Maternal and Child Health Journal

, Volume 20, Issue 6, pp 1151–1160 | Cite as

Acculturation and Adverse Birth Outcomes in a Predominantly Puerto Rican Population

  • Veronica Barcelona de Mendoza
  • Emily Harville
  • Katherine Theall
  • Pierre Buekens
  • Lisa Chasan-Taber
Article

Abstract

Introduction Latinas in the United States on average have poorer birth outcomes than Whites, yet considerable heterogeneity exists within Latinas. Puerto Ricans have some of the highest rates of adverse outcomes and are understudied. The goal of this study was to determine if acculturation was associated with adverse birth outcomes in a predominantly Puerto Rican population. Methods We conducted a secondary analysis of Proyecto Buena Salud, a prospective cohort study conducted from 2006 to 2011. A convenience sample of pregnant Latina women were recruited from a tertiary care hospital in Massachusetts. Acculturation was measured in early pregnancy; directly via the Psychological Acculturation Scale, and via proxies of language preference and generation in the United States. Birth outcomes (gestational age and birthweight) were abstracted from medical records (n = 1362). Results After adjustment, psychological acculturation, language preference, and generation was not associated with odds of preterm birth. However, every unit increase in psychological acculturation score was associated with an increase in gestational age of 0.22 weeks (SE = 0.1, p = 0.04) among all births. Women who preferred to speak Spanish (β = −0.39, SE = 0.2, p = 0.02) and who were first generation in the US (β = −0.33, SE = 0.1, p = 0.02) had significantly lower gestational ages than women who preferred English or who were later generation, respectively. Similarly, women who were first generation had babies who weighed 76.11 g less (SE = 35.2, p = 0.03) than women who were later generation. Discussion We observed a small, but statistically significant adverse impact of low acculturation on gestational age and birthweight in this predominantly Puerto Rican population.

Keywords

Acculturation Latino Preterm birth Small-for-gestational-age 

Notes

Acknowledgments

This project was supported by the Training Grant in Reproductive Epidemiology from the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institutes of Health (T32 HD057780), and the Maternal and Child Health Epidemiology Doctoral Training Program, Human Resources Services Administration/Maternal Child Health Bureau (T03MC07649). Proyecto Buena Salud was supported by a National Institutes of Health grant (NIH R01DK064902).

Compliance with Ethical Standards

Conflict of interest

The authors declare they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  2. 2.Department of Global Community Health and Behavioral SciencesTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  3. 3.University of Massachusetts- Amherst, School of Public Health and Health SciencesAmherstUSA
  4. 4.Yale School of NursingOrangeUSA

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