TY - JOUR
T1 - Maternal nativity and risk of adverse perinatal outcomes among Black women residing in California, 2011–2017
AU - McKenzie-Sampson, Safyer
AU - Baer, Rebecca J.
AU - Blebu, Bridgette E.
AU - Karasek, Deborah
AU - Oltman, Scott P.
AU - Pantell, Matthew S.
AU - Rand, Larry
AU - Rogers, Elizabeth E.
AU - Torres, Jacqueline M.
AU - Jelliffe-Pawlowski, Laura L.
AU - Scott, Karen A.
AU - Chambers, Brittany D.
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2021/12
Y1 - 2021/12
N2 - Objective: Examine the risk of adverse perinatal outcomes among the United States (US)-born and foreign-born Black women in California. Study design: The study comprised all singleton live births to Black women in California between 2011 and 2017. We defined maternal nativity as US-born or foreign-born. Using Poisson regression, we computed risk ratios (RR) and 95% confidence intervals (CI) for three adverse perinatal outcomes: preterm birth, small for gestational age deliveries, and infant mortality. Results: Rates of adverse perinatal outcomes were significantly higher among US-born Black women. In adjusted models, US-born Black women experienced an increased risk of preterm birth (RR 1.51, 95% CI 1.39, 1.65) and small for gestational age deliveries (RR 1.52, 95% CI 1.41, 1.64), compared to foreign-born Black women. Conclusions: Future studies should consider experiences of racism across the life course when exploring heterogeneity in the risk of adverse perinatal outcomes by nativity among Black women in the US.
AB - Objective: Examine the risk of adverse perinatal outcomes among the United States (US)-born and foreign-born Black women in California. Study design: The study comprised all singleton live births to Black women in California between 2011 and 2017. We defined maternal nativity as US-born or foreign-born. Using Poisson regression, we computed risk ratios (RR) and 95% confidence intervals (CI) for three adverse perinatal outcomes: preterm birth, small for gestational age deliveries, and infant mortality. Results: Rates of adverse perinatal outcomes were significantly higher among US-born Black women. In adjusted models, US-born Black women experienced an increased risk of preterm birth (RR 1.51, 95% CI 1.39, 1.65) and small for gestational age deliveries (RR 1.52, 95% CI 1.41, 1.64), compared to foreign-born Black women. Conclusions: Future studies should consider experiences of racism across the life course when exploring heterogeneity in the risk of adverse perinatal outcomes by nativity among Black women in the US.
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U2 - 10.1038/s41372-021-01149-9
DO - 10.1038/s41372-021-01149-9
M3 - Article
C2 - 34282261
AN - SCOPUS:85110680652
SN - 0743-8346
VL - 41
SP - 2736
EP - 2741
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 12
ER -