Association of Acculturation With Adverse Pregnancy Outcomes

Premkumar, Ashish; Debbink, Michelle; Silver, Robert M.; Haas, David M.; Simhan, Hyagriv N.; Parry, Samuel; Mercer, Brian M.; Iams, Jay D.; Reddy, Uma M.; Saade, George R.; Grobman, William A.

doi:10.1097/aog.0000000000003659

Cited by 22 publications

(34 citation statements)

References 36 publications

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“…On the one hand, greater assimilation is associated with increased positive social interactions, which reduces acculturative stress and, putatively, promotes better mental health(33). On the other hand, assimilation has been associated with reduced family support(34) and poorer birth and childhood developmental outcomes(12, 35-37), consistent with our results. As such, greater assimilation is not a simple construct that leads to binary (i.e., good or bad) outcomes and may depend on the sample at hand.…”

Section: Discussionsupporting

confidence: 91%

The effects of ethnoracial-related stressors during pregnancy on the developing offspring brain

Spann

Alleyne

Holland

et al. 2022

Preprint

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We are increasingly aware of the effects of ethnoracial stress on health, with emerging interest in the potential for intergenerational transmission before birth. Here, we investigate the effect of maternal prenatal discrimination and acculturation experiences on fetal growth, birth outcomes, and functional connectivity in the infant brain. In pregnant adolescent women, we collected self-report measures of acculturation (tailored to an adolescent and Latinx population), discrimination, and maternal distress (i.e., stress and depressive symptoms; n=165). Fetal growth were obtained via electronic health records (n=92), and infant amygdala seed connectivity was assessed using functional magnetic resonance imaging (n=38). We found that greater maternal prenatal assimilation to the host culture was associated with slower fetal growth, lower gestational age at birth, and weaker amygdala-fusiform connectivity. Maternal prenatal discrimination was associated with weaker amygdala-prefrontal connectivity. Together, these results suggest intergenerational effects of ethnoracial stressors on the growth and neural development of future generations.

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Section: Discussionsupporting

confidence: 91%

The effects of ethnoracial-related stressors during pregnancy on the developing offspring brain

Spann

Alleyne

Holland

et al. 2022

Preprint

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“…24 Similarly, in the nuMoM2b Study, greater acculturation (defined as born in the United States with high English proficiency versus born or not born in the United States with low proficiency in English or use of Spanish as the preferred language) was associated with higher risk of preeclampsia or eclampsia (aOR, 1.31 [95% CI, 1.03–1.67]) and gestational hypertension (aOR, 1.48 [95% CI, 1.22–1.79]). 25…”

Section: Hypertensive Disorders Of Pregnancymentioning

confidence: 99%

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Tsao¹,

Aday²,

Almarzooq³

et al. 2022

Circulation

3,457

2,336

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Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2022 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population and an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, and the global burden of cardiovascular disease and healthy life expectancy. Results: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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“…We used length of residence, age on arrival, interpreter use and having an Australian-born partner as proxies for acculturation [27][28][29]. Interpreter-used (yes/no) was available (from HMDC) for all births in hospital (and 99.0% of total births in WA).…”

Section: Exposure and Outcome Variablesmentioning

confidence: 99%

“…partner, and residing in Australia for less than five years are considered the indicators of being less acculturated [27][28][29].…”

Section: Plos Onementioning

confidence: 99%

The influence of acculturation on the risk of stillbirth in migrant women residing in Western Australia

2020

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Objective To investigate the influence of acculturation, demonstrated by age on arrival, length of residence, interpreter use and having an Australian-born partner, on disparities observed in the risk of stillbirth between migrant and Australian-born populations in Western Australia (WA). Methods A retrospective cohort study using linked administrative health data for all non-Indigenous births in WA from 2005-2013 was performed. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI). Adjusted odds ratios (aOR) for stillbirth in migrants from six ethnicities of white, Asian, Indian, African, Māori, and 'other', with different levels of acculturation, were compared with Australian-born women using multivariable logistic regression analysis and marital status, maternal age group, socioeconomic status, parity, plurality, previous stillbirth, any medical conditions, any pregnancy complications, sex of baby, and smoking during pregnancy as the covariates. Results From all births studied, 172,571 (66%) were to Australian-born women and 88,395 (34%) to migrant women. Women from African, Indian and Asian backgrounds who gave birth in the first two years after arrival in Australia experienced the highest risk of stillbirth (aOR 3.32; 95% CI 1.70-6.47, aOR 2.71; 95% CI 1.58-4.65, aOR 1.93; 95% CI 1.21-3.05 respectively) compared with Australian-born women. This association attenuated with an increase in the length of residence in Asian and Indian women, but the risk of stillbirth remained elevated in African women after five years of residence (aOR 1.96 [1.10-3.49]). Interpreter use and an Australian-born partner were associated with 56% and 20% lower odds of stillbirth in migrants (p<0.05), respectively.

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Association of Acculturation With Adverse Pregnancy Outcomes

Cited by 22 publications

References 36 publications

The effects of ethnoracial-related stressors during pregnancy on the developing offspring brain

The effects of ethnoracial-related stressors during pregnancy on the developing offspring brain

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

The influence of acculturation on the risk of stillbirth in migrant women residing in Western Australia

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