Paternal race/ethnicity and risk of adverse birth outcomes in the United States, 1989-2013.
Paternal race/ethnicity and risk of adverse birth outcomes in the United States, 1989-2013.
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DOI：
10.3934/publichealth.2018.3.312
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发表时间：
2018
影响因子：
3.3
通讯作者：
Margerison CE
中科院分区：
文献类型：
--
作者：
Li Y;Luo Z;Holzman C;Liu H;Margerison CE
调查 1989 年至 2013 年美国 (US) 与父亲和母亲种族/民族相关的不良出生结果。我们使用美国 15-44 岁女性单胎出生数据，以及出生体重、胎龄和协变量信息 (n = 90,771,339)。我们计算了母亲和父亲种族/民族的所有组合中未经调整和调整的早产（PTB，< 妊娠 37 周）和小于胎龄（SGA，< 10%）的概率：非西班牙裔黑人 (NHB)、非西班牙裔白人 (NHW)、西班牙裔和亚洲人，以及缺失父亲种族/民族的情况。在每个母亲种族/族裔群体中，失踪、其次是 NHB、父亲种族/民族是 PTB 风险最高的两个。亚洲人、其次是 NHW、父系种族/族裔的 PTB 风险最低。然而，对于 SGA 来说，亚洲人、其次是缺失、父系种族/民族的风险最高，而 NHW 种族/民族的风险最低。我们的研究结果还表明，与其他种族/族裔群体的女性相比，NHB 父系种族/民族的缺失和 NHB 父系种族/民族的影响修正会导致 NHB 女性患 PTB 的风险更大。这些数据证实了美国因母亲和父亲的种族/民族而导致的不良分娩结果存在差异，并主张增加资源和干预措施作为应对措施。
Investigate adverse birth outcomes in the United States (US) from 1989–2013 in relation to paternal and maternal race/ethnicity. We used US natality data for singleton births to women 15–44 with information on birthweight, gestational age, and covariates (n = 90,771,339). We calculated unadjusted and adjusted probabilities of preterm birth (PTB, < 37 weeks gestation) and small for gestational age (SGA, < 10th percentile) among all combinations of maternal and paternal race/ethnicity: non-Hispanic black (NHB), non-Hispanic white (NHW), Hispanic, and Asian, and where paternal race/ethnicity was missing. Missing, followed by NHB, paternal race/ethnicity had the two highest risks of PTB within each maternal racial/ethnic group. Asian, followed by NHW, paternal race/ethnicity had the two lowest risks of PTB. For SGA, however, Asian, followed by missing, paternal race/ethnicity had the two highest risks, and NHW race/ethnicity had the lowest risk. Our findings also demonstrate effect modification on the additive scale, with missing and NHB paternal race/ethnicity conferring a larger increase in risk of PTB for NHB women compared to women of other race/ethnicity groups. These data confirm US disparities in adverse birth outcomes by maternal and paternal race/ethnicity and argue for increased resources and interventions in response.