Suppr超能文献

低出生体重风险的跨代传递中的种族差异。

Racial disparities in the transgenerational transmission of low birthweight risk.

机构信息

a Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh , Pittsburgh , USA.

b Department of Epidemiology, School of Public Health, University of Washington , Seattle , USA.

出版信息

Ethn Health. 2019 Oct;24(7):829-840. doi: 10.1080/13557858.2017.1378804. Epub 2017 Sep 19.

Abstract

To examine the association of maternal low birthweight (LBW) with infant LBW and infant LBW subgroups (i.e. moderate and very LBW), overall and among non-Hispanic (NH) white and NH black mothers. We conducted a population-based cohort study in Allegheny County, Pennsylvania, using linked birth record data of NH white and NH black mother-infant pairs ( = 6,633) born in 1979-1998 and 2009-2011, respectively. The exposure of interest was maternal LBW (birthweight <2500 grams) while the outcomes were infant LBW and LBW subgroups - moderate LBW (1,500-2,499 grams) or very LBW (<1,500 grams). Logistic regression (binomial and multinomial) models were used to estimate adjusted Odds Ratios (ORs), Relative Risk Ratios (RRRs), and related 95% confidence intervals (CI). Stratified analyses were conducted to assess effect modification by mothers' race. Maternal LBW was associated with 1.53 (95%CI: 1.15-2.02) and 1.75 (95%CI: 1.29-2.37) -fold increases in risk of infant LBW and MLBW, respectively, but not VLBW (RRR = 0.86; 95%CI: 0.44-1.70). In race-stratified models, maternal LBW-infant LBW associations were observed among NH blacks (OR = 1.88; 95%CI: 1.32-2.66) and not among NH whites (OR = 1.03; 95%CI: 0.62-1.73) (P for interaction = 0.07). Among NH blacks, maternal LBW was associated with a 2.18 (95%CI: 1.49, 3.20) -fold increase in risk of infant MLBW, but not VLBW (RRR = 1.12; 95%CI: 0.54, 2.35). Among NH whites, LBW subgroup analyses could not be performed due to small numbers of VLBW infants among LBW mothers. Mothers who were LBW at their own birth were more likely to have MLBW infants. Maternal race modified associations of maternal LBW with infant LBW, particularly infant MLBW. Further research is needed in this area to understand the potential mechanisms involved in the transgenerational transmission of LBW risk and race-specific differences in the transmission.

摘要

为了研究母亲低出生体重(LBW)与婴儿 LBW 及婴儿 LBW 亚组(即中度和重度 LBW)之间的关联,我们在宾夕法尼亚州阿勒格尼县进行了一项基于人群的队列研究,使用了分别于 1979 年至 1998 年和 2009 年至 2011 年出生的非西班牙裔(NH)白人和 NH 黑人生育记录数据,对 NH 白人和 NH 黑人母婴对( = 6633)进行了关联。感兴趣的暴露因素是母亲 LBW(出生体重<2500 克),而结局是婴儿 LBW 和 LBW 亚组-中度 LBW(1500-2499 克)或重度 LBW(<1500 克)。使用逻辑回归(二项式和多项式)模型来估计调整后的优势比(ORs)、相对风险比(RRRs)和相关的 95%置信区间(CI)。进行分层分析以评估母亲种族对效应修饰的影响。母亲 LBW 与婴儿 LBW 的风险分别增加 1.53 倍(95%CI:1.15-2.02)和 1.75 倍(95%CI:1.29-2.37),但与重度 LBW 无关(RRR=0.86;95%CI:0.44-1.70)。在按种族分层的模型中,在 NH 黑人中观察到母亲 LBW-婴儿 LBW 之间的关联(OR=1.88;95%CI:1.32-2.66),而在 NH 白人中则没有(OR=1.03;95%CI:0.62-1.73)(P 交互=0.07)。在 NH 黑人中,母亲 LBW 与婴儿中度 LBW 的风险增加 2.18 倍(95%CI:1.49,3.20)有关,但与重度 LBW 无关(RRR=1.12;95%CI:0.54,2.35)。在 NH 白人中,由于 LBW 母亲中重度 LBW 婴儿的数量较少,因此无法进行 LBW 亚组分析。在出生时体重不足的母亲更有可能生育中度 LBW 婴儿。母亲种族改变了母亲 LBW 与婴儿 LBW 之间的关联,尤其是婴儿中度 LBW。在这一领域需要进一步研究,以了解 LBW 风险的跨代传播和传播中特定种族差异所涉及的潜在机制。

相似文献

1
Racial disparities in the transgenerational transmission of low birthweight risk.
Ethn Health. 2019 Oct;24(7):829-840. doi: 10.1080/13557858.2017.1378804. Epub 2017 Sep 19.
3
Adolescent pregnancy: understanding the impact of age and race on outcomes.
J Adolesc Health. 1997 Mar;20(3):187-97. doi: 10.1016/S1054-139X(96)00174-7.
4
Maternal Birthplace is Associated with Low Birth Weight Within Racial/Ethnic Groups.
Matern Child Health J. 2017 Jun;21(6):1358-1366. doi: 10.1007/s10995-016-2241-4.
5
One size does not fit all: an examination of low birthweight disparities among a diverse set of racial/ethnic groups.
Matern Child Health J. 2009 Nov;13(6):769-79. doi: 10.1007/s10995-009-0476-z. Epub 2009 Jun 4.
6
The contribution of maternal age to racial disparities in birthweight: a multilevel perspective.
Am J Public Health. 2001 Nov;91(11):1815-24. doi: 10.2105/ajph.91.11.1815.
7
Changing trends in low birth weight rates among non-Hispanic black infants in the United States, 1991-2004.
Matern Child Health J. 2011 Jan;15(1):29-41. doi: 10.1007/s10995-010-0570-2.
9
Maternal age and birth outcomes: data from New Jersey.
Fam Plann Perspect. 1997 Nov-Dec;29(6):268-72, 295.
10
Heterogeneity within Asian subgroups: a comparison of birthweight between infants of US and non-US born Asian Indian and Chinese mothers.
Matern Child Health J. 2008 Sep;12(5):549-56. doi: 10.1007/s10995-007-0270-8. Epub 2007 Aug 12.

引用本文的文献

1
Pockets of progress amidst persistent racial disparities in low birthweight rates.
PLoS One. 2018 Jul 31;13(7):e0201658. doi: 10.1371/journal.pone.0201658. eCollection 2018.

本文引用的文献

1
Births: Final Data for 2014.
Natl Vital Stat Rep. 2015 Dec;64(12):1-64.
2
Births: final data for 2011.
Natl Vital Stat Rep. 2013 Jun 28;62(1):1-69, 72.
3
Small-for-gestational age and preterm birth across generations: a population-based study of Illinois births.
Matern Child Health J. 2014 Dec;18(10):2456-64. doi: 10.1007/s10995-014-1484-1.
4
Cardiovascular disease among Black Americans: comparisons between the U.S. Virgin Islands and the 50 U.S. states.
Public Health Rep. 2013 May-Jun;128(3):170-8. doi: 10.1177/003335491312800307.
5
Developing a maternally linked birth dataset to study the generational recurrence of low birthweight in Virginia.
Matern Child Health J. 2014 Feb;18(2):488-96. doi: 10.1007/s10995-013-1277-y.
7
Maternal risk factors associated with term low birth weight neonates: a matched-pair case control study.
Indian Pediatr. 2012 Jan;49(1):25-8. doi: 10.1007/s13312-012-0010-z. Epub 2011 May 30.
8
Low birth weight across generations: the effect of economic environment.
Matern Child Health J. 2011 May;15(4):438-45. doi: 10.1007/s10995-010-0603-x.
9
Variants in ADCY5 and near CCNL1 are associated with fetal growth and birth weight.
Nat Genet. 2010 May;42(5):430-5. doi: 10.1038/ng.567. Epub 2010 Apr 6.
10
Parent-of-origin specific linkage and association of the IGF2 gene region with birth weight and adult metabolic risk factors.
Int J Obes (Lond). 2009 Sep;33(9):962-70. doi: 10.1038/ijo.2009.126. Epub 2009 Jun 23.

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