Suppr超能文献

美国西班牙裔/拉丁裔亚组中的低出生体重:母亲出生国外状况和教育程度的影响。

Low birthweight among US Hispanic/Latino subgroups: the effect of maternal foreign-born status and education.

作者信息

Acevedo-Garcia Dolores, Soobader Mah-J, Berkman Lisa F

机构信息

Department of Health & Social Behavior, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.

出版信息

Soc Sci Med. 2007 Dec;65(12):2503-16. doi: 10.1016/j.socscimed.2007.06.033. Epub 2007 Aug 30.

Abstract

We investigated whether maternal foreign-born status confers a protective effect against low birthweight (LBW) across US Hispanic/Latino subgroups (i.e., Mexicans, Puerto Ricans, Cubans and Central/South Americans) in the USA, and whether the association between maternal education and LBW varies by Hispanic/Latino subgroup and by foreign-born status. We conducted logistic regression analyses of the 2002 US Natality Detail Data (n=634,797). Overall, foreign-born Latino women are less likely to have LBW infants than US-born Latino women. The protective effect of foreign-born status is stronger among Latino women with less than high school education. The maternal education gradient is significantly flatter among foreign-born Latino women than among their US-born counterparts (p<0.001). Patterns among Mexican-origin women account for the overall trends among all Latinos.Foreign-born status (main effect) reduces the risk of LBW among Mexicans by about 21% but does not protect against LBW among other Latino subgroups (i.e., Puerto Ricans, Cubans and Central/South Americans). Among Mexicans and Central South Americans, the protective effect of foreign-born status is stronger among women with low education (i.e., 0-11 and 12 years) than among women with more education (i.e., 13-15 and 16+ years). The educational gradient in LBW is less pronounced among foreign-born Mexicans and Central/South Americans than among their US-born counterparts. As such, maternal foreign-born status and education are associated with LBW, though the direction and strength of these associations vary across Latino subgroups. A "health paradox" is apparent for foreign-born Mexican and Central/South American women among whom there is a weak maternal educational gradient in LBW. Future research may test hypotheses regarding the mechanisms underlying these variations in LBW among Latino subgroups, i.e., different gradients in sending countries, health selection of immigrants, cultural factors, and social support.

摘要

我们调查了在美国,母亲的外国出生身份是否对美国西班牙裔/拉丁裔亚组(即墨西哥人、波多黎各人、古巴人和中/南美洲人)的低出生体重(LBW)具有保护作用,以及母亲教育程度与低出生体重之间的关联是否因西班牙裔/拉丁裔亚组和外国出生身份而异。我们对2002年美国出生详细数据(n = 634,797)进行了逻辑回归分析。总体而言,外国出生的拉丁裔女性比美国出生的拉丁裔女性生出低出生体重婴儿的可能性更小。外国出生身份的保护作用在教育程度低于高中的拉丁裔女性中更强。外国出生的拉丁裔女性的母亲教育梯度比美国出生的拉丁裔女性明显更平缓(p<0.001)。墨西哥裔女性的模式解释了所有拉丁裔的总体趋势。外国出生身份(主效应)使墨西哥人低出生体重的风险降低约21%,但对其他拉丁裔亚组(即波多黎各人、古巴人和中/南美洲人)的低出生体重没有保护作用。在墨西哥人和中/南美洲人中,外国出生身份的保护作用在低教育程度(即0 - 11年和12年)的女性中比在教育程度较高(即13 - 15年和16年以上)的女性中更强。外国出生的墨西哥人和中/南美洲人的低出生体重教育梯度比美国出生的同行更不明显。因此,母亲的外国出生身份和教育程度与低出生体重有关,尽管这些关联的方向和强度在拉丁裔亚组中有所不同。对于外国出生的墨西哥和中/南美洲女性来说,“健康悖论”很明显,她们的低出生体重母亲教育梯度较弱。未来的研究可以检验关于这些拉丁裔亚组低出生体重差异背后机制的假设,即输出国的不同梯度、移民的健康选择、文化因素和社会支持。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验