The Washington State Intergenerational Study of Birth Outcomes: methodology and some comparisons of maternal birthweight and infant birthweight and gestation in four ethnic groups

1999 ◽  
Vol 13 (3) ◽  
pp. 352-371 ◽  
Author(s):  
Emanuel ◽  
Leisenring ◽  
Williams ◽  
Kimpo ◽  
Estee ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Birth Outcomes ◽  
Washington State ◽  
Intergenerational Study

921 How do birth outcomes in black hispanic women compare to other racial/ethnic groups?

2021 ◽  
Vol 224 (2) ◽  
pp. S572
Author(s):  
Alison N. Goulding ◽  
Matthew A. Shanahan ◽  
Kjersti M. Aagaard
Keyword(s):  
Ethnic Groups ◽  
Birth Outcomes ◽  
Hispanic Women ◽  
Racial Ethnic

scholarly journals Joint contribution of socioeconomic circumstances and ethnic group to variations in preterm birth, neonatal mortality and infant mortality in England and Wales: a population-based retrospective cohort study using routine data from 2006 to 2012

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028227 ◽  
Author(s):  
Charles Opondo ◽  
Ron Gray ◽  
Jennifer Hollowell ◽  
Yangmei Li ◽  
Jennifer J Kurinczuk ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Infant Mortality ◽  
Ethnic Group ◽  
Ethnic Groups ◽  
Neonatal Mortality ◽  
Birth Outcomes ◽  
Secondary Outcome ◽  
Adverse Birth Outcomes ◽  
England And Wales ◽  
Deprived Areas

ObjectivesThis study aimed to describe the variation in risks of adverse birth outcomes across ethnic groups and socioeconomic circumstances, and to explore the evidence of mediation by socioeconomic circumstances of the effect of ethnicity on birth outcomes.SettingEngland and Wales.ParticipantsThe data came from the 4.6 million singleton live births between 2006 and 2012.ExposureThe main exposure was ethnic group. Socioeconomic circumstances, the hypothesised mediator, were measured using the Index of Multiple Deprivation (IMD), an area-level measure of deprivation, based on the mother’s place of residence.Primary and secondary outcome measuresThe primary outcomes were birth outcomes, namely: neonatal death, infant death and preterm birth. We estimated the slope and relative indices of inequality to describe differences in birth outcomes across IMD, and the proportion of the variance in birth outcomes across ethnic groups attributable to IMD. We investigated mediation by IMD on birth outcomes across ethnic groups using structural equation modelling.ResultsNeonatal mortality, infant mortality and preterm birth risks were 2.1 per 1000, 3.2 per 1000 and 5.6%, respectively. Babies in the most deprived areas had 47%–129% greater risk of adverse birth outcomes than those in the least deprived areas. Minority ethnic babies had 48%–138% greater risk of adverse birth outcomes compared with white British babies. Up to a third of the variance in birth outcomes across ethnic groups was attributable to differences in IMD, and there was strong statistical evidence of an indirect effect through IMD in the effect of ethnicity on birth outcomes.ConclusionThere is evidence that socioeconomic circumstances could be contributing to the differences in birth outcomes across ethnic groups.

scholarly journals Neighborhood Deprivation and Adverse Birth Outcomes among Diverse Ethnic Groups

2010 ◽  
Vol 20 (6) ◽  
pp. 445-451 ◽  
Author(s):  
T. Janevic ◽  
C.R. Stein ◽  
D.A. Savitz ◽  
J.S. Kaufman ◽  
S.M. Mason ◽  
...  
Keyword(s):  
Ethnic Groups ◽  
Birth Outcomes ◽  
Adverse Birth Outcomes ◽  
Neighborhood Deprivation

Heterogeneity of Birthweight Outcomes among Latinas in Boston

2002 ◽  
Vol 21 (3) ◽  
pp. 229-255
Author(s):  
Alba N. Cruz
Keyword(s):  
Ethnic Groups ◽  
Birth Outcomes ◽  
Low Birthweight ◽  
Birth Certificate ◽  
Health Access ◽  
Central Americans ◽  
Latino Women ◽  
Biological Substance ◽  
Research Questions ◽  
South Americans

This study examines the increase in poor birth outcomes, particularly low birthweight (LBW) and very low birthweight (VLBW) among Latinas in Boston for 1992–1994 and 1996. The research questions were: 1) What are the factors influencing Latino birth outcomes particularly LBW and VLBW?; and 2) Do these factors occur differently among Latino women from different ethnic backgrounds? Birth certificate data from the Massachusetts Department of Public Health for Latinos in Boston from 1987–1995 were used to examine these questions. The sociodemographic, health access, maternal/biological, substance abuse, and infant risk factors contributing to poor birthweight outcomes among Puerto Ricans, Cubans, Dominicans, Mexicans, Central Americans, South Americans, and other Latino ethnic groups were examined through bivariate and multivariate analyses. Statistically significant differences were observed among the groups. The findings reveal variation in the number and types of variables affecting birthweight among various Latino ethnic groups and inform health and social policies regarding Latino women's reproductive and perinatal health.

Patterns and Correlates of Substance Use among American Indians in Washington State

2003 ◽  
Vol 33 (1) ◽  
pp. 45-71 ◽  
Author(s):  
Scott Akins ◽  
Clayton Mosher ◽  
Thomas Rotolo ◽  
Robert Griffin
Keyword(s):  
Substance Use ◽  
Ethnic Groups ◽  
American Indians ◽  
Multivariate Analyses ◽  
Washington State ◽  
Minority Youth ◽  
Extensive Literature ◽  
Individual Level ◽  
Substance Use And Abuse ◽  
Racial Ethnic

While there is fairly extensive literature examining the patterns and correlates of substance use across minority youth populations with a particular focus on comparisons between Whites, Blacks, and Hispanics, there has been comparatively little attention devoted to adults. Drawing on data derived from a household sample of close to 7,000 adults in Washington State, this paper provides multivariate analyses of the correlates of substance use across five racial/ethnic groups with a specific emphasis on American Indians. The analyses reveal that while American Indians have generally higher levels of substance use and abuse than those from other racial/ethnic groups, the differences are attenuated when socio-demographic and individual level/risk protective factors are taken into account.

The Impact of Residential Mobility on Birth Outcomes in Washington State

Epidemiology ◽  
2009 ◽  
Vol 20 ◽  
pp. S240
Author(s):  
Sylvia Brown ◽  
Richard Hoskins ◽  
Elizabeth Marshall ◽  
Clifford Weisel ◽  
Gerald Harris ◽  
...  
Keyword(s):  
Birth Outcomes ◽  
Residential Mobility ◽  
Washington State ◽  
The Impact

scholarly journals Variations in neonatal mortality, infant mortality, preterm birth and birth weight in England and Wales according to ethnicity and maternal country or region of birth: an analysis of linked national data from 2006 to 2012

2020 ◽  
Vol 74 (4) ◽  
pp. 336-345
Author(s):  
Charles Opondo ◽  
Hiranthi Jayaweera ◽  
Jennifer Hollowell ◽  
Yangmei Li ◽  
Jennifer J Kurinczuk ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Infant Mortality ◽  
Ethnic Groups ◽  
Birth Outcomes ◽  
Neonatal Death ◽  
Ethnic Origin ◽  
Adverse Birth Outcomes ◽  
Country Of Birth ◽  
England And Wales

BackgroundRisks of adverse birth outcomes in England and Wales are relatively low but vary across ethnic groups. We aimed to explore the role of mother’s country of birth on birth outcomes across ethnic groups using a large population-based linked data set.MethodsWe used a cohort of 4.6 million singleton live births in England and Wales to estimate relative risks of neonatal mortality, infant mortality and preterm birth, and differences in birth weight, comparing infants of UK-born mothers to infants whose mothers were born in their countries or regions of ethnic origin, or elsewhere.ResultsThe crude neonatal and infant death risks were 2.1 and 3.2 per 1000, respectively, the crude preterm birth risk was 5.6% and the crude mean birth weight was 3.36 kg. Pooling across all ethnic groups, infants of mothers born in their countries or regions of ethnic origin had lower adjusted risks of death and preterm birth, and higher gestational age-adjusted mean birth weights than those of UK-born mothers. White British infants of non-UK-born mothers had slightly lower gestational age-adjusted mean birth weights than White British infants of UK-born mothers (mean difference −3 g, 95% CI −5 g to −0.3 g). Pakistani infants of Pakistan-born mothers had lower adjusted risks of neonatal death (adjusted risk ratio (aRR) 0.84, 95% CI 0.72 to 0.98), infant death (aRR 0.84, 95% CI 0.75 to 0.94) and preterm birth (aRR 0.85, 95% CI 0.82 to 0.88) than Pakistani infants of UK-born Pakistani mothers. Indian infants of India-born mothers had lower adjusted preterm birth risk (aRR 0.91, 95% CI 0.87 to 0.96) than Indian infants of UK-born Indian mothers. There was no evidence of a difference by mother’s country of birth in risk of birth outcomes among Black infants, except Black Caribbean infants of mothers born in neither the UK nor their region of origin, who had higher neonatal death risks (aRR 1.71, 95% CI 1.06 to 2.76).ConclusionThis study highlights evidence of better birth outcomes among UK-born infants of non-UK-born minority ethnic group mothers, and could inform the design of future interventions to reduce the risks of adverse birth outcomes through improved targeting of at-risk groups.

Maternal veterinary occupation and adverse birth outcomes in Washington State, 1992–2014: a population-based retrospective cohort study

2018 ◽  
Vol 75 (5) ◽  
pp. 359-368
Author(s):  
Julianne Meisner ◽  
Manali V Vora ◽  
Mackenzie S Fuller ◽  
Amanda I Phipps ◽  
Peter M Rabinowitz
Keyword(s):  
Cohort Study ◽  
Birth Outcomes ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Fetal Death ◽  
Population Based ◽  
Support Staff ◽  
Washington State ◽  
Adverse Birth Outcomes ◽  
Employed Mothers

ObjectiveWomen in veterinary occupations are routinely exposed to potential reproductive hazards, yet research into their birth outcomes is limited. We conducted a population-based retrospective cohort study of the association between maternal veterinary occupation and adverse birth outcomes.MethodsUsing Washington State birth certificate, fetal death certificate and hospital discharge data from 1992 to 2014, we compared birth outcomes of mothers in veterinary professions (n=2662) with those in mothers in dental professions (n=10 653) and other employed mothers (n=8082). Relative risks (RRs) and 95% CIs were estimated using log binomial regression. Outcomes studied were premature birth (<37 weeks), small for gestational age (SGA), malformations and fetal death (death at ≥20 weeks gestation). Subgroup analyses evaluated risk of these outcomes among veterinarians and veterinary support staff separately.ResultsWhile no statistically significant associations were found, we noted a trend for SGA births in all veterinary mothers compared with dental mothers (RR=1.16, 95% CI 0.99 to 1.36) and in veterinarians compared with other employed mothers (RR=1.37, 95% CI 0.96 to 1.96). Positive but non-significant association was found for malformations among children of veterinary support staff.ConclusionsThese results support the need for further study of the association between veterinary occupation and adverse birth outcomes.

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