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01-01-2014

Racial/Ethnic and Nativity Differences in Birth Outcomes Among Mothers in New York City: The Role of Social Ties and Social Support

Authors: Joanna Almeida, Candace Mulready-Ward, Vani R. Bettegowda, Indu B. Ahluwalia

Published in: Maternal and Child Health Journal | Issue 1/2014

Abstract

Immigrants have lower rates of low birth weight (LBW) and to some extent preterm birth (PTB), than their US-born counterparts. This pattern has been termed the ‘immigrant health paradox’. Social ties and support are one proposed explanation for this phenomenon. We examined the contribution of social ties and social support to LBW and PTB by race/ethnicity and nativity among women in New York City (NYC). The NYC Pregnancy Risk Assessment Monitoring System survey (2004–2007) data, linked with the selected items from birth certificates, were used to examine LBW and PTB by race/ethnicity and nativity status and the role of social ties and social support to adverse birth outcomes using bivariate and multivariable analyses. SUDAAN software was used to adjust for complex survey design and sampling weights. US- and foreign-born Blacks had significantly increased odds of PTB [adjusted odds ratio (AOR) = 2.43, 95 % CI 1.56, 3.77 and AOR = 2.6, 95 % CI 1.66, 4.24, respectively] compared to US-born Whites. Odds of PTB among foreign-born Other Latinas, Island-born Puerto Ricans’ and foreign-born Asians’ were not significantly different from US-born Whites, while odds of PTB for foreign-born Whites were significantly lower (AOR = 0.47, 95 % CI 0.26, 0.84). US and foreign-born Blacks’ odds of LBW were 2.5 fold that of US-born Whites. Fewer social ties were associated with 32–39 % lower odds of PTB. Lower social support was associated with decreased odds of LBW (AOR 0.69, 95 % CI 0.50, 0.96). We found stronger evidence of the immigrant health paradox across racial/ethnic groups for PTB than for LBW. Results also point to the importance of accurately assessing social ties and social support during pregnancy and to considering the potential downside of social ties.

Fuentes-Afflick, E., Hessol, N. A., & Perez-Stable, E. J. (1998). Maternal birthplace, ethnicity and low birthweight in California. Archives of Pediatric and Adolescent Medicine, 152, 1105–1112.CrossRef

Fuentes-Afflick, E., Hessol, N. A., & Perez-Stable, E. J. (1999). Testing the epidemiologic paradox of low birth weight in Latinos. Archives of Pediatric and Adolescent Medicine, 153, 147–153.CrossRef

Fuentes-Afflick, E., & Lurie, P. (1997). Low birth weight and Latino ethnicity. Examing the epidemiologic paradox. Archives of pediatric and adolescent medicine, 151, 665–674.CrossRef

Rosenberg, T. J., Pagan Raggio, T., & Chiasson, M. A. (2005). A further examination of the “epidemiologic paradox”: Birth outcomes among Latinas. Journal of the National Medical Association, 97, 550–556.PubMedPubMedCentral

Martin, J. A., Hamilton, B. E., Ventura, S. J., et al. (2002). Births: Final data for 2000. Hyattsville, MD: National Center for Health Statistics.

Strobino, D., Nicholson, W., Misra, D., et al. (1999). Issues in pregnancy care. In H. Grason, J. Hutchins, & G. Silver (Eds.), Charting a course for the future of women’s and perinatal health: Volume II-review of key issues (pp. 103–136). Baltimore, MD: Women’s and Children’s Health Policy Center, Johns Hopkins School of Public Health.

Page, R. L. (2004). Positive pregnancy outcomes in Mexican immigrants: What can we learn? Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33, 783–790.PubMedCrossRef

Zambrana, R. E., Dunkel-Schetter, C. D., Collins, N., et al. (1999). Mediators of ethnic-associated differences in infant birth weight. Journal of Urban Health, 76, 102–116.PubMedPubMedCentralCrossRef

Chaudry, A & Fortuny, K. Children of immigrants: Family and parental characteristics. Washington, D.C.: The Urban Institute 2010 May 2010 Contract No.: 2.

10.

Davila, A, Mora, MT & Hales, AD. (2007). Income, earnings, and poverty: A portrait of inequality among Latinos/as in the United States. In H. Rodriguez, R. Saenz, C. Menjivar (Eds.) Latinas/os in the United States: Changing the face of America (pp. 181–95). New York, NY: Springer.

11.

Gorman, B. K. (1999). Racial and ethnic variation in low birthweight in the United States: Individual and contextual determinants. Health & Place, 5, 195–207.CrossRef

12.

Acevedo-Garcia, D., & Bates, L. M. (2008). Latino health paradoxes: Empirical evidence, explanations, future research and implications. In H. Rodriguez, R. Saenz, & C. Menjivar (Eds.), Latinas/os in the United States: Changing the face of America. New York, NY: Springer.

13.

Markides, K. S., & Coreil, J. (1986). The health of Hispanics in the southwestern United States: An epidemiologic paradox. Public Health Reports, 101, 253–265.PubMedPubMedCentral

14.

Finch, B. K., Lim, N., Perez, W., et al. (2007). Toward a population health model of segmented assimilation: The case of low birth weight in Los Angeles. Sociological Perspectives, 50, 445–468.CrossRef

15.

Forna, F., Jamieson, D. J., Sanders, D., et al. (2003). Pregnancy outcomes in foreign and US-born women. International Journal of Gynecology and Obstetrics, 83, 257–265.PubMedCrossRef

16.

Singh, G. K., & Yu, S. M. (1996). Adverse pregnancy outcomes: Differences between US- and foreign-born women in major US racial and ethnic groups. American Journal of Public Health, 86(6), 837–843.PubMedPubMedCentralCrossRef

17.

Acevedo-Garcia, D., Soobader, M. J., & Berkman, L. F. (2007). Low birthweight among US Hispanic/Latino subgroups: the effect of maternal foreign-born status and education. Social Science and Medicine, 65, 2503–2516. doi:10.1016/j.socscimed.2007.06.033.PubMedCrossRef

18.

Lynch, J., & Kaplan, G. (2000). Socioeconomic position. In L. F. Berkman & I. Kawachi (Eds.), Social epidemiology (pp. 13–35). New York, NY: Oxford University Press.

19.

Abraido-Lanza, A. F., Armbrister, A. N., Florez, K. R., et al. (2006). Toward a theory-driven model of acculturation in public health research. American Journal of Public Health, 96(8), 1342–1346.PubMedPubMedCentralCrossRef

20.

Guendelman, S., Gould, J. B., Hudes, M., et al. (1990). Generational differences in perinatal health among the Mexican American population: Findings from HHANES 1982–84. American Journal of Public Health, 80(Suppl), 61–65.PubMedPubMedCentralCrossRef

21.

Scribner, R., & Dwyer, J. H. (1989). Acculturation and low birthweight among Latinos in the Hispanic HANES. American Journal of Public Health, 79(9), 1263–1267.PubMedPubMedCentralCrossRef

22.

Rosenberg, T. J., Raggio, T. P., & Chiasson, M. A. (2005). A further examination of the “epidemiologic paradox”: Birth outcomes among Latinas. Journal of the National Medical Association, 97(4), 550–556.PubMedPubMedCentral

23.

Markides, K. S., & Coreil, J. (1986). The health of Hispanics in the southwestern United States: An epidemiologic paradox. Public Health Reports, 101(3), 253–265.PubMedPubMedCentral

24.

Zambrana, R. E., Scrimshaw, S. C. M., Collins, N., et al. (1997). Prenatal health behaviors and psychosocial risk factors in pregnant women of Mexican origin: The role of acculturation. American Journal of Public Health, 87, 1022–1026.PubMedPubMedCentralCrossRef

25.

Gonzalez-Quintero, V. H., Tolaymat, L., Luke, B., et al. (2003). Outcomes of pregnancies among Hispanics. Revisiting the epidemiologic paradox. Journal of Reproductive Medicine, 51, 10–14.

26.

Brown, H. L., Chireau, M. V., Jallah, Y., et al. (2007). The “Hispanic paradox”: An investigation of racial disparity in pregnancy outcomes at a tertiary care medical center. American Journal of Obstetrics and Gynecology, 197, e1–e9.

27.

Moore, J., & Pinderhughes, R. (1993). In the Barrios: Latinos and the underclass debate. New York, NY: Russell Sage Foundation.

28.

Menjivar, C. (2000). Fragmented ties: Salvadoran immigrant networks in America. Berkeley, CA: University of California Press.

29.

Weigers, M. E., & Sherraden, M. S. (2001). A critical examination of acculturation: The impact of health behaviors, social support and economic resources on birth weight among women of Mexican descent. International Migration Review, 35, 804–839.CrossRef

30.

Landale, N. S., & Oropesa, R. S. (2001). Social support and perinatal health: An origin-destination analysis of Puerto Rican women. Journal of Health and Social Behavior, 42, 166–183.PubMedCrossRef

31.

McGlade, M. S., Saha, S., & Dahlstrom, M. E. (2004). The Latina paradox: An opportunity for restructuring prenatal care delivery. American Journal of Public Health, 94, 2062–2065.PubMedPubMedCentralCrossRef

32.

Scribner, R., & Dwyer, J. H. (1989). Acculturation and low birthweight among Latinos in the Hispanic HANES. American Journal of Public Health, 79, 1263–1267.PubMedPubMedCentralCrossRef

33.

Landale, N. S., Oropesa, R. S., Llanes, D., et al. (1999). Does Americanization have adverse effects on health?: Stress, health habits, and infant health outcomes among Puerto Ricans. Social Forces, 78, 613–641.CrossRef

34.

Albrecht, S. L., Miller, M. K., & Clarke, L. L. (1994). Assessing the importance of family structure in understanding birth outcomes. Journal of Marriage and Family, 56, 987–1003.CrossRef

35.

Feldman, P. J., Dunkel-Schetter, C., Sandman, C. A., et al. (2000). Maternal social support predicts birth weight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.PubMedCrossRef

36.

Almeida, J., Molnar, B. E., Kawachi, I., et al. (2009). Ethnicity and nativity status as determinants of perceived social support: Testing the concept of familism. Social Science and Medicine, 68, 1852–1858.PubMedCrossRef

37.

Dyer, J. M., Hunter, R., & Murphy, P. A. (2011). Relationship of social network size to infant birth weight in Hispanic and non-Hispanic women. Journal of Immigrant and Minority Health, 13, 487–493.PubMedCrossRef

38.

Nkansah-Amankra, S., Dhawain, A., Hussey, J. R., et al. (2010). Maternal social support and neighborhood income inequality as predictors of low birth weight and preterm birth outcome disparities: Analysis of South Carolina Pregnancy Risk Assessment and Monitoring System Survey, 2000–2003. Maternal and Child Health Journal, 14, 774–785. doi:10.1007/s10995-009-0508-8.PubMedCrossRef

39.

New York City birth and infant mortality trends [database on the Internet] (2011) [cited Accessed 15 June 2012]. Available from: http://www.nyc.gov/html/doh/html/ms/ms-srp.shtml.

40.

Institute of Medicine I. (1990). Nutrition during pregnancy: Part I, weight gain; Part II, nutrient supplements. In Committee on Nutritional Status During Pregnancy and Lactation (Ed.). Washington, DC: National Academy Press.

41.

Callister, L. C., & Birkhead, A. (2002). Acculturation and perinatal outcomes in Mexican immigrant childbearing women: An integrated review. The Journal of Perinatal and Neonatal Nursing, 16(3), 22–38.PubMedCrossRef

42.

Harley, K., & Eskenazi, B. (2006). Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent. Social Science and Medicine, 62, 3048–3061.PubMedCrossRef

43.

Berkman, L. F., & Glass, T. (2000). Social integration, social networks, social support and health. In L. F. Berkman & I. Kawachi (Eds.), Social epidemiology. New York: Oxford University Press.

44.

Hoffman, S., & Hatch, M. C. (1996). Stress, social support and pregnancy outcomes: A reassessment based on recent research. Paediatric and Perinatal Epidemiology, 10, 380–405.PubMedCrossRef

45.

Webster, J., Linnane, J. W. J., Dibley, L. D., et al. (2000). Measuring social support in pregnancy: Can it be simple and meaningful? Birth, 27(2), 97–101.PubMedCrossRef

46.

Burg, M. M., & Seeman, T. E. (1994). Families and health: The negative side of social ties. Annals of Behavioral Medicine, 16(2), 109–115.

47.

Buka, S. L., Brennan, R. T., Rich-Edwards, J. W., et al. (2003). Neighborhood support and the birth weight of urban infants. American Journal of Epidemiology, 157, 1–8.PubMedCrossRef

48.

49.

Brooke, O. G., Anderson, H. R., Bland, J. M., et al. (1989). Effects on birth weight of smoking, alcohol, caffeine, socioeconomic factors, and psychosocial stress. British Medical Journal, 298, 795–801.PubMedCrossRef

50.

Bitler, M. P., & Currie, J. (2005). Does WIC work? The effects of WIC on pregnancy and birth outcomes. Journal of Policy Analysis and Management, 24(1), 73–91.PubMedCrossRef

51.

Page, R. L., Ellison, C. G., & Lee, J. (2009). Does religiosity affect health risk behaviors in pregnant and postpartum women? Maternal and Child Health Journal, 13, 621–632.PubMedCrossRef

52.

Osypuk, T. L., Bates, L. M., & Acevedo-Garcia, D. (2010). Another Mexican birth weight paradox? The role of residential enclaves and neighborhood poverty in the birthweight of Mexican-origin infants. Social Science and Medicine, 70, 550–560.PubMedCrossRef

53.

Gould, J. B., Madan, A., Qin, C., et al. (2003). Perinatal outcomes in two dissimilar immigrant populations in the United States: A dual epidemiologic paradox. Pediatrics, 111(6), 676–682.CrossRef

Title: Racial/Ethnic and Nativity Differences in Birth Outcomes Among Mothers in New York City: The Role of Social Ties and Social Support
Authors: Joanna Almeida
Candace Mulready-Ward
Vani R. Bettegowda
Indu B. Ahluwalia
Publication date: 01-01-2014
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 1/2014
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-013-1238-5

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Racial/Ethnic and Nativity Differences in Birth Outcomes Among Mothers in New York City: The Role of Social Ties and Social Support

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