Explaining ethnic disparities in preterm birth in Argentina and Ecuador.

Explaining ethnic disparities in preterm birth in Argentina and Ecuador.
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解释阿根廷和厄瓜多尔早产的种族差异。

DOI:
10.1080/17441692.2016.1251603
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发表时间:
2018-08
影响因子:
3.3
通讯作者:
López-Camelo JS
López-Camelo JS
中科院分区:
医学3区
文献类型:
--
作者:
Wehby GL;Pawluk M;Nyarko KA;López-Camelo JS

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Little is understood about racial/ethnic disparities in infant health in South America. We quantified the extent to which the disparity in preterm birth rate (PTB; < 37 gestational weeks) between infants of Native only ancestry and those of European only ancestry in Argentina and Ecuador are explained by household socioeconomic, 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 socioeconomic 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.
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