Testing the Epidemiologic Paradox of Low Birth Weight in Latinos
Archives of Pediatrics and Adolescent MedicinePublished 1 February 1999Open access
Elena Fuentes‐Afflick, Nancy A. Hessol, Eliseo J. Pérez‐Stable
Citations156
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TL;DR
The epidemiologic paradox of LBW in Latinos is valid and new conceptual models are needed to identify Latina women who are at risk for adverse pregnancy outcomes.
Abstract
The epidemiologic paradox of LBW in Latinos is valid. New conceptual models are needed to identify Latina women who are at risk for adverse pregnancy outcomes.
Keywords
MedicineHealth Professions
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It can be concluded with some certainty that the healthStatus of Hispanics in the Southwest is much more similar to the health status of other whites than that of blacks although socioeconomically, the status of Hispanics is closer to that of Blacks.
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331 Citations1989Richard Scribner, Jeffrey Dwyer
Factors associated with a Mexican cultural orientation may be protective against the risk of maternal low birthweight (LBW), and the effect of education was found to depend on level of acculturation.
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First-generation Mexican women stand a markedly lower risk of eating a poor diet than second- generation Mexican women, whose nutrient intake resembles that of White non-Hispanic women.
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It is concluded that factors currently used to control for ethnic differences in birth weight are insufficient to explain the observed differences.
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It is concluded that urban poverty is negatively associated with Hispanic birth weight only when the mother is Puerto Rican or a US-born member of another subgroup.
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169 Citations1986Rachel Williams, Nancy Binkin +1 more
Pregnancy outcomes among United States-born and Mexican-born women having Spanish surnames with US-born Whites and Blacks using California's 1981 matched birth-death cohort file are compared to suggest their relatively low reported infant mortality rates compared to Blacks can be explained by a more favorable birthweight distribution.
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164 Citations1990Sylvia Guendelman, Jeffrey B. Gould +2 more
The findings support existing evidence that a Mexican cultural orientation protects first generation and Mexico-born women against a risk for LBW and suggest that cultural effects are not consistent for all pregnancy outcomes.
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125 Citations1997Elena Fuentes‐Afflick
Low-birth-weight rates of Latinos and whites are similar, consistent with the "epidemiologic paradox" of unexpectedly favorable perinatal outcomes for Latinos, however, this paradoxical relation for all Latinos masks the notably elevated LBW risk among Puerto Ricans.
JAMASelected Measures of Health Status for Mexican-American, Mainland Puerto Rican, and Cuban-American Children
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When assessed by these health status indicators, Hispanic children seem to have a health status similar to non-Hispanic white children, however, mainland Puerto Rican children seem at greater risk for poor health, reflecting the US Hispanic population's heterogeneity.
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99 Citations1986Stephanie J. Ventura, S M Taffel
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89 Citations1997Paul English, Mani Kharrazi +1 more
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81 Citations1998Stephanie J. Ventura, Joyce A Martin +2 more
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Overall, ethnic differences in patterns of prenatal care use, social profiles, and medical risk factors in both Mexican-Americans and non-Hispanic whites in Arizona are observed.
The Future of ChildrenThe Health of Latino Children in the United States
41 Citations1994Fernando Mendoza
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34 Citations1993Cohen Bb, Friedman Dj +3 more
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23 Citations1984Maija L. Selby, E S Lee +2 more
The Spanish surname infant mortality rate may be spuriously low and does not appear to be a valid indicator of Mexican American health status even in an urban, non-border area considered to have excellent birth and death registration.
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17 Citations1991F. S. Mendoza
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8 Citations1987Stephanie J. Ventura
The fertility of the Hispanic population as a whole continued to be about 50% higher than that of the non-Hispanic population for 1983 and 1984 and 55% of all Hispanic origin women had completed at least 12 years of schooling in 1984.
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5 Citations1995Fernando Mendoza
The author concludes that policymakers should focus on increasing access to medical care and on mitigating factors associated with poverty, to help ensure the health of children.
