Maternal and Child Health Journal

, Volume 19, Issue 6, pp 1354–1363 | Cite as

Immigrant Latino Neighborhoods and Mortality Among Infants Born to Mexican-Origin Latina Women

  • Lisa Ross DeCampEmail author
  • Hwajung Choi
  • Elena Fuentes-Afflick
  • Narayan Sastry


To compare the association between neighborhood Latino immigrant concentration and infant mortality by maternal nativity among singleton births to Mexican-origin women in Los Angeles County. Information about births, infant deaths, and infant and maternal characteristics were obtained from geocoded Los Angeles County vital statistics records (2002–2005). Linked data on neighborhood characteristics (census tracts) were obtained from the 2000 census. Logistic regression models were used to predict infant mortality while accounting for spatial clustering by census tract. Two-thirds of births to Mexican-origin mothers were to foreign-born women. Foreign-born mothers were older, had less education, and were more likely to have delivery costs paid by Medicaid than US-born mothers. Infants born to foreign-born women had a lower infant mortality rates than infants born to US-born women (3.8/1,000 live births vs. 4.6, p = .002). Among infants of foreign-born mothers, the odds of infant mortality increased with increasing immigrant concentration (OR 1.29; 95 % CI 1.01–1.66). There was a similar pattern of association between immigrant concentration and mortality for infants of US-born mothers (OR 1.29; 95 % CI 0.99–1.67). In Los Angeles County, the odds of infant mortality among foreign-born Mexican-origin Latina were higher in higher-density immigrant neighborhoods, with a similar trend among US-born mothers. Thus, living in immigrant enclaves likely does not help to explain the lower than expected infant mortality rate among infants born to Latina women. Instead, higher neighborhood Latino immigrant concentration may indicate a neighborhood with characteristics that negatively impact maternal and infant health for Latinos.


Infant mortality Hispanic/Latino Immigrants Neighbourhoods 


  1. 1.
    Martin, J. A., Hamilton, B. E., Ventura, S. J., et al. (2011). Births: Final data for 2009. Hyattsville: National Center for Health Statistics.Google Scholar
  2. 2.
    Latinos as percent of population, By State. (2011). PewResearch Hispanic trends project. Washington, DC: Pew Research Center. Accessed January 28, 2014.
  3. 3.
    Fuentes-Afflick, E., & Lurie, P. (1997). Low birth weight and Latino ethnicity—Examining the epidemiologic paradox. Archives of Pediatrics and Adolescent Medicine, 151(7), 665–674.CrossRefPubMedGoogle Scholar
  4. 4.
    Hessol, N. A., & Fuentes-Afflick, E. (2005). Ethnic differences in neonatal and postneonatal mortality. Pediatrics, 115(1), e44–e51.PubMedGoogle Scholar
  5. 5.
    Fuentes-Afflick, E., Hessol, N. A., & Perez-Stable, E. J. (1998). Maternal birthplace, ethnicity, and low birth weight in California. Archives of Pediatrics and Adolescent Medicine, 152(11), 1105–1112.CrossRefPubMedGoogle Scholar
  6. 6.
    Zambrana, R. E., Scrimshaw, S. C. M., Collins, N., & Dunkel-Schetter, C. (1997). Prenatal health behaviors and psychosocial risk factors in pregnant women of Mexican origin: The role of acculturation. American Journal of Public Health, 87(6), 1022–1026.CrossRefPubMedCentralPubMedGoogle Scholar
  7. 7.
    Krogstad, J.M., & Lopez, M.H. (2014). Hispanic nativity shirt: US births drive population growth as immigration stalls. PewResearch Hispanic trends project. Washington, D.C.: Pew Research Center. Accessed 14 September 2014.
  8. 8.
    Guendelman, S., Thornton, D., Gould, J., & Hosang, N. (2005). Social disparities in maternal morbidity during labor and delivery between Mexican-born and US-born white Californians, 1996–1998. American Journal of Public Health, 95(12), 2218–2224.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Guendelman, S., Thornton, D., Gould, J., & Hosang, N. (2006). Obstetric complications during labor and delivery: Assessing ethnic differences in California. Womens Health Issues, 16(4), 189–197.CrossRefPubMedGoogle Scholar
  10. 10.
    Sastry, N., & Hussey, J. M. (2003). An investigation of racial and ethnic disparities in birth weight in Chicago neighborhoods. Demography, 40(4), 701–725.CrossRefPubMedGoogle Scholar
  11. 11.
    Hessol, N. A., & Fuentes-Afflick, E. (2000). The perinatal advantage of Mexican origin Latina women. Annals of Epidemiology, 10(8), 516–523.CrossRefPubMedGoogle Scholar
  12. 12.
    Shaw, R. J., Pickett, K. E., & Wilkinson, R. G. (2010). Ethnic density effects on birth outcomes and maternal smoking during pregnancy in the US linked birth and infant death data set. American Journal of Public Health, 100(4), 707–713.CrossRefPubMedCentralPubMedGoogle Scholar
  13. 13.
    Pearl, M., Braveman, P., & Abrams, B. (2001). The relationship of neighborhood socioeconomic characteristics to birthweight among 5 ethnic groups in California. American Journal of Public Health, 91(11), 1808–1814.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Acevedo-Garcia, D., Soobader, M. J., & Berkman, L. F. (2005). The differential effect of foreign-born status on low birth weight by race/ethnicity and education. Pediatrics, 115(1), e20–e30.PubMedGoogle Scholar
  15. 15.
    Campos, B., Schetter, C. D., Abdou, C. A., Hobel, C. J., Glynn, L. M., & Sandman, C. A. (2008). Familialism, social support, and stress: Positive implications for pregnant Latinas. Cultural Diversity and Ethnic Minority Psychology, 14(2), 155–162.CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Kasirye, O. C., Walsh, J. A., Romano, P. S., et al. (2005). Acculturation and its association with health-risk behaviors in a rural Latina population. Ethnicity and Disease, 15(4), 733–739.PubMedGoogle Scholar
  17. 17.
    Guendelman, S., & English, P. B. (1995). Effect of United States residence on birth outcomes among Mexican immigrants—An exploratory-study. American Journal of Epidemiology, 142, S30–S38.CrossRefPubMedGoogle Scholar
  18. 18.
    Coonrod, D. V., Bay, R. C., & Balcazar, H. (2004). Ethnicity, acculturation and obstetric outcomes—Different risk factor profiles in low- and high-acculturation Hispanics and in white non-Hispanics. Journal of Reproductive Medicine, 49(1), 17–22.PubMedGoogle Scholar
  19. 19.
    Osypuk, T. L., Diez Roux, A. V., Hadley, C., & Kandula, N. R. (2009). Are immigrant enclaves healthy places to live? The multi-ethnic study of atherosclerosis. Social Science and Medicine, 69(1), 110–120.CrossRefPubMedCentralPubMedGoogle Scholar
  20. 20.
    Shaw, R., & Pickett, K. (2013). The health benefits of Hispanic communities for non-Hispanic mothers and infants: Another Hispanic paradox. American Journal of Public Health, 103(6), 1052–1057.CrossRefPubMedGoogle Scholar
  21. 21.
    Jenny, A. M., Schoendorf, K. C., & Parker, J. D. (2001). The association between community context and mortality among Mexican–American infants. Ethnicity and Disease, 11(4), 722–731.PubMedGoogle Scholar
  22. 22.
    Peak, C., & Weeks, J. (2002). Does community context influence reproductive outcomes of Mexican origin women in San Diego, California? Journal of Immigrant Health, 4(3), 125–136.CrossRefPubMedGoogle Scholar
  23. 23.
    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(4), 550–560.CrossRefPubMedCentralPubMedGoogle Scholar
  24. 24.
    Diez Roux, A. V. (2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91(11), 1783–1789.CrossRefPubMedCentralPubMedGoogle Scholar
  25. 25.
    Johnson, M. A., & Marchi, K. S. (2009). Segmented assimilation theory and perinatal health disparities among women of Mexican descent. Social Science and Medicine, 69(1), 101–109.CrossRefPubMedGoogle Scholar
  26. 26.
    Kane, R. J. (2011). The ecology of unhealthy places: Violence, birthweight, and the importance of territoriality in structurally disadvantaged communities. Social Science and Medicine, 73(11), 1585–1592.CrossRefPubMedGoogle Scholar
  27. 27.
    Masi, C. M., Hawkley, L. C., Piotrowski, Z. H., & Pickett, K. E. (2007). Neighborhood economic disadvantage, violent crime, group density, and pregnancy outcomes in a diverse, urban population. Social Science and Medicine, 65(12), 2440–2457.CrossRefPubMedGoogle Scholar
  28. 28.
    Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.Google Scholar
  29. 29.
    Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In R. M. Lerner & W. Damon (Eds.), The handbook of child psychology, vol 1: Theoretical models of human development (6th ed., pp. 793–828). Hoboken, NJ: Wiley.Google Scholar
  30. 30.
    Gonzalez-Barrera, A., & Cuddington, D. (2013). Diverse origins: The nation’s 14 largest Hispanic-origin groups. PewResearch Hispanic trends project. Washington, DC: Pew Research Center. Accessed December 19, 2013.
  31. 31.
    Brown, A., & Lopez, M.H. (2013). Mapping the Latino population, By State, County, and City. PewResearch Hispanic trends project. Washington, D.C.: Pew Research Center. Accessed 28 January 2014.
  32. 32.
    ArcGIS Desktop. (2004). Release 9. Redlands, CA: Environmental Systems Research Institute.Google Scholar
  33. 33.
    Peterson, C.E., Pebley, A.R., & Sastry, N. (2007). The Los Angeles neighborhood services and characteristics database: Codebook. Santa Monica, CA: RAND Coporation. Accessed August 29, 2012.
  34. 34.
    Kotelchuck, M. (1994). An evaluation of the Kessner adequacy of prenatal-care index and a proposed adequacy of prenatal-care utilization index. American Journal of Public Health, 84(9), 1414–1420.CrossRefPubMedCentralPubMedGoogle Scholar
  35. 35.
    Kotelchuck, M. Adequacy of prenatal care utilization index. SAS Coding. Last accessed: August 20, 2012.
  36. 36.
    Sastry, N., Pebley, A.R., & Zonta, M. (2002). Neighborhood definitions and the spatial dimension of daily life in Los Angeles. Labor and population program working paper series. DRU-2400/8-LAFANS. Santa Monica, CA: RAND Coporation.Google Scholar
  37. 37.
    Bjornstrom, E. (2011). To live and die in LA County: Neighborhood economic and social context and premature age-specific mortality rates among Latinos. Health Place., 17(1), 230–237.CrossRefPubMedGoogle Scholar
  38. 38.
    Lee, M. A. (2009). Neighborhood residential segregation and mental health: A multilevel analysis on Hispanic Americans in Chicago. Social Science and Medicine, 68(11), 1975–1984.CrossRefPubMedGoogle Scholar
  39. 39.
    Lee, M. A., & Ferraro, K. F. (2007). Neighborhood residential segregation and physical health among Hispanic Americans: Good, bad, or benign? Journal of Health and Social Behavior, 48(2), 131–148.CrossRefPubMedGoogle Scholar
  40. 40.
    Cagney, K. A., Browning, C. R., & Wallace, D. M. (2007). The Latino paradox in neighborhood context: The case of asthma and other respiratory conditions. American Journal of Public Health, 97(5), 919–925.CrossRefPubMedCentralPubMedGoogle Scholar
  41. 41.
    Kim, Y., Collins, T., & Grineski, S. (2014). Neighborhood context and the Hispanic health paradox: Differential effects of immigrant density on children’s wheezing by poverty, nativity and medical history. Health Place, 27, 1–8.Google Scholar
  42. 42.
    Acevedo-Garcia, D., Osypuk, T. L., McArdle, N., & Williams, D. R. (2008). Toward a policy-relevant analysis of geographic and racial/ethnic disparities in child health. Health Affairs, 27(2), 321–333.CrossRefPubMedGoogle Scholar
  43. 43.
    Osypuk, T. L., & Acevedo-Garcia, D. (2010). Beyond individual neighborhoods: A geography of opportunity perspective for understanding racial/ethnic health disparities. Health Place, 16(6), 1113–1123.CrossRefPubMedCentralPubMedGoogle Scholar
  44. 44.
    Janevic, T., Stein, C. R., Savitz, D. A., Kaufman, J. S., Mason, S. M., & Herring, A. H. (2010). Neighborhood deprivation and adverse birth outcomes among diverse ethnic groups. Annals of Epidemiology, 20(6), 445–451.CrossRefPubMedCentralPubMedGoogle Scholar
  45. 45.
    Buka, S. L., Brennan, R. T., Rich-Edwards, J. W., Raudenbush, S. W., & Earls, F. (2003). Neighborhood support and the birth weight of urban infants. American Journal of Epidemiology, 157(1), 1–8.CrossRefPubMedGoogle Scholar
  46. 46.
    Morenoff, J. D. (2003). Neighborhood mechanisms and the spatial dynamics of birth weight. American Journal of Sociology, 108(5), 976–1017.CrossRefGoogle Scholar
  47. 47.
    Schempf, A., Strobino, D., & O’Campo, P. (2009). Neighborhood effects on birthweight: An exploration of psychosocial and behavioral pathways in Baltimore, 1995–1996. Social Science and Medicine, 68(1), 100–110.42.CrossRefPubMedCentralPubMedGoogle Scholar
  48. 48.
    Messer, L. C., Vinikoor, L. C., Laraia, B. A., et al. (2008). Socioeconomic domains and associations with preterm birth. Social Science and Medicine, 67, 1247–1257.CrossRefPubMedGoogle Scholar
  49. 49.
    Almeida, J., Kawachi, I., Molnar, B. E., & Subramanian, S. V. (2009). A multilevel analysis of social ties and social cohesion among Latinos and their neighborhoods: Results from Chicago. Journal of Urban Health, 86(5), 745–759.CrossRefPubMedCentralPubMedGoogle Scholar
  50. 50.
    Viruell-Fuentes, E. A., & Schutz, A. J. (2009). Toward a dynamic conceptualization of social ties and context: Implications for understanding immigrant and Latino health. American Journal of Public Health, 99(12), 2167–2175.CrossRefPubMedCentralPubMedGoogle Scholar
  51. 51.
    Kieffer, E. C., Caldwell, C. H., Welmerink, D. B., et al. (2013). Effect of the healthy moms lifestyle intervention on reducing depressive symptoms among pregnant Latinas. American Journal of Community Psychology, 51, 76–89.CrossRefPubMedGoogle Scholar
  52. 52.
    Martin, J.A., Wilson, E.D., Osterman, M.J.K., et al. (2013). Assessing the quality of medical and health data from the 2003 birth certificate revision: Results from two states (Vol. 62, No. 2). National vital statistics reports. Hyattsville, MD: National Center for Health Statistics. Accessed September 14, 2014.
  53. 53.
    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(3), 441–457.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Lisa Ross DeCamp
    • 1
    • 7
    Email author
  • Hwajung Choi
    • 2
    • 3
  • Elena Fuentes-Afflick
    • 4
  • Narayan Sastry
    • 5
    • 6
  1. 1.Department of PediatricsJohns Hopkins UniversityBaltimoreUSA
  2. 2.Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal MedicineUniversity of MichiganAnn ArborUSA
  3. 3.Department of Internal MedicineUniversity of MichiganAnn ArborUSA
  4. 4.University of California-San Francisco School of MedicineSan FranciscoUSA
  5. 5.Institute for Social ResearchUniversity of MichiganAnn ArborUSA
  6. 6.RAND CorporationSanta MonicaUSA
  7. 7.Centro SOLBaltimoreUSA

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