Maternal Health Behaviors and Infant Health Outcomes Among Arab American and Non-Hispanic White Mothers in Massachusetts, 2012-2016
Maternal Health Behaviors and Infant Health Outcomes Among Arab American and Non-Hispanic White Mothers in Massachusetts, 2012-2016
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DOI：
10.1177/0033354920941146
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发表时间：
2020-08-17
影响因子：
3.3
通讯作者：
Hawkins, Summer Sherburne
中科院分区：
文献类型：
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作者：
Abuelezam, Nadia N.;Cuevas, Adolfo G.;Hawkins, Summer Sherburne
阿拉伯裔美国人母亲和婴儿的健康状况可能与美国的非阿拉伯裔美国人母亲和婴儿不同，这是由于在历史和当前的社会政治气候中经历的社会耻辱。本研究的目的是比较马萨诸塞州的阿拉伯裔美国母亲和非西班牙裔白色母亲的孕产妇健康行为、孕产妇健康结局和婴儿健康结局，并评估出生作为效应修正因子的作用。方法使用马萨诸塞州出生证明（2012-2016年）的数据，我们对孕产妇健康行为、孕产妇健康结局和婴儿健康结局进行了调整的logistic和线性回归模型。我们使用阿拉伯种族作为兴趣的暴露和出生作为效果修饰符。结果阿拉伯裔美国母亲比非西班牙裔白色母亲开始母乳喂养的几率更高（校正比值比[aOR] = 2.61; 95%CI，2.39-2.86），产小于胎龄儿（aOR = 1.28; 95%CI，1.18-1.39），并且患有妊娠糖尿病（aOR = 1.31; 95%CI，1.20-1.44）。在阿拉伯裔美国母亲中，非美国出生的母亲比美国出生的母亲患妊娠期糖尿病的几率更高（aOR = 1.80; 95%CI，1.33-2.44），在妊娠早期开始产前护理的几率更低（aOR = 0.41; 95%CI，0.33-0.50）。在线性回归模型中，非美国出生的阿拉伯裔美国母亲所生婴儿的体重比美国出生的阿拉伯裔美国母亲所生婴儿的体重轻42.1 g（95% CI，-75.8至-8.4 g）。结论虽然阿拉伯裔美国母亲积极的健康行为，非美国出生的母亲有较差的孕产妇健康结果和获得产前护理比美国出生的母亲，这表明需要有针对性的干预措施，为非美国出生的阿拉伯裔美国母亲。
Objectives The health profile of Arab American mothers and infants may differ from that of non-Arab American mothers and infants in the United States as a result of social stigma experienced in the historical and current sociopolitical climate. The objective of our study was to compare maternal health behaviors, maternal health outcomes, and infant health outcomes of Arab American mothers and non-Hispanic white mothers in Massachusetts and to assess the role of nativity as an effect modifier. Methods Using data from Massachusetts birth certificates (2012-2016), we conducted adjusted logistic and linear regression models for maternal health behaviors, maternal health outcomes, and infant health outcomes. We used Arab ethnicity as the exposure of interest and nativity as an effect modifier. Results Arab American mothers had higher odds than non-Hispanic white mothers of initiating breastfeeding (adjusted odds ratio [aOR] = 2.61; 95% CI, 2.39-2.86), giving birth to small-for-gestational-age infants (aOR = 1.28; 95% CI, 1.18-1.39), and having gestational diabetes (aOR = 1.31; 95% CI, 1.20-1.44). Among Arab American mothers, non-US-born mothers had higher odds than US-born mothers of having gestational diabetes (aOR = 1.80; 95% CI, 1.33-2.44) and lower odds of initiating prenatal care in the first trimester (aOR = 0.41; 95% CI, 0.33-0.50). In linear regression models, infants born to non-US-born Arab American mothers weighed 42.1 g (95% CI, -75.8 to -8.4 g) less than infants born to US-born Arab American mothers. Conclusion Although Arab American mothers engage in positive health behaviors, non-US-born mothers had poorer maternal health outcomes and access to prenatal care than US-born mothers, suggesting the need for targeted interventions for non-US-born Arab American mothers.