The Differential Effect of Foreign-Born Status on Low Birth Weight by Race/Ethnicity and Education

Acevedo‐García, Dolores; Soobader, Mah-J; Berkman, Lisa F.

doi:10.1542/peds.2004-1306

Cited by 241 publications

(187 citation statements)

References 30 publications

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“…[1][2][3][4] However, these results differ according to the geographical origin of immigrants and some groups of immigrant women have unexpectedly favourable birth outcomes. [5][6][7][8] Although several studies have examined the perinatal health of the children of immigrant women, the mother's health has been studied less.…”

Section: Introductionmentioning

confidence: 99%

Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?

Philibert

Deneux‐Tharaux

Bouvier‐Colle

2008

BJOG

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Objectives To test the hypothesis that the risk of postpartum maternal death in France remains significantly higher for women of foreign nationality after individual characteristics are taken into account and to examine whether the quality of care received by the women who died differs according to nationality.Design A national case-control study. Setting Metropolitan France.Population A total of 267 women who died of maternal death from 1996 to 2001 as cases and a representative sample (n = 13 186) of women who gave birth in 1998 as controls.Methods Crude and adjusted odd ratios were calculated with multivariate logistic regression, and the quality of care for cases was compared according to nationality with chi-square tests or Fisher's exact tests.Main outcome measures Odd ratio for postpartum maternal death associated with nationality and quality of care.Results After taking individual characteristics into account, the risk of postpartum maternal death was twice as high for foreign women. The odds ratio was 5.5 (95% CI: 3.3-9.0) for women from sub-Saharan Africa and 3.3 (95% CI: 1.7-6.5) for those from Asia, North and South America. There was no significant excess risk of postpartum maternal death for the other European and North Africa women. The risk of dying from hypertensive disorder or infection was four times higher for foreign women. Among women who died, care was more often considered not optimal for foreign women (78 versus 57%).Conclusions The excess risk of postpartum maternal death persisted for foreign women after individual characteristics were taken into account and was especially important for some nationalities and for some causes of death, primarily hypertensive disorders. These results point to an immediate need to pay special attention to early enrolment in prenatal care, screening and prenatal management of hypertension, especially in women of sub-Saharan African nationality.Keywords Maternal mortality, nationality, quality of care.Please cite this paper as: Philibert M, Deneux-Tharaux C, Bouvier-Colle M. Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?

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Section: Introductionmentioning

confidence: 99%

Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?

Philibert

Deneux‐Tharaux

Bouvier‐Colle

2008

BJOG

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“…We are unable to evaluate the effects of other conceptually relevant variables for LBW and PTB such as insurance status, diet, exercise, stress, smoking, substance use, maternal weight gain, quality of prenatal care and cultural factors. (66,(96)(97)(98)(99)(100) This is especially important for further explaining the disparities between AO and EO ancestries and for understanding the socioeconomic and behavioral pathways leading to disparities. In a separate model, we evaluated the effect of medication use but found overall that it does little in explaining any of the disparities (detailed results available from the authors).…”

Section: Discussionmentioning

confidence: 99%

Explaining Racial Disparities in Infant Health in Brazil

et al. 2015

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Objective-Racial disparities in infant health are common in Brazil. Explaining these disparities and identifying the pathways through which they arise is essential for identifying risk factors that can be targeted by policy interventions. Our objective is to quantify the extent to which socioeconomic, healthcare, demographic, and geographic effects explain racial disparities in low birth weight (LBW) and preterm birth (PTB) rates in Brazil.Methods-We employ a sample of 8949 infants born between 1995 and 2009 in 15 cities and 7 provinces in Brazil. We focus on disparities in LBW (< 2500 grams) and PTB (< 37 gestational weeks) prevalence between infants of African ancestry alone or mixed with other ancestries on one side, and infants of European ancestry alone on the other. We quantify the contributions of several conceptually relevant factors to these disparities using a decomposition model. Findings-The model explains 45-94% and 64-94% of the LBW and PTB disparities, respectively, between the various African ancestry groups and European ancestry. Differences in prenatal care use and geographic location are generally the most important contributors to these disparities, followed by socioeconomic differences. The model explains the majority of the disparities for mixed African ancestry and part of the disparity for African ancestry alone.Conclusions-Prenatal care and geographic location differences explain a large portion of the health disparities between infants of African and European ancestries. Public policies aiming at improving child health should target these pathways in order to reduce such disparities.

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“…do latinské Ameriky, zemí Maghrebu, subsaharské Afriky či východní Evropy [Castelló et al 2012]. V nejširším pojetí je země narození ženy využívána jako indikátor určení kategorie foreign born status/women [Acevedo-Garcia, Soobader, Berkman 2005;Dejin-Karlsson, Ostergren 2004;Essén 2001;Falah-Hassani et al 2015;Forna et al 2003;Korinek, Smith 2011]. Tato kategorie zdůrazňuje základní dichotomizaci zkoumaných žen dle země narození, přičemž cílová země je vý-chozí kategorií.…”

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“…Phillimore [2015Phillimore [ , 2016 doporučuje v souladu s konceptem superdiverzity, který zahrnuje řadu proměnných vystihujících zvyšující se rozrůz-něnost populace [Vertovec 2007], usilovat ve výzkumu o zviditelnění intersekce migrace s genderem, vírou, věkem, třídou, vzděláním či jazykovými dovednostmi. Některé výzkumy zachycují prolínání migrace a socioekonomického statusu [Rowe et al 2008] skrze dosažené vzdělání [Acevedo-Garcia, Soobader, Berkman 2005;Jacquemyn et al 2012;Robertson 2015], kvalifikovanost práce [Castelló et al 2012] a typ ubytování nebo složení domácnosti a rodinný stav [Phillimore 2016]. Dalšími proměnnými jsou délka pobytu [Gagnon, Zimbeck, Zeitlin 2010;Urquia, O'Campo, Heaman 2012;Bollini, Stotzer, Wanner 2007] a jazykové dovednosti [Alderliesten et al 2007;Bischoff et al 2003], kterým se výzkumníci věnují zejmé-7 Také Český statistický úřad v údajích o vztahu migrace a užívání zdravotní péče pracuje se souhrnnou kategorií cizinci definovanou jako "osoby, které nejsou státními občany České republiky".…”

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An Intersection of Two Life Changes in Social-Science Research on Women's Health

Pařízková¹,

Glajchová²,

Hřešanová³

2018

Czech Sociological Review

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When the experiences of migration and becoming a mother intersect, the context and conditions of this have implications for the health of the women and their children. This article presents an overview of social-science research on health and pregnancy among migrant women and on the perinatal and postpartum care they receive. Research on 124 studies on this subject revealed that there are three main themes associated with maternal health in this context: (1) How women are defined and categorised as migrants: This is often based on a single indicator, country of origin or birth. This creates a simplified and homogenising category that then also serves as the basis for the use of more complex categories. (2) The significance of social support for families, especially with respect to informal care, and the fundamental role of language and language barriers in health care. The relationship between migrant women and health-care providers is impacted by cultural differences, which leave women in a vulnerable position. (3) Macro-sociological and epidemiological factors. These are discussed mainly from the perspective of the 'epidemiological paradox', which the authors here deem a rhetorical trick because it conceals the variableness of the findings obtained from perinatal health indicators. keywords: perinatal health, healthy immigrant effect, acculturation, migrant women, epidemiological paradox, health care

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The Differential Effect of Foreign-Born Status on Low Birth Weight by Race/Ethnicity and Education

Cited by 241 publications

References 30 publications

Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?

Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care?

Explaining Racial Disparities in Infant Health in Brazil

An Intersection of Two Life Changes in Social-Science Research on Women's Health

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