Minority Health Archive

One size does not fit all: an examination of low birthweight disparities among a diverse set of racial/ethnic groups.

Johnelle Sparks, P (2009) One size does not fit all: an examination of low birthweight disparities among a diverse set of racial/ethnic groups. Maternal and child health journal, 13 (6). pp. 769-779. ISSN 1573-6628

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To examine disparities in low birthweight using a diverse set of racial/ethnic categories and a nationally representative sample. This research explored the degree to which sociodemographic characteristics, health care access, maternal health status, and health behaviors influence birthweight disparities among seven racial/ethnic groups. Binary logistic regression models were estimated using a nationally representative sample of singleton, normal for gestational age births from 2001 using the ECLS-B, which has an approximate sample size of 7,800 infants. The multiple variable models examine disparities in low birthweight (LBW) for seven racial/ethnic groups, including non-Hispanic white, non-Hispanic black, U.S.-born Mexican-origin Hispanic, foreign-born Mexican-origin Hispanic, other Hispanic, Native American, and Asian mothers. Race-stratified logistic regression models were also examined. In the full sample models, only non-Hispanic black mothers have a LBW disadvantage compared to non-Hispanic white mothers. Maternal WIC usage was protective against LBW in the full models. No prenatal care and adequate plus prenatal care increase the odds of LBW. In the race-stratified models, prenatal care adequacy and high maternal health risks are the only variables that influence LBW for all racial/ethnic groups. The race-stratified models highlight the different mechanism important across the racial/ethnic groups in determining LBW. Differences in the distribution of maternal sociodemographic, health care access, health status, and behavior characteristics by race/ethnicity demonstrate that a single empirical framework may distort associations with LBW for certain racial and ethnic groups. More attention must be given to the specific mechanisms linking maternal risk factors to poor birth outcomes for specific racial/ethnic groups.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Low birthweight - Racial/ethnic disparities - ECLS-B - WIC - Prenatal care adequacy
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
Health > Prenatal & Pediatric Health
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 25 Jul 2011 10:38
Last Modified: 25 Jul 2011 10:38
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2847

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