Community Level Correlates of Low Birthweight Among African American, Hispanic and White Women in California.
Objectives: Racial and ethnic groups in the US exhibit major differences in low birthweight (LBW) rates. While previous studies have shown that community level social indicators associated with LBW vary by race and ethnicity, it is not known whether these differences exist among racial or ethnic gro...
| Publicado en: | Maternal & Child Health Journal Vol. 19; no. 10; pp. 2251 - 2261 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109541139&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109541139 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Oct2015 vid: 19 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109541139 109541139 109541139 10.1007/s10995-015-1744-8 NLM25998311 109541139 ppf: 2251 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Community Level Correlates of Low Birthweight Among African American, Hispanic and White Women in California. aug: au: Herd, Denise Gruenewald, Paul Remer, Lillian Guendelman, Sylvia affil: School of Public Health, University of California, 50 University Hall Berkeley 94720 USA sug: subj: Infant, Low Birth Weight Socioeconomic Factors Healthcare Disparities Ethnic Groups Residence Characteristics Substance Abuse Communities Human California African Americans White Persons Hispanic Americans Descriptive Statistics Linear Regression Poverty Maternal Age Chi Square Test Infant, Newborn Funding Source Infant, Newborn: birth-1 month ab: Objectives: Racial and ethnic groups in the US exhibit major differences in low birthweight (LBW) rates. While previous studies have shown that community level social indicators associated with LBW vary by race and ethnicity, it is not known whether these differences exist among racial or ethnic groups who live in the same neighborhood or community. To address this question, we examined the association of community level features with LBW among African American, White and Hispanic women who live in similar geographic areas. Methods: The analysis is based on geocoded birth certificates for all singleton live births in the year 2000 to women residing in 805 California ZIP codes. Community level social and demographic data were obtained from U.S. Census data files for the year 2000 and surrogate indices of population level alcohol and drug abuse and dependence were derived from hospital discharge data (HDD). Tobit and bootstrap analyses were used to test associations with birth outcomes, maternal characteristics, and community level social and demographic features within and across the three groups of women living in similar geographic areas. Results: The results demonstrate major racial and ethnic differences in community level correlates of LBW. Rates of LBW among African Americans were lower if they lived in areas that were more densely populated, had greater income disparities, were more racially segregated, and had low rates of alcohol abuse or dependence. These associations were different or absent for Hispanic and White women. Conclusions for Practice: The results suggest that despite living in the same areas, major differences in neighborhood features and social processes are linked to birth outcomes of African American women compared to Hispanic and White women. Further research, especially using multilevel approaches, is needed to precisely identify these differences to help reduce racial and ethnic disparities in LBW. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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