Racial and ethnic disparities in low birth weight delivery associated with maternal occupational characteristics.
Racial and ethnic disparities in low birth weight delivery associated with maternal occupational characteristics.
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低出生体重分娩的种族和民族差异与母亲职业特征相关。
DOI：
10.1002/ajim.20706
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发表时间：
2010
影响因子：
3.5
通讯作者：
Reisine,Susan
中科院分区：
文献类型：
--
作者：
Meyer,JohnD;Warren,Nicholas;Reisine,Susan
研究目的工作性质和母亲文化程度均与低出生体重（LBW）分娩有关。我们试图研究这两个因素对LBW分娩的相对贡献，并确定在教育程度和工作特征方面的种族/种族差异是否可能在LBW.MethodsScores中发挥作用，这些差异在2000年被归因于康涅狄格州单胎分娩的母亲职业。分别估计黑人，西班牙裔，和白色母亲使用逻辑回归控制产妇covariates.ResultsUsing作为一个参照，白色母亲的低出生体重的风险，工作与黑人母亲的低出生体重风险降低相比，那些没有工作（OR 2.06与3.07）。工作黑人女性的LBW与高中以下教育程度密切相关（OR 4.80，95%CI 1.68-13.7），并且与具有大学或更高教育程度的黑人的低工作SC密切相关（OR 4.48，95%CI 1.24-16.2）。检查的工作SC分数，控制年龄和教育水平，显示较低的值为黑人，增加工作SC被认为是在西班牙裔调整后，较低的教育程度。与白人母亲相比，随着工作SC的增加，黑人母亲的LBW风险降低。相比之下，受过大学教育的黑人母亲有更大的风险LBW比那些与高中或一些大专education.ConclusionsMaternal就业和工作在一个更大的SC与黑人母亲LBW的风险降低。西班牙裔就业者的低出生体重风险也有所改善。低工作SC在那些具有较高的教育程度与低出生体重的黑人，但不是白人或西班牙裔。教育/工作不匹配可能在出生结果的种族差异中发挥作用。Am. J. Ind. Med. 53：153-162 2010.© 2009 Wiley利斯公司
ObjectivesWork characteristics and maternal education have both been associated with low birth weight (LBW) delivery. We sought to examine the relative contribution of these two factors to LBW delivery and determine whether ethnic/racial differentials in educational attainment and work characteristics might play a role in well‐described disparities in LBW.MethodsScores for work substantive complexity (SC) derived from the O*NET were imputed to maternal occupation for Connecticut singleton births in 2000. Risks for LBW were estimated separately for black, Hispanic, and white mothers using logistic regression controlling for maternal covariates.ResultsUsing white mothers as a referent, working is associated with reduced LBW risk in black mothers compared to those not in work (OR 2.06 vs. 3.07). LBW in working black women was strongly associated with less that a high school education (OR 4.80, 95% CI 1.68–13.7), and with low work SC in blacks in those with a college education or greater (OR 4.48, 95% CI 1.24–16.2). Examination of work SC scores, controlling for age and educational level, showed lower values for blacks; increased work SC was seen in Hispanics after adjustment for lower educational attainment. A decrease in risk for LBW was seen in black mothers, compared with whites, as work SC increased. By contrast, college‐educated black mothers had a greater risk for LBW than those with high school or some college education.ConclusionsMaternal employment and work in a job with greater SC were associated with a reduced risk of LBW in black mothers. Improved LBW risk was also seen with employment in Hispanics. Low work SC in those with higher educational attainment was strongly associated with LBW in blacks, but not whites or Hispanics. Education/work mismatch may play a role in racial disparities in birth outcomes. Am. J. Ind. Med. 53:153–162 2010. © 2009 Wiley‐Liss, Inc.