Journal article
Health Advantages and Disparities in Preterm Birth Among Immigrants Despite Disparate Sociodemographic, Behavioral, and Maternal Risk Factors in San Diego, California
Maternal and child health journal, Vol.24(2), pp.153-164
02/2020
DOI: 10.1007/s10995-019-02836-y
PMID: 31838667
Abstract
Reproductive health advantages have been reported among selected immigrants, but few studies have included new immigrants and refugees, nor simultaneously adjusted for socioeconomic, behavioral, and medical disparities.
We examined the risk of preterm birth (PTB, < 37 weeks' gestation) among singleton live births in San Diego County from 2007 to 2012. Multivariable regression was used to compare PTB (1) by nativity within racial/ethnic groups and (2) among immigrants compared to United States (US) born Whites, while adjusting for sociodemographic, behavioral, reproductive and medical variables.
Among 230,878 singleton live births, overall PTB prevalence was highest among parturient women who were US-born Blacks (10.9%), Philippine (10.8%) and US-born Filipinas (10.7%), and US-born Asians (8.6%) despite differences in socioeconomic and maternal risk factors, and lowest among Somali (5.5%) migrants. Blacks born in Somalia or outside of the US, had significantly lower overall PTB prevalence compared to US-born Blacks (5.5% vs 7.6% vs 10.9%). Compared to US-born Whites, spontaneous PTB risk was significantly lower among Somali migrants (4.8% vs 3.7%, adjusted relative risk, aRR 0.7 [95% Confidence Intervals 0.5-0.9]), but higher among Philippine migrants (4.8% vs 7.7%, aRR 1.4 [1.3-1.6]). The strongest risk factor for overall PTB among nulliparous US-born Blacks was preexisting diabetes (aRR 3.81 [2.05-7.08]), and preexisting hypertension among Filipinas (aRR: 3.27 [2.36-4.54] and US-born Asians (aRR: 3.64 [1.61-8.24]).
Black migrants had lower PTB prevalence compared to US-born Blacks, but this immigrant advantage was not observed in other racial/ethnic groups. Compared to US-born Whites, Somali migrants had significantly lower risk of spontaneous PTB while Filipinas had elevated risk.
Details
- Title: Subtitle
- Health Advantages and Disparities in Preterm Birth Among Immigrants Despite Disparate Sociodemographic, Behavioral, and Maternal Risk Factors in San Diego, California
- Creators
- Maria Rosario G Araneta - Department of Family Medicine and Public Health, University of California San Diego, 9500 Gilman Drive MC-0606, La Jolla, CA, 92093-0606, USA. haraneta@ucsd.eduRebecca J Baer - California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, USALouis J Muglia - Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USAKelli K Ryckman - Departments of Epidemiology and Pediatrics, College of Public Health, University of Iowa, Iowa City, IA, USAJulie Ryu - Rady Children's Hospital, San Diego, CA, USADean E Sidelinger - County of San Diego Health and Human Services Agency, Medical Care Services Division, San Diego, CA, USALaura L Jeliffe-Powlowski - Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USAChristina D Chambers - Department of Pediatrics, University of California San Diego, La Jolla, CA, USA
- Resource Type
- Journal article
- Publication Details
- Maternal and child health journal, Vol.24(2), pp.153-164
- DOI
- 10.1007/s10995-019-02836-y
- PMID
- 31838667
- ISSN
- 1092-7875
- eISSN
- 1573-6628
- Grant note
- SOMI / San Diego Study of Mothers and Infants Preterm Birth Initiative / Preterm Birth Initiative, University of California San Francisco
- Language
- English
- Date published
- 02/2020
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology
- Record Identifier
- 9984214959302771
Metrics
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