Rates of low-birth-weight (LBW) infants are similar between Latina and white women, an epidemiologic paradox.
However, few studies have analyzed the relationship between ethnicity, Latino subgroup, confounding variables, and LBW.
We analyzed 395 070 singleton livebirths to Latina and non-Latina white women in California during 1992.
Multivariate logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (Cls) for the risks due to Latino ethnicity and Latino subgroup for very LBW (VLBW, 500-1499 g) and moderately LBW (MLBW. 1500-2499 g) outcomes.
Latina and white women had similar unadjusted rates of VLBW (0.7% vs 0.6%) and MLBW infants (3.7% vs 3.4%). After adjusting for maternal age, education, birthplace, marital status, parity, tobacco use, use of prenatal care, infant sex, and gestational age, there was no difference in the odds of VLBW infants between Latina and white women (OR, 0.93 [95% CI, 0.81-1.07]). Latina women had minimally elevated odds of MLBW infants (OR, 1.06 [95% Cl, 1.01-1.11] compared with white women.
By Latino subgroup, there was no difference in the adjusted odds of VLBW infants among Central and South American, Cuban, Mexican, Puerto Rican, and white women.
The adjusted odds of MLBW infants were elevated among Central and South American (OR, 1.14 [95% CI, 1.05-1.25]) and Puerto Rican women (OR, 1.41 [95% CI, 1.12-1.78]), relative to white women. (...)
Mots-clés Pascal : Poids naissance faible, Poids naissance extrêmement faible, Epidémiologie, Incidence, Etude comparative, Origine ethnique, Latinoaméricain, Caucasoïde, Sous groupe, Statut socioéconomique, Age gestation, Mode de vie, Etats Unis, Amérique du Nord, Amérique, Adolescent, Homme, Adulte, Femelle, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Low birth weight, Extremely low birthweight, Epidemiology, Incidence, Comparative study, Ethnic origin, Latinamerican, Caucasoid, Subgroup, Socioeconomic status, Gestational age, Life style, United States, North America, America, Adolescent, Human, Adult, Female, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0153103
Code Inist : 002B30A01A2. Création : 16/11/1999.