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Maternal and Child Health Journal

, Volume 18, Issue 10, pp 2371–2381 | Cite as

Variation in Birth Outcomes by Mother’s Country of Birth Among Non-Hispanic Black Women in the United States

  • Irma T. EloEmail author
  • Zoua Vang
  • Jennifer F. Culhane
Article

Abstract

Rates of prematurity (PTB) and small-for-gestational age (SGA) were compared between US-born and foreign-born non-Hispanic black women. Comparisons were also made between Sub-Saharan African-born and Caribbean-born black women and by maternal country of birth within the two regions. Comparisons were adjusted for sociodemographic, health behavioral and medical risk factors available on the birth record. Birth record data (2008) from all states (n = 27) where mother’s country of birth was recorded were used. These data comprised 58 % of all singleton births to non-Hispanic black women in that year. Pearson Chi square and logistic regression were used to investigate variation in the rates of PTB and SGA by maternal nativity. Foreign-born non-Hispanic black women had significantly lower rates of PTB (OR 0.727; CI 0. 726, 0.727) and SGA (OR 0.742; CI 0.739–0.745) compared to US-born non-Hispanic black women in a fully adjusted model. Sub-Saharan African-born black women compared to Caribbean-born black women had significantly lower rates of PTB and SGA. Within each region, the rates of PTB and SGA varied by mother’s country of birth. These differences could not be explained by adjustment for known risk factors obtained from vital records. Considerable heterogeneity in rates of PTB and SGA among non-Hispanic black women in the US by maternal nativity was documented and remained unexplained after adjustment for known risk factors.

Keywords

Preterm Small-for-gestational-age Nativity Black 

Notes

Acknowledgments

The study received support from the University of Pennsylvania TRIO competition and was supported by the Eunice Shriver Kennedy National Institute of Child Health and Development Population Research Infrastructure Program R24 HD-044964-9. We thank Ye Wang for programming assistance. There are no conflicts of interest.

References

  1. 1.
    Martin, J. A., Hamilton, B. E., Ventura, S. J., et al. (2012). Births: Final data for 2010. National Vital Statistics Reports (Vol. 61(1)). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  2. 2.
    Centers for Disease Control and Prevention. (2008). QuickStats: Percentage of small-for-gestational-age births, by race and Hispanic ethnicity—United States, 2005. Morbidity and Mortality Weekly Report, 57(5), 1359.Google Scholar
  3. 3.
    Schempf, A. H., Branum, A. M., Lukacs, S. L., & Schoendorf, K. C. (2007). The contribution of preterm birth to the black–white infant mortality gap, 1990 and 2000. American Journal of Public Health, 97(7), 1255–1260.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Gilbert, W. M., Nesbitt, T. S., & Danielsen, B. (2003). The cost of prematurity: Quantification by gestational age and birth weight. Obstetrics and Gynecology, 102, 488–492.PubMedCrossRefGoogle Scholar
  5. 5.
    Longo, S., Bollani, L., Decembrino, L., Di Comite, A., Angelini, M., & Stronati, M. (2013). Short-term and long-term sequelae in intrauterine growth retardation (IUGR). The Journal of Maternal-Fetal and Neonatal Medicine, 26(3), 222–225.PubMedCrossRefGoogle Scholar
  6. 6.
    Institute of Medicine. (2006). Preterm birth: Causes, consequences and prevention. Washington, DC: Institute of Medicine.Google Scholar
  7. 7.
    Reagan, P. B., & Salsberry, P. J. (2005). Race and ethnic differences in determinants of preterm birth in the USA: Broadening the social context. Social Science and Medicine, 60(10), 2217–2228.PubMedCrossRefGoogle Scholar
  8. 8.
    Farley, T. A., Mason, K., Rice, J., Habel, J. D., Scribner, R., & Cohen, D. A. (2006). The relationship between neighborhood environment and adverse birth outcomes. Paediatric and Perinatal Epidemiology, 20, 188–2000.PubMedCrossRefGoogle Scholar
  9. 9.
    Osypuk, T. L., Bates, L. M., & Acevedo-Garcia, D. (2010). Another Mexican birthweight paradox? The role of residential enclaves and neighborhood poverty in the birthweight of Mexican-origin infants. Social Science and Medicine, 70, 550–560.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Hummer, R. A., Powers, D. A., Pullum, S. G., Gossman, G. L., & Frisbie, W. P. (2007). Paradox found (again): Infant mortality among the Mexican-origin population in the United States. Demography, 44, 441–457.PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Crump, C., Lipsky, S., & Mueller, B. A. (1999). Adverse birth outcomes among Mexican-Americans: Are US-born women at greater risk than Mexico-born women? Ethnicity & Health, 4, 29–34.CrossRefGoogle Scholar
  12. 12.
    Singh, G. K., & Yu, S. M. (1996). Adverse pregnancy outcomes: differences between US- and foreign-born women in major US racial and ethnic groups. American Journal of Public Health, 86(6), 837–843.PubMedCentralPubMedCrossRefGoogle Scholar
  13. 13.
    Qin, C., & Gould, J. B. (2010). Maternal nativity status and birth outcomes in Asian immigrants. Journal of Immigrant Minority Health, 12, 798–805. doi: 10.1007/s10903-008-9215-6.PubMedCrossRefGoogle Scholar
  14. 14.
    Hummer, R. A., Biegler, M., De Turk, P. B., Forbes, D., Frisbie, W. P., Hong, Y., et al. (1999). Race/ethnicity, nativity, and infant mortality in the United States. Social Forces, 77(3), 1083–1118.CrossRefGoogle Scholar
  15. 15.
    Kramer, M. S., Ananth, C. V., Platt, R. W., & Joseph, K. S. (2006). US black vs white disparities in foetal growth: Physiological or pathological? International Journal of Epidemiology, 35, 1187–1195.PubMedCrossRefGoogle Scholar
  16. 16.
    Acevedo-Garcia, D., Soobader, M.-J., & Berkman, L. F. (2005). The differential effects of foreign-born status on low birth weight by race/ethnicity and education. Pediatrics, 115, e20–e30.PubMedGoogle Scholar
  17. 17.
    Kent, M. M. (2007). Immigration and America’s Black population. Population Bulletin, 62(4), 1–16.Google Scholar
  18. 18.
    Capps, R., McCabe, K., & Fix, M. (2012). Diverse streams: Black African Migration to the United States. Washington, DC: Migration Policy Institute.Google Scholar
  19. 19.
    Thomas, K. J. A. (2012). A demographic profile of black Caribbean immigrants in the United States. Washington, DC: Migration Policy Institute.Google Scholar
  20. 20.
    Ruggles, S., Alexander, J. T., Genadek, K., Goeken, R., Schroeder, M. B., & Sobek, M. (2010). Integrated public use microdata series: Version 5.0 [Machine-readable database]. Minneapolis: University of Minnesota.Google Scholar
  21. 21.
    Wasse, H., Holt, V. L., & Daling, J. R. (1994). Pregnancy risk factors and birth outcomes in Washington State: A comparison of Ethiopian-born and US-born women. American Journal of Public Health, 84, 1505–1507.PubMedCentralPubMedCrossRefGoogle Scholar
  22. 22.
    David, R. J., & Collins, J. W., Jr. (1997). Differing birth weight among infants of U.S.-born blacks, African-born blacks, and U.S.-born whites. New England Journal of Medicine, 337(17), 1209–1215.PubMedCrossRefGoogle Scholar
  23. 23.
    Pallotto, E. K., Collins, J. W., David, R. J., et al. (2000). Enigma of maternal race and infant birth weight: A population-based study of U.S.-born black and Caribbean-born black women. American Journal of Epidemiology, 151, 1080–1085.Google Scholar
  24. 24.
    Howard, D., Marshall, S. S., Kaufman, J. S., & Savitz, D. A. (2006). Variations in low birth weight and preterm delivery among blacks in relation to ancestry and nativity: New York City, 1998–2002. Pediatrics, 118, e1399–e1405.Google Scholar
  25. 25.
    Grady, S. C., & Lafferty, S. (2007). Segregation, nativity, and health: Reproductive health inequalities for immigrant and native-born black women in New York City. Urban Geography, 28(4), 377–397.CrossRefGoogle Scholar
  26. 26.
    Mason, S. M., Kaufman, J. S., Emch, M. E., Hogan, V. K., & Savitz, D. A. (2010). Ethnic density and preterm birth in African-, Caribbean, and US-born non-Hispanic black populations in New York City. American Journal of Epidemiology, 172(7), 800–808.PubMedCentralPubMedCrossRefGoogle Scholar
  27. 27.
    Goldenberg, R. L., & Culhane, J. F. (2007). Low birth weight in the United States. American Journal of Clinical Nutrition, 85(2), 5845–5905.Google Scholar
  28. 28.
    Goldenberg, R. L., Culhane, J. F., Iams, J. D., & Romero, R. (2008). Epidemiology and causes of preterm birth. The Lancet, 371(9606), 75–84.CrossRefGoogle Scholar
  29. 29.
    Martin, J. A., Hamilton, B. E., Sutton, P. D., et al. (2010). Births: Final data for 2008. National Vital Statistics Reports, 59(1). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  30. 30.
    Elo, I. T., Culhane, J. F., Kohler, I. V., O’Campo, P., Burke, J. G., Messer, L. C., et al. (2008). Neighborhood deprivation and small-for-gestational-age term births in the United States. Paediatric and Perinatal Epidemiology, 23, 87–96.CrossRefGoogle Scholar
  31. 31.
    Luo, Z., Wilkins, R., & Kramer, M. S. (2006). Effect of neighbourhood income and maternal education on birth outcomes: A population-based study. Canadian Medical Association Journal, 174, 1415–1421.PubMedCentralPubMedCrossRefGoogle Scholar
  32. 32.
    Ananth, C. V. (2007). Menstrual versus clinical estimate of gestational age dating in the United States: Temporal trends and variability in indices of perinatal outcomes. Paediatric and Perinatal Epidemiology, 21(suppl 2), 22–30.PubMedCrossRefGoogle Scholar
  33. 33.
    Callaghan, W. M., & Dietz, P. M. (2010). Differences in birth weight for gestational age distributions according to the measures used to assign gestational age. American Journal of Epidemiology, 171, 826–836.PubMedCrossRefGoogle Scholar
  34. 34.
    Thomas, K. J. A. (2011). What explains the increasing trend in African emigration to the U.S.? International Migration Review, 45(1), 3–28.Google Scholar
  35. 35.
    Collins, J. W., Jr., Wu, S.-Y., & David, R. J. (2002). Differing intergenerational birth weights among the descendants of US-born and foreign-born Whites and African Americans in Illinois. American Journal of Epidemiology, 155, 210–216.PubMedCrossRefGoogle Scholar
  36. 36.
    Jasso, G., Massey, D. S., Rosenzweig, R. S., & Smith, J. P. (2004). Immigrant health, selectivity, and acculturation. In N. B. Anderson, R. A. Bulatao, & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in later life (pp. 227–266). Washington, DC: National Academy Press.Google Scholar
  37. 37.
    Cunningham, S. A., Ruben, J. D., & Narayan, K. M. V. (2008). Health of foreign-born people in the United States: A review. Health & Place, 14, 623–635.Google Scholar
  38. 38.
    Viruell-Fuentes, E. A., Miranda, P. Y., & Abdulrahim, S. (2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science and Medicine, 75, 2099–2106.PubMedCrossRefGoogle Scholar
  39. 39.
    Cooper, R., Rotini, C., Ataman, S., et al. (1997). The prevalence of hypertension in seven populations of West African origin. American Journal of Public Health, 87(2), 160–168.PubMedCentralPubMedCrossRefGoogle Scholar
  40. 40.
    Elo, I. T., Mehta, N., & Huang, C. (2011). Disability among native-born and foreign-born Blacks in the United States. Demography, 48, 241–265. doi: 10.1007/s13524-010-0008-x.
  41. 41.
    Read, J. G., & Emerson, M. O. (2005). Racial context, black immigration and the U.S. Black/White health disparity. Soc Forces, 84(10), 181–199.Google Scholar
  42. 42.
    Elo, I. T., & Culhane, J. F. (2010). Variations in health and health behaviors by nativity among pregnant black women in Philadelphia. American Journal of Public Health, 100, 2185–2192. doi: 10.2105/AJPH.2009.174755.Google Scholar
  43. 43.
    Collins, J. W., & David, R. J. (2009). Racial disparity in low birth weight and infant mortality. Clinics in Perinatology, 36, 63–73.PubMedCrossRefGoogle Scholar
  44. 44.
    Lu, M. C., & Halfon, N. (2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal, 7, 13–30.PubMedCrossRefGoogle Scholar
  45. 45.
    Dominguez, P. T., Strong, E. F., Krieger, N., Gillman, M. W., & Rich-Edwards, J. W. (2009). Differences in self-reported racism experiences of US-born and foreign-born Black pregnant women. Social Science and Medicine, 69, 258–265.PubMedCentralPubMedCrossRefGoogle Scholar
  46. 46.
    Teitler, J. O., Hutto, N., & Reichman, N. E. (2012). Birthweight of children of immigrants by maternal duration of residence in the United States. Social Science and Medicine, 75, 459–468.PubMedCentralPubMedCrossRefGoogle Scholar
  47. 47.
    Acevedo-Garcia, D., Sanchez-Vaznaugh, E. V., Viruell-Fuentes, E. A., & Almeida, J. Integrating social epidemiology into immigrant health research: A cross-national framework. Social Science & Medicine, 75, 2060–2068.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Population Studies CenterUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of SociologyMcGill UniversityMontrealCanada
  3. 3.Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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