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Racial and ethnic differences in determinants of intrauterine growth retardation and other compromised birth outcomes

Bibliographic Data

ID11029569
AuthorsW Parker Frisbie (The University of Texas at Austin), Monique Biegler (Texas State University), Philippe Turk (Texas State University), D Forbes (Texas State University), Starling G Pullum (Texas State University)
Year1997
Volume87
Issue12
Pages1977-1983
Publication date1997-12-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.87.12.1977
PMID9431287
OpenAlexW2030452145
LanguageEN
Citations received30
References cited36

OBJECTIVES: This study examined the extent of variation by race/ethnicity in the prevalence of adverse birth outcomes, whether differentials persisted after other risk factors were controlled for, and whether the direction and magnitude of relationships differed by type of outcome. METHODS: A revised system of measurement was used to estimate multinomial logistic models in a large, nationally representative US data set. RESULTS: Considerable racial/ethnic variation was found across birth outcome categories; differences persisted in the adjusted parameter estimates; and the effects of other risk factors on birth outcomes were similar as to direction, but varied somewhat in magnitude. The odds of compromised birth outcomes were much higher among African Americans than among Mexican Americans and non-Hispanic Whites. CONCLUSIONS: In addition to persistent racial inequality, we found strong adverse effects of both inadequate and "adequate-plus" prenatal care and smoking. Risk of intrauterine growth retardation was higher in the absence of medical insurance, and risk of all adverse birth outcomes was lower among mothers participating in the Special Supplemental Food Program for Women, Infants, and Children

Ethnic group · Political science · Sociology · Birth, Development, and Health · Demography · Food Security and Health in Diverse Populations · Gestational Diabetes Research and Management · Medicine

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Citations per year1
Citation span1996 - 2025 (30)
Highly citedNo

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