Infant mortality, low birth weight, and prematurity among Hispanic, white, and African American women in North Carolina

Objectives: The study was undertaken to compare Hispanic birth outcomes with those of white and African American women in North Carolina and to examine variables associated with adverse birth outcomes among Hispanic women. Study Design: Retrospective comparison of birth outcomes by ethnicity/race, f...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2003-05, Vol.188 (5), p.1238-1240
Main Authors: Leslie, Jennie C., Galvin, Shelley L., Diehl, Sandra J., Bennett, Trude A., Buescher, Paul A.
Format: Article
Language:English
Subjects:
Adult
African Americans - statistics & numerical data
Analysis. Health state
Biological and medical sciences
Birth outcomes
Education
Epidemiology
ethnicity
European Continental Ancestry Group - statistics & numerical data
Female
General aspects
Hispanic
Hispanic Americans - statistics & numerical data
Humans
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Marital Status
Medical Records
Medical sciences
Multivariate Analysis
North Carolina vital statistics
Prenatal Care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Smoking
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Summary:Objectives: The study was undertaken to compare Hispanic birth outcomes with those of white and African American women in North Carolina and to examine variables associated with adverse birth outcomes among Hispanic women. Study Design: Retrospective comparison of birth outcomes by ethnicity/race, from linked birth/infant death certificates in North Carolina (1993-1997) was conducted. Multivariate, binary logistic regression and χ2 analysis were used to examine relationships between available medical and sociodemographic index values and composite birth outcomes among Hispanic women. Results: Infant mortality rates were lowest among Hispanic women. Low birth weight and prematurity rates were similar to those of white women and lower than those of African American women. Variables significantly related to healthy composite birth outcomes among Hispanic women included higher education, no preterm delivery history, prenatal care, marriage, and no daily tobacco use. Conclusion: Hispanic birth outcomes in North Carolina were better than those of African American women and similar to those of white women, despite use of prenatal care and socioeconomic characteristics similar to African American women. (Am J Obstet Gynecol 2003;188:1238-40.)
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2003.348