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J Pediatr. 2006 Mar;148(3):341-6.

Sociocultural factors that affect pregnancy outcomes in two dissimilar immigrant groups in the United States.

Author information

1
Department of Pediatrics and Stanford Research Prevention Center, Stanford University School of Medicine, Palo Alto, CA 94304, USA. ashima@stanford.edu

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 chi2 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.

PMID:
16615964
DOI:
10.1016/j.jpeds.2005.11.028
[Indexed for MEDLINE]

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