Coonrod Dean V, Bay R Curtis, Balcazar Hector
Departments of Obstetrics, Gynecology and Women's Health and Academic Affairs, Maricopa Integrated Health System, MedPro, Phoenix, Arizona, USA.
J Reprod Med. 2004 Jan;49(1):17-22.
To compare risk factors and birth outcomes among low- and high-acculturated Hispanics and white non-Hispanics.
Information on 1,172 women who delivered was collected in a cross-sectional study at a public hospital in Phoenix, Arizona. We compared 3 groups: low-(reference group) and high-acculturated Hispanics and white non-Hispanics. Acculturation was defined within Hispanics by predominant orientation: Latin America (low) or United States (high).
Prevalence of substance abuse and interpersonal violence was highest in the white non-Hispanics when compared to low-acculturated Hispanics, and intermediate in the high-acculturation group. Births to women < 17 years old were highest in the high-acculturation group. Preterm labor and pregnancy-induced hypertension were more common in white non-Hispanics. Sexually transmitted disease was more likely in the high-acculturated Hispanic group. Diabetes was more common in both comparison groups, high-acculturated and white non-Hispanic.
High-acculturated Hispanics, like high-risk white non-Hispanics, had more risk factors and adverse obstetric outcomes than the low-acculturated group. The acculturation process may lead to difficulty for Hispanics in the United States.
比较低文化适应程度和高文化适应程度的西班牙裔及非西班牙裔白人之间的风险因素和分娩结局。
在亚利桑那州凤凰城的一家公立医院开展的一项横断面研究中，收集了1172名分娩女性的信息。我们比较了3组人群：低文化适应程度（参照组）的西班牙裔、高文化适应程度的西班牙裔以及非西班牙裔白人。在西班牙裔人群中，文化适应程度根据主要倾向定义：拉丁美洲（低）或美国（高）。
与低文化适应程度的西班牙裔相比，非西班牙裔白人中药物滥用和人际暴力的发生率最高，高文化适应程度组则处于中间水平。高文化适应程度组中17岁以下女性的分娩率最高。早产和妊娠高血压在非西班牙裔白人中更为常见。性传播疾病在高文化适应程度的西班牙裔组中更有可能出现。糖尿病在高文化适应程度组和非西班牙裔白人这两个比较组中更为常见。
与低文化适应程度组相比，高文化适应程度的西班牙裔与高风险的非西班牙裔白人一样，具有更多的风险因素和不良产科结局。文化适应过程可能给在美国的西班牙裔带来困难。
