The "Latina Epidemiologic Paradox": Contrasting Patterns of Adverse Birth Outcomes in US-Born and Foreign-Born Latinas
The "Latina Epidemiologic Paradox": Contrasting Patterns of Adverse Birth Outcomes in US-Born and Foreign-Born Latinas
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DOI：
10.1016/j.whi.2012.07.005
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发表时间：
2012-09-01
影响因子：
3.2
通讯作者：
Turok, David K.
中科院分区：
文献类型：
--
作者：
Flores, Marie E. S.;Simonsen, Sara E.;Turok, David K.
背景资料：“拉丁流行病学悖论”假设，尽管社会经济不利，拉丁裔母亲有一个较低的风险，提供低出生体重（LBW）婴儿比非拉丁裔白人。然而，这些模式可能会随着时间的推移而发生变化，并且可能会根据母亲的出生地和在美国的法律的地位而有所不同。这项研究调查了白人、美国人和美国人之间三种出生结果的风险差异。方法：我们对2004年至2007年犹他州196，617名活产、单胎分娩妇女的LBW、早产和小于胎龄儿（SGA）出生率进行了横断面研究。使用logistic回归对各组进行比较。与白人相比，出生的拉丁裔人在所有三个结果方面的风险相似或更大。外国出生的拉丁裔早产风险较低（比值比[OR]，0.85; 95%置信区间[CI]，0.80-0.90），但不是LBW和SGA;外国出生的拉丁裔LBW风险较低（OR，0.82; 95% CI，0.74-0.92）、早产（OR，0.81; 95% CI，0.74-0.89）和SGA（OR，0.91; 95% CI，0.83-0.99）。拉丁裔仅在外国出生的拉丁裔中，记录在案的风险（即，那些谁拥有法律的社会安全号码）和无证妇女的LBW，早产，或SGA.结论：这些数据支持存在的变化“拉丁悖论”之间的拉丁裔根据出生地，其中美国-出生的拉丁裔并不比白人的出生结果更好，但与美国相比，外国出生的拉丁裔在几个终点上的出生结果更好。拉丁裔通过考虑外国和美国之间风险因素的不同构成，预防工作可能会更有效。出生的拉丁裔人口。版权所有（C）2012由雅各布妇女健康研究所。爱思唯尔公司出版
Background: The "Latina epidemiologic paradox" postulates that despite socioeconomic disadvantages, Latina mothers have a lower risk for delivering low birth weight (LBW) babies than non-Latina Whites. However, these patterns may be changing over time and may differ depending on the mother's birthplace and legal status in the United States. This study investigates differences in risk for three birth outcomes among Whites, U.S.-born Latinas, and foreign-born Latinas.Methods: We undertook a cross-sectional study of rates of LBW, preterm, and small-for-gestational-age (SGA) births among 196,617 women delivering live, singleton births in Utah from 2004 to 2007. Each group was compared using logistic regression.Results: U.S.-born Latinas had a similar or greater risk for all three outcomes when compared with Whites. Foreign-born Latinas had lower risk for preterm birth (odds ratio [OR], 0.85; 95% confidence interval [CI], 0.80-0.90) compared with Whites, but not for LBW and SGA; foreign-born Latinas had a lower risk for LBW (OR, 0.82; 95% CI, 0.74-0.92), preterm birth (OR, 0.81; 95% CI, 0.74-0.89), and SGA (OR, 0.91; 95% CI, 0.83-0.99) compared with U.S.-born Latinas. Among foreign-born Latinas only, there was no difference in risk between documented (i.e., those who had a legal social security number) and undocumented women for LBW, preterm birth, or SGA.Conclusions: These data support the existence of a variation of the "Latina paradox" among Latinas according to birthplace, where U.S.-born Latinas do not experience better birth outcomes than Whites, but foreign-born Latinas experience better birth outcomes for several endpoints compared with U.S.-born Latinas. Prevention efforts may prove more effective by considering the different composition of risk factors among foreign-and U.S.-born Latina populations. Copyright (C) 2012 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.