Timing of incarceration during pregnancy and birth outcomes: exploring racial differences.

OBJECTIVES: To examine whether there are racial differences in the relation between the timing of incarceration during pregnancy and birth outcomes among incarcerated pregnant women. METHODS: We examined the medical records associated with 360 infants born to pregnant inmates in Texas state prisons...

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Publicado en:Maternal & Child Health Journal Vol. 13; no. 4; pp. 457 - 467
Autores principales: Howard DL, Strobino D, Sherman SG, Crum RM
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2009
      vid: 13
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      pub: Springer Nature
      place: New York, New York
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        2010287559
        10.1007/s10995-008-0376-7
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        atl: Timing of incarceration during pregnancy and birth outcomes: exploring racial differences.
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          Howard DL
          Strobino D
          Sherman SG
          Crum RM
        affil: Medical Scientist Training Program, Johns Hopkins University School of Medicine, Baltimore, MD, USA; dhoward3@jhmi.edu
      sug:
        subj:
          Pregnancy Outcomes
          Prisoners In Pregnancy
          Race Factors In Pregnancy
          Age Factors
          Analysis of Variance
          Birth Weight
          Black Persons
          Electronic Health Records
          Correctional Facilities
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Educational Status
          Female
          Gestational Age
          Hispanic Americans
          Linear Regression
          Models, Theoretical
          Multicenter Studies
          Multivariate Analysis
          Pregnancy
          Record Review
          Smoking
          Substance Abuse
          Texas
          White Persons
          Human
          Female
      ab: OBJECTIVES: To examine whether there are racial differences in the relation between the timing of incarceration during pregnancy and birth outcomes among incarcerated pregnant women. METHODS: We examined the medical records associated with 360 infants born to pregnant inmates in Texas state prisons between January 1, 2002 and December 31, 2004. Weighted linear regression was used, within racial strata, to model gestational age at delivery, and infant birth weight, respectively, as functions of gestational age at maternal admission to prison. Models were adjusted for maternal age; gravidity; educational attainment; history of tobacco, substance, and alcohol use and the presence of any maternal chronic disease. RESULTS: Among Whites there was a 360.8 g lower mean birth weight for infants born to women incarcerated during weeks 14-20 relative to infants born to women incarcerated during weeks 1-13 (p < 0.10). Among Blacks and Hispanics, incarceration after the first trimester was not associated with a significant decrease in infant birth weight relative to incarceration during the first trimester. White women entering prison during the first trimester delivered infants at higher gestational ages than White women entering in the second trimester but the opposite was the case for Hispanics. CONCLUSIONS: The association between the quantity of exposure to prison during pregnancy and birth outcomes appears to be different for Blacks, Whites, and Hispanic women. Future studies of the effect of incarceration on pregnancy outcomes should attempt to uncover potential racial differences in trends by obtaining racially stratified results or by assessing interaction with race.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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