This study examines the increase in poor birth outcomes, particularly low birthweight (LBW) and very low birthweight (VLBW) among Latinas in Boston for 1992–1994 and 1996. The research questions were: 1) What are the factors influencing Latino birth outcomes particularly LBW and VLBW?; and 2) Do these factors occur differently among Latino women from different ethnic backgrounds? Birth certificate data from the Massachusetts Department of Public Health for Latinos in Boston from 1987–1995 were used to examine these questions. The sociodemographic, health access, maternal/biological, substance abuse, and infant risk factors contributing to poor birthweight outcomes among Puerto Ricans, Cubans, Dominicans, Mexicans, Central Americans, South Americans, and other Latino ethnic groups were examined through bivariate and multivariate analyses. Statistically significant differences were observed among the groups. The findings reveal variation in the number and types of variables affecting birthweight among various Latino ethnic groups and inform health and social policies regarding Latino women's reproductive and perinatal health.
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References
1.
National Center for Health Statistics (NCHS), Infant Mortality Statistics from the 1999 Period Linked Birth/Infant Death Data Set, National Vital Statistics Reports, 50: 4, Public Health Service, Hyattsville, Maryland, DHHS publication No. (PHS) 2002-1120, 2002.
2.
CollinsJ. W. and DavidC. J., The Differential Effect of Traditional Risk Factors on Infant Birthweight among Blacks and Whites in Chicago, American Journal of Public Health, 80, pp. 679–681, 1990.
3.
Boston Public Health Commission (BPHC), Health of Boston, Office of Research, Health Assessment, and Data Systems, Boston, Massachusetts, 1998.
4.
DeardorffK. E.MontgomeryP., and HollmannF. W., U.S. Population Estimates, by Age, Sex, Race, and Hispanic Origin: 1990 to 1995, U.S. Bureau of the Census, Census file RESDO795, PPL-41, U.S. Department of Commerce, Washington, 1996.
5.
HollmannF. W., U.S. Population Estimates, by Age, Sex, Race, and Hispanic Origin: 1980 to 1991, U.S. Bureau of the Census, Current population reports, P-25-1095, U.S. Department of Commerce, Washington, 1993.
6.
UpshurC. and BesozziE., Population Estimates for Massachusetts Racial and Ethnic Minorities, prepared by University of Massachusetts at Boston—Cultural Competence Technical Assistance Team for Division of Medical Assistance from Massachusetts Institute for Social and Economic Research Estimates, February 1998.
7.
KramerM. S., Intrauterine Growth and Gestational Duration Determinants, Pediatrics, 80, pp. 502–511, 1987.
8.
IyasuS.BecerraJ. E.RowleyD. L., and HogueC. J. R., Impact of Very Low Birthweight on the Black-White Infant Mortality Gap, American Journal of Preventive Medicine, 8, pp. 271–277, 1992.
9.
JamesS. A., Racial and Ethnic Differences in Infant Mortality and Low Birth Weight: A Psychosocial Critique, Annals of Epidemiology, 3: 2, pp. 130–136, 1993.
10.
McCormickM. C., The Contribution of Low Birth Weight to Infant Mortality and Childhood Morbidity, New England Journal of Medicine, 312, pp. 82–90, 1985.
11.
RaineT.PowellS., and KrohnM. A., The Risk of Repeating Low Birth Weight and the Role of Prenatal Care, Obstetrics & Gynecology, 84, pp. 485–489, 1994.
12.
National Center for Health Statistics (NCHS), Report of Final Natality Statistics, 1996, Monthly Vital Statistics Report, 46: Supplement 11, Public Health Service, Hyattsville, Maryland, DHHS publication No. (PHS) 98-1120), June 30, 1998.
13.
Boston Public Health Commission (BPHC), Boston Births and Infant Deaths, 2000, Research Office, Boston, Massachusetts, 2002.
14.
Boston Department of Health and Hospitals (BDHH), Natality and Infant Mortality Data for Boston Residents, Division of Public Health, Office of Public Health, Office of Health and Vital Statistics, Boston, Massachusetts, 1996.
15.
National Center for Health Statistics (NCHS), Births of Hispanics, 1998, Monthly Vital Statistics Report, 46: Supplement 6, Public Health Service, Hyattsville, Maryland, DHHS publication No. (PHS) 98-1120, February 12, 1998.
16.
Gaston Institute for Latino Community Development and Public Policy, Latinos in Massachusetts: An Update, University of Massachusetts, Boston, 1998.
17.
MareR. D. and WinshipC., Ethnic and Racial Patterns of Educational Attainment and School Enrollment, in Divided Opportunities: Minorities, Poverty, and Social Policy, SandefurG. D. and TiendaM. (eds.), Plenum Press, New York, pp. 173–206, 1988.
18.
BumpassL. L. and SweetJ. A., Cohabitation, Marriage and Union Stability: Preliminary Findings from NSFH2. NSFH Working Paper No. 65, Center for Demography and Ecology, Madison, Wisconsin, 1995.
19.
LandaleN. S. and FennellyK., Informal Unions among Mainland Puerto Ricans: Cohabitation or an Alternative to Legal Marriage?Journal Marriage and the Family, 54, pp. 269–280, 1992.
20.
EngelT.AlexanderG., and LelandN., Pregnancy Outcomes of US-Born Puerto Ricans: The Role of Maternal Nativity Status, American Journal of Preventive Medicine, 11, pp. 34–39, 1995.
21.
VenturaS. and TaffelS., Childbearing Characteristics of US- and Foreign-Born Hispanic Mothers, Public Health Reports, 100: 6, pp. 647–652, 1985.
22.
BecerraJ. E.AtrashH. K.PerezN., and SalicetiJ. A., Low Birthweight and Infant Mortality in Puerto Rico, American Journal of Public Health, 83: 11, pp. 1572–1576, 1993.
23.
BecerraJ. E.HogueC. J. R.AtrashH. K., and PerezN., Infant Mortality among Hispanics: A Portrait of Heterogeneity, Journal of the American Medical Association, 265, pp. 217–221, 1991.
24.
RawlingsJ. S.RawlingsV. B., and ReadJ. A., Prevalence of Low Birthweight and Preterm Delivery in Relation to the Interval between Pregnancies among White and Black Women, New England Journal of Medicine, 332, pp. 69–74, 1995.
25.
CabralH.FriedL.LevensonS.AmaroH., and ZuckermanB., Foreign-Born and US Born Black Women: Differences in Health Behaviors and Birth Outcomes, American Journal of Public Health, 80, pp. 70–72, 1990.
26.
MacDormanM. F. and SinghG. K., Midwifery Care, Social and Medical Risk Factors, and Birth Outcomes in the USA, Journal of Epidemiology and Community Health, 52, pp. 310–317, 1998.
27.
OakleyD., Social Support in Pregnancy: The Soft Way to Increase Birthweight?Social Science and Medicine, 21: 11, pp. 1259–1268, 1985.
28.
Cardoza-ClaysonZ.CastenadaX.SanchezE., and BrindisC., The Intersection of Culture, Health and Systems in California Latino Communities, International Quarterly of Community Health Education, 19: 4, pp. 375–389, 1999–2000.
29.
U.S. Bureau of the Census, United States Population Estimates by Age, Sex, Race, and Hispanic Origin: 1992, Census File RES00792, U.S. Department of Commerce, Washington, D.C., 1994.
30.
HeckK. E.SchoendorfK. C.VenturaS. J., and KielyJ. L., Delayed Childbearing by Educational Level in the United States, 1969–1995, Maternal and Child Health Journal, 1: 2, pp. 81–88, 1997.
31.
MathewsT. J. and VenturaS. J., Birth and Fertility Rates by Educational Attainment: United States, 1994, Monthly Vital Statistics Report, 46: Suppl. 6, National Center for Health Statistics, Hyattsville, Maryland, 1997.
32.
AlcalayA.SabogalF., and GribbleJ. R., Profile of Latino Health and Implications for Health Education, International Quarterly of Community Health Education, 12: 2, pp. 151–162, 1991–92.
33.
GuendelmanS. and WittS., Improving Access to Prenatal Care for Latina Immigrants in California: Outreach and Inreach Strategies, International Quarterly of Community Health, 12: 2, pp. 89–106, 1991–92.
34.
RiceM., Sociocultural Factors Affecting Reproductive Health in Latin America and the Caribbean, International Quarterly of Community Health, 12: 1, pp. 69–80, 1991–92.
35.
RuzekS., Towards a More Inclusive Model of Women's Health, American Journal of Public Health, 83, pp. 6–7, 1993.
