Buck G M, Mahoney M C, Michalek A M, Powell E J, Shelton J A
Department of Social and Preventive Medicine, School of Medicine and Biomedical Sciences, State University of New York, Buffalo.
Public Health Rep. 1992 Sep-Oct;107(5):569-75.
The purpose of this study was to describe the neonatal characteristics of Native American (Indian) infants and the antenatal characteristics of their mothers as compared with white, black, and other race infants. The study population comprised 979,444 live births to upstate New York (exclusive of New York City) resident mothers between 1980 and 1986. Data were abstracted from vital records (birth certificates) and analyzed using a variety of descriptive statistics. Mothers of Native American and black infants had similar antenatal profiles (that is, younger, higher parity, lower educational attainment, and delayed initiation of prenatal care), which differed from mothers of white or other race infants. Despite having at-risk mothers, Native American infants were similar to white and other race infants with respect to the percentage of births that were considered low birth weight or premature. Black infants were twice as likely as the other three groups of infants to be low birth weight or premature. These findings suggest that other factors appear to be important in determining neonatal outcome and that typical at-risk antenatal profile of mothers may not be consistent across all racial groups.
本研究的目的是描述美国原住民（印第安）婴儿的新生儿特征及其母亲的产前特征，并与白人、黑人及其他种族的婴儿进行比较。研究人群包括1980年至1986年间纽约州北部（不包括纽约市）常住母亲的979,444例活产。数据从生命记录（出生证明）中提取，并使用各种描述性统计方法进行分析。美国原住民和黑人婴儿的母亲具有相似的产前特征（即年龄较小、多胎、教育程度较低、产前护理开始较晚），这与白人或其他种族婴儿的母亲不同。尽管母亲存在风险因素，但美国原住民婴儿在低出生体重或早产的出生百分比方面与白人及其他种族婴儿相似。黑人婴儿低出生体重或早产的可能性是其他三组婴儿的两倍。这些发现表明，其他因素在决定新生儿结局方面似乎很重要，而且母亲典型的高危产前特征在所有种族群体中可能并不一致。
