Maternal Upward Socioeconomic Mobility and Black-White Disparities in Infant Birthweight

• Published in: American journal of public health (1971) 2006-11, Vol.96 (11), p.2032-2039
• Main Authors: Colen, Cynthia G, Geronimus, Arline T, Bound, John, James, Sherman A
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; African Americans; Age; Babies; Biological and medical sciences; Birth weight; Black or African American - statistics & numerical data; Black people; Children & youth; Educational attainment; Families & family life; Family income; Female; Health Surveys; Hispanic people; Households; Humans; Infant, Low Birth Weight; Infant, Newborn; Logistic Models; Longitudinal studies; Maternal Welfare - economics; Maternal Welfare - ethnology; Maternal Welfare - trends; Medical sciences; Middle Aged; Middle class; Miscellaneous; Mothers; Polls & surveys; Poverty; Prejudice; Prenatal care; Probability; Public health; Public health. Hygiene; Public health. Hygiene-occupational medicine; Race; Racial discrimination; Research and Practice; Social classes; Social Mobility - economics; Social Mobility - trends; Socioeconomic Factors; United States - epidemiology; Variables; Vulnerable Populations; White people; White People - statistics & numerical data; Women; Womens health
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.2005.076547

We estimate the extent to which upward socioeconomic mobility limits the probability that Black and White women who spent their childhoods in or near poverty will give birth to a low-birthweight baby. Data from the National Longitudinal Survey of Youth 1979 and the 1970 US Census were used to complete a series of logistic regression models. We restricted multivariate analyses to female survey respondents who, at 14 years of age, were living in households in which the income-to-needs ratio did not exceed 200% of poverty. For White women, the probability of giving birth to a low-birthweight baby decreases by 48% for every 1 unit increase in the natural logarithm of adult family income, once the effects of all other covariates are taken into account. For Black women, the relation between adult family income and the probability of low birthweight is also negative; however, this association fails to reach statistical significance. Upward socioeconomic mobility contributes to improved birth outcomes among infants born to White women who were poor as children, but the same does not hold true for their Black counterparts.