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May 2003 • Volume 188 • Number 5
General Obstetrics and Gynecology
Obstetrics
Infant
mortality, low birth weight, and prematurity among Hispanic, white, and African
American women in North Carolina
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| Abstract | TOP |
Objectives: The study was undertaken to compare Hispanic birth
outcomes with those of white and African American women in North Carolina and to
examine variables associated with adverse birth outcomes among Hispanic women.
Study Design: Retrospective comparison of birth outcomes by
ethnicity/race, from linked birth/infant death certificates in North Carolina
(1993-1997) was conducted. Multivariate, binary logistic regression and
2 analysis were
used to examine relationships between available medical and sociodemographic
index values and composite birth outcomes among Hispanic women.
Results: Infant mortality rates were lowest among Hispanic women. Low
birth weight and prematurity rates were similar to those of white women and
lower than those of African American women. Variables significantly related to
healthy composite birth outcomes among Hispanic women included higher education,
no preterm delivery history, prenatal care, marriage, and no daily tobacco use.
Conclusion: Hispanic birth outcomes in North Carolina were better than
those of African American women and similar to those of white women, despite use
of prenatal care and socioeconomic characteristics similar to African American
women. (Am J Obstet Gynecol 2003;188:1238-40.)
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