinas (7.9%) was higher than White Latinas (5.6%) and varied by nativity: US-born (8.9%) versus foreign-born (6.1%). Among all study groups, US-born Black Latinas’ LBW rate (8.9%) was second only to non-Latina Blacks (11.0%). In unadjusted Model 1, US-born Black Latinas had 81% (odds ratio [OR]: 1.81; 95% confidence interval [CI]: 1.74–1.88) and foreign-born Black Latinas had 22% (OR: 1.22; 95% CI 1.15–1.29) higher odds of LBW than non-Latina White women (reference group). However, in Model 2, ORs for foreign-born Black Latinas were nearly identical to non-Latina Whites (OR: 1.03; 95% CI 0.97–1.1), while US-born Black Latinas’ odds were still 47% higher (OR: 1.47; 95% CI 1.42–1.53). Model 3 ORs for each group were similar to Model 2. Conclusions for Practice A significant subgroup of Latina women self-identify as Black, and their LBW rates are higher than White Latinas. Black Latinas born in the United States fare worse than their foreign-born counterparts, implicating negative effects of Black race specific to the US context. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10995-018-2669-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6439288 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-64392882019-04-15 Low Birth Weight Among Infants Born to Black Latina Women in the United States Mydam, Janardhan David, Richard J. Rankin, Kristin M. Collins, James W. Matern Child Health J Article Objectives To explore associations between race, nativity, and low birth weight (LBW) among Latina and non-Latina women, with special attention to the Black Latina subgroup. Methods Using US natality data from 2011 to 2013, we designed a population-based study to compare LBW (< 2500 g) rates across six groups of women with self-identified race (N = 7,865,264)—White and Black Latina, foreign-born and US-born; non-Latina Black; and non-Latina White—creating 4 models for analysis: unadjusted (Model 1) and adjusted for sociodemographic factors (Model 2), sociodemographic plus medical risk factors (Model 3), and Model 3 factors plus smoking (Model 4). Results Infant LBW rate for Black Latinas (7.9%) was higher than White Latinas (5.6%) and varied by nativity: US-born (8.9%) versus foreign-born (6.1%). Among all study groups, US-born Black Latinas’ LBW rate (8.9%) was second only to non-Latina Blacks (11.0%). In unadjusted Model 1, US-born Black Latinas had 81% (odds ratio [OR]: 1.81; 95% confidence interval [CI]: 1.74–1.88) and foreign-born Black Latinas had 22% (OR: 1.22; 95% CI 1.15–1.29) higher odds of LBW than non-Latina White women (reference group). However, in Model 2, ORs for foreign-born Black Latinas were nearly identical to non-Latina Whites (OR: 1.03; 95% CI 0.97–1.1), while US-born Black Latinas’ odds were still 47% higher (OR: 1.47; 95% CI 1.42–1.53). Model 3 ORs for each group were similar to Model 2. Conclusions for Practice A significant subgroup of Latina women self-identify as Black, and their LBW rates are higher than White Latinas. Black Latinas born in the United States fare worse than their foreign-born counterparts, implicating negative effects of Black race specific to the US context. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10995-018-2669-9) contains supplementary material, which is available to authorized users. Springer US 2019-01-02 2019 /pmc/articles/PMC6439288/ /pubmed/30604106 http://dx.doi.org/10.1007/s10995-018-2669-9 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Mydam, Janardhan David, Richard J. Rankin, Kristin M. Collins, James W. Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title | Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title_full | Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title_fullStr | Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title_full_unstemmed | Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title_short | Low Birth Weight Among Infants Born to Black Latina Women in the United States |
title_sort | low birth weight among infants born to black latina women in the united states |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439288/ https://www.ncbi.nlm.nih.gov/pubmed/30604106 http://dx.doi.org/10.1007/s10995-018-2669-9 |
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