美国白人人口中出生结局的差异:中东和北非移民母亲的低出生体重患病率。

Disparities in birth outcomes within the U.S. White population: Prevalence of low birth weight among immigrant mothers from the Middle East and North Africa.

作者信息

Moustafa Leila, McGaughey Patricia, Hamilton Tod G

机构信息

Predoctoral Fellow, Princeton University, Office of Population Research, 224 Wallace Hall, Princeton, NJ, 08544, USA.

Assistant Professor, Montclair State University, School of Nursing, 1 Normal Avenue, Montclair, NJ, 07043, USA.

出版信息

SSM Popul Health. 2024 Feb 8;26:101625. doi: 10.1016/j.ssmph.2024.101625. eCollection 2024 Jun.

Abstract

Immigration from the Middle East and North Africa (MENA) has diversified the U.S. non-Hispanic White population. Analyzing health disparities within this group is a complex task due to data limitations across most federal and state data collection systems. This study investigates disparities in the risk of giving birth to a low-birth-weight infant among foreign-born non-Hispanic White MENA and non-MENA mothers and by MENA mothers' nationality. This population-based study uses Restricted-Use Detail Natality Data from 2016 to 2019 accessed through the National Center for Health Statistics and provided by the Centers for Disease Control and Prevention. The study examines the risk of giving birth to a low-birth-weight infant (<2500g) among foreign-born non-Hispanic White mothers by MENA/non-MENA status as the primary independent variable of interest. Logistic regression models are used to control for social and demographic characteristics, medical risk factors, and measures of prenatal care adequacy. Results are presented as odds ratios. Among foreign-born non-Hispanic White mothers, 139,708 (32%) are classified as MENA and 296,093 (68%) as non-MENA. Results show that after controlling for social and demographic characteristics, medical factors, and measures of prenatal care adequacy, foreign-born non-Hispanic White MENA mothers have greater odds of giving birth to a low-birth-weight infant than their non-MENA counterparts (OR: 1.443, -value <0.001). Increased immigration from the MENA region has contributed to changes in health profiles among foreign-born non-Hispanic White mothers. As this group grows, understanding the impact of immigration on the composition of the non-Hispanic White population, and consequently, racial disparities in the U.S., is crucial for researchers and policymakers.

摘要

来自中东和北非(MENA)的移民使美国非西班牙裔白人人口更加多样化。由于大多数联邦和州数据收集系统存在数据限制,分析该群体内部的健康差异是一项复杂的任务。本研究调查了外国出生的非西班牙裔白人中东和北非及非中东和北非母亲之间以及中东和北非母亲按国籍划分的低体重婴儿出生风险差异。这项基于人群的研究使用了通过国家卫生统计中心获取并由疾病控制和预防中心提供的2016年至2019年限制使用的详细出生数据。该研究将中东和北非/非中东和北非身份作为主要感兴趣的自变量,考察外国出生的非西班牙裔白人母亲中低体重婴儿(<2500克)的出生风险。使用逻辑回归模型来控制社会和人口特征、医疗风险因素以及产前护理充足性的衡量指标。结果以比值比呈现。在外国出生的非西班牙裔白人母亲中,139,708人(32%)被归类为中东和北非,296,093人(68%)为非中东和北非。结果表明,在控制了社会和人口特征、医疗因素以及产前护理充足性的衡量指标后,外国出生的非西班牙裔白人中东和北非母亲生出低体重婴儿的几率高于非中东和北非母亲(比值比:1.443,p值<0.001)。来自中东和北非地区的移民增加导致了外国出生的非西班牙裔白人母亲健康状况的变化。随着这一群体的增长,了解移民对非西班牙裔白人人口构成的影响,进而了解美国的种族差异,对研究人员和政策制定者至关重要。

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