Journal article
Explaining ethnic disparities in preterm birth in Argentina and Ecuador
Global public health, Vol.13(8), pp.1126-1143
08/03/2018
DOI: 10.1080/17441692.2016.1251603
PMCID: PMC5568976
PMID: 27875924
Abstract
Little is understood about racial/ethnic disparities in infant health in South America. We quantified the extent to which the disparity in preterm birth (PTB; <37 gestational weeks) rate between infants of Native only ancestry and those of European only ancestry in Argentina and Ecuador are explained by household socio-economic, demographic, healthcare use, and geographic location indicators. The samples included 5199 infants born between 2000 and 2011 from Argentina and 1579 infants born between 2001 and 2011 from Ecuador. An Oaxaca-Blinder type decomposition model adapted to binary outcomes was estimated to explain the disparity in PTB risk across groups of variables and specific variables. Maternal use of prenatal care services significantly explained the PTB disparity, by nearly 57% and 30% in Argentina and Ecuador, respectively. Household socio-economic status explained an additional 26% of the PTB disparity in Argentina. Differences in maternal use of prenatal care may partly explain ethnic disparities in PTB in Argentina and Ecuador. Improving access to prenatal care may reduce ethnic disparities in PTB risk in these countries.
Details
- Title: Subtitle
- Explaining ethnic disparities in preterm birth in Argentina and Ecuador
- Creators
- George L Wehby - National Bureau of Economic ResearchMariela Pawluk - Center of Medical Education and Clinical Investigation/Centro de Educación Médica e Investigación Clínica (CEMIC)Kwame A Nyarko - Department of Health Management and Policy, University of IowaJorge S López-Camelo - Latin American Collaborative Study of Congenital Anomalies/Estudio Colaborativo Latinoamericano de Malformaciones Congénitas (ECLAMC)
- Resource Type
- Journal article
- Publication Details
- Global public health, Vol.13(8), pp.1126-1143
- DOI
- 10.1080/17441692.2016.1251603
- PMID
- 27875924
- PMCID
- PMC5568976
- NLM abbreviation
- Glob Public Health
- ISSN
- 1744-1692
- eISSN
- 1744-1706
- Publisher
- Taylor & Francis
- Grant note
- 1R03TW008110A2 / Fogarty International Center (10.13039/100000061) National Institutes of Health (10.13039/100000002)
- Language
- English
- Date published
- 08/03/2018
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Economics; Public Policy Center (Archive)
- Record Identifier
- 9984221752402771
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