التفاصيل البيبلوغرافية
| العنوان: |
Do biological, sociodemographic, and behavioral characteristics explain racial/ethnic disparities in preterm births? |
| المؤلفون: |
Sparks, P. Johnelle1 johnelle.sparks@utsa.edu |
| المصدر: |
Social Science & Medicine. May2009, Vol. 68 Issue 9, p1667-1675. 9p. |
| مصطلحات موضوعية: |
*RACIAL differences, *CHILDBIRTH, *PREMATURE infants, *PREMATURE labor, *STATISTICAL sampling, *SOCIODEMOGRAPHIC factors |
| مستخلص: |
Many studies find racial/ethnic disparities in a diverse set of birth outcomes. However few empirical studies have examined the existence and possible explanations for racial/ethnic disparities in preterm births using a diverse set of racial/ethnic categories and a nationally representative sample of births. This research fills that gap. Using data from the US Early Childhood Longitudinal Study – Birth Cohort (ECLS-B), this research first explores the distribution of biological, sociodemographic, and behavioral characteristics of mothers and infants based on seven categories of maternal race/ethnicity. Next, multivariable logistic regression models are estimated in a nested manner to test for possible explanations for racial/ethnic disparities in preterm births. Lastly, race-stratified models are estimated to better elucidate the mechanism leading to racial/ethnic disparities in preterm births. Results from the chi-square tests of significance for racial/ethnic differences indicate that all variables used in this analysis, except for infant's gender, differ significantly based on maternal race/ethnicity. Results from the full multivariable logistic regression model finds that the only racial/ethnic disparity found in preterm births is observed for infants born to Native American mothers compared to non-Hispanic white mothers, once all variables are controlled for in the model. Race-stratified models indicate that maternal health complications and prenatal care adequacy offer the most potential in explaining remaining racial/ethnic disparities in preterm births. Results from this research support the need to increase access to appropriate and timely prenatal care for women of all races/ethnicities in an effort to reduce racial/ethnic disparities in preterm births. [Copyright &y& Elsevier] |
| قاعدة البيانات: |
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