Understanding the Universality of the Immigrant Health Paradox: The Spanish Perspective
- 398 Downloads
This study sought the existence of an immigrant health paradox by evaluating the relationship between region of origin and the perinatal indicators of low birth weight and preterm birth in Spain. The data consist of individual records from the 2006 National Birth Registry of Spain. Mother’s origin was divided into eleven groups based on geographic region. We calculated the frequency of Low Birth Weight (LBW) and Prematurity. Logistic regressions were conducted evaluating relationship between origin and LBW and origin and prematurity. After adjusting for socio-demographic variables mothers from Sub-Saharan Africa had an increased probability of having a neonate of LBW over the Spanish mothers, whereas in the mothers of the rest of regions the probability was lower. No differences were found in prematurity in babies born to foreign mothers when compared to babies born to Spanish mothers. While our findings largely support an immigrant paradox with regard to low birth weight, they also suggest that region of origin may play an important role.
KeywordsImmigrant health paradox Perinatal health Low birth weight Prematurity Immigrant
- 1.Taningco MT. Revisiting the Latino Health Paradox. Tomás Rivera Policy Institute Policy Brief. 2007. http://www.trpi.org/PDFs/Latino%20Paradox%20Aug%202007%20PDF.pdf. Accessed 20 April 2009.
- 2.Solow B. The “Mexican Paradox”. Indyweek. 2003. http://www.indyweek.com/gyrobase/Content?oid=oid%3A18907. Accessed 28 April 2009.
- 5.Nation Birth Registry Spain 2006.Google Scholar
- 6.Roig VM, Castro MT. Immigrant mothers, Spanish babies childbearing patterns of foreign women in Spain. United Nations population division. Spanish National Research Council. Fundación BBVA Documento de Trabajo. 2007. http://www.fbbva.es/TLFU/dat/dt_17_immigrant.pdf. Accessed 26 January 2009.
- 7.Ley Organica sobre derechos y libertades de los extranjeros en España y su integración social. Ley organica 4/2000. http://www.lexureditorial.com/leyes/loex6drl.htm#indloex3. Accessed 20 March 2009.
- 8.Leveno K, Cunningham F, Gant N, et al. Williams manual of obstetrics. 21st ed. Dallas TX: University of Texas, Southwestern Medical Center at Dallas; 2002. p. 28.Google Scholar
- 9.Feldman P, Dunkel-Schetter C, Sandmand C, Wadhwa P. Maternal social support predicts birth weight and fetal growth in human pregnancy. Psychosom Med. 2000;65(5):715–726. http://www.psychosomaticmedicine.org/cgi/reprint/62/5/715.pdf. Accessed 30 March 2009.
- 10.Ohlesson A, Shah P. Determinants and prevention of low birth weight: a synopsis of the evidence. Chapter 1. Alberta, Canada: Institute of Health Economics; 2008.Google Scholar
- 11.Low Birth weight Country, Regional and Global Estimates United Nations Childrens Fund and World Health Organization. 2004 p1. http://www.who.int/reproductivehealth/publications/low_birthweight/low_birthweight_estimates.pdf. Accessed 18 April 2009.
- 12.Low Birth weight Country, Regional and Global Estimates United Nations Children’s Fund and World Health Organization. 2004 p2. http://www.who.int/reproductivehealth/publications/low_birthweight/low_birthweight_estimates.pdf. Accessed 18 April 2009.
- 13.Leveno K, Cunningham F, Gant N, et al. Williams manual of obstetrics. 21st ed. Dallas TX: University of Texas, Southwestern Medical Center at Dallas; 2002. p. 424.Google Scholar
- 14.Di Renzo GC, Luzetti R, Mignosa M, et al. The spectrum of preterm birth centre of perinatal and reproductive medicine, University of Perugia, Italy. http://22.214.171.124/search?q=cache:lhl7QSYHpxkJ:www.comtecmed.com/COGI/COGI2_FullPapers/110.rtf+Di+Renzo+the+spectrum+of+preterm+birth&cd=1&hl=en&ct=clnk. Accessed 24 April 2009.
- 15.Gould JB, Madan A, Qin C, Chavez G. Perinatal outcomes in two dissimilar immigrant populations in the United States: a dual epidemiologic paradox. Pediatrics. 2003;111:676–682. http://www.pediatrics.org/cgi/content/full/111/6/e676. Accessed 12 December 2008.Google Scholar
- 17.Grupo de estudio sobre inmigración y salud. Mortalidad y principales causas de muerte en la población inmigrante residente en España, 2001–2005. Madrid: Ministerio de Trabajo e Inmigración, 2009. http://extranjeros.mtin.es/es/ObservatorioPermanenteInmigracion/Publicaciones/contenido_0004.html. Accessed 4 March 2009.
- 18.Maternal and Infant Health Research: Preterm Birth. Center for Disease Control and Prevention website. http://www.cdc.gov/reproductivehealth/MaternalInfantHealth/PBP.htm. Accessed 25 April 2009.
- 19.Leveno K, Cunningham F, Gant N, et al. Williams manual of obstetrics. 21st ed. Dallas TX: University of Texas, Southwestern Medical Center at Dallas; 2002. p. 260–7.Google Scholar
- 21.Kochanek K, Martin J. Supplement analysis of recent trends in infant mortality. National. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/infantmort/infantmort.htm. Accessed 25 April 2009.
- 26.Leveno K, Cunningham F, Gant N, et al. Williams manual of obstetrics. 21st ed. Dallas TX: University of Texas, Southwestern Medical Center at Dallas; 2002. p. 399–400.Google Scholar
- 27.Kramer M. Social causes of low birth weight. JR Soc Med. 1995;88:611–5.Google Scholar