Do foreign- and U.S.-born mothers across racial/ethnic groups have a similar risk profile for selected sociodemographic and periconceptional factors?

Tunu A. Ramadhani, Mark A. Canfield, Noha H. Farag, Marjorie Royle, Adolfo Correa, D. Kim Waller, Angela Scheuerle

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: We examined differences in selected pregnancy-related risk factors, including maternal sociodemographic characteristics, health-related conditions, and periconceptional behavioral factors, among foreign-born versus U.S.-born control mothers across race/ethnic groups. Methods: We used data from the National Birth Defects Prevention Study, and calculated odds ratios (ORs) and 95% confidence intervals (CIs) of the risk factors, for foreign-born Hispanic, non-Hispanic white, non-Hispanic black, and Asian/Pacific Islander (API) mothers, compared to their U.S.-born counterparts. Results: Across all race/ethnic groups, foreign-born mothers were older and had lower odds of obesity compared to their U.S.-born counterparts. With the exception of foreign-born black mothers, foreign-born mothers from other race/ethnic groups had significantly lower odds of binge drinking during the periconceptional period. Compared to U.S.-born, foreign-born Hispanic mothers had twice the odds of gestational diabetes (OR = 2.23; 95% CI = 1.36-3.66). Certain health behaviors were less prevalent in foreign-born black mothers (e.g., folic acid use; OR = 0.54; 95% CI = 0.31-0.96) and foreign-born API mothers (e.g., cigarette smoking; OR = 0.10; 95% CI = 0.02-0.48). Conclusions: Significant differences in pregnancy related risk factors during the periconceptional period and throughout pregnancy were observed between maternal nativity groups and across race/ethnicity. Prevention efforts for both prepregnancy and after conception should be designed and delivered according to maternal nativity for each racial/ethnic group.

Original languageEnglish (US)
Pages (from-to)823-830
Number of pages8
JournalBirth Defects Research Part A - Clinical and Molecular Teratology
Volume91
Issue number9
DOIs
StatePublished - Sep 2011

Fingerprint

Ethnic Groups
Mothers
Odds Ratio
Confidence Intervals
Hispanic Americans
Pregnancy
Binge Drinking
Gestational Diabetes
Health Behavior
Folic Acid
Obesity
Smoking
Health

Keywords

  • Foreign-born
  • Health conditions
  • Nativity
  • Periconceptional behavioral factors
  • Race/ethnicity
  • Sociodemographic factors
  • U.S.-born

ASJC Scopus subject areas

  • Developmental Biology
  • Pediatrics, Perinatology, and Child Health
  • Embryology

Cite this

Do foreign- and U.S.-born mothers across racial/ethnic groups have a similar risk profile for selected sociodemographic and periconceptional factors? / Ramadhani, Tunu A.; Canfield, Mark A.; Farag, Noha H.; Royle, Marjorie; Correa, Adolfo; Waller, D. Kim; Scheuerle, Angela.

In: Birth Defects Research Part A - Clinical and Molecular Teratology, Vol. 91, No. 9, 09.2011, p. 823-830.

Research output: Contribution to journalArticle

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abstract = "Background: We examined differences in selected pregnancy-related risk factors, including maternal sociodemographic characteristics, health-related conditions, and periconceptional behavioral factors, among foreign-born versus U.S.-born control mothers across race/ethnic groups. Methods: We used data from the National Birth Defects Prevention Study, and calculated odds ratios (ORs) and 95{\%} confidence intervals (CIs) of the risk factors, for foreign-born Hispanic, non-Hispanic white, non-Hispanic black, and Asian/Pacific Islander (API) mothers, compared to their U.S.-born counterparts. Results: Across all race/ethnic groups, foreign-born mothers were older and had lower odds of obesity compared to their U.S.-born counterparts. With the exception of foreign-born black mothers, foreign-born mothers from other race/ethnic groups had significantly lower odds of binge drinking during the periconceptional period. Compared to U.S.-born, foreign-born Hispanic mothers had twice the odds of gestational diabetes (OR = 2.23; 95{\%} CI = 1.36-3.66). Certain health behaviors were less prevalent in foreign-born black mothers (e.g., folic acid use; OR = 0.54; 95{\%} CI = 0.31-0.96) and foreign-born API mothers (e.g., cigarette smoking; OR = 0.10; 95{\%} CI = 0.02-0.48). Conclusions: Significant differences in pregnancy related risk factors during the periconceptional period and throughout pregnancy were observed between maternal nativity groups and across race/ethnicity. Prevention efforts for both prepregnancy and after conception should be designed and delivered according to maternal nativity for each racial/ethnic group.",
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AU - Canfield, Mark A.

AU - Farag, Noha H.

AU - Royle, Marjorie

AU - Correa, Adolfo

AU - Waller, D. Kim

AU - Scheuerle, Angela

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