The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women

被引:7
作者
Minhas, Anum S. [1 ,2 ,3 ]
Boakye, Ellen [1 ]
Obisesan, Olufunmilayo H. [1 ]
Kwapong, Yaa A. [1 ]
Zakaria, Sammy [2 ]
Creanga, Andreea A. [4 ,5 ,6 ]
Vaught, Arthur J. [5 ]
Mehta, Laxmi S. [7 ]
Davis, Melinda B. [8 ]
Bello, Natalie A. [9 ]
Cainzos-Achirica, Miguel [10 ,11 ]
Nasir, Khurram [10 ,11 ]
Blaha, Michael J. [1 ]
Blumenthal, Roger S. [1 ]
Douglas, Pamela S. [12 ]
Wang, Xiaobin [4 ,13 ]
Sharma, Garima [1 ,2 ,14 ]
机构
[1] Johns Hopkins Sch Med, Johns Hopkins Ciccarone Ctr Prevent Cardiovasc Dis, Baltimore, MD USA
[2] Johns Hopkins Univ, Sch Med, Div Cardiol, Baltimore, MD USA
[3] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD USA
[5] Johns Hopkins Sch Med, Dept Gynecol & Obstet, Baltimore, MD USA
[6] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[7] OHIO STATE UNIV, SCH MED,DIV CARDIOL, COLUMBUS, OH 43210 USA
[8] Univ Michigan, Div Cardiovasc Med, Ann Arbor, MI 48106 USA
[9] Columbia Univ, New York Presbyterian Hosp, New York Presbyterian, Div Cardiol, New York, NY USA
[10] Houston Methodist Hosp, Houston, TX USA
[11] DeBakey Heart & Vasc Ctr, Ctr Outcomes Res, Houston, TX USA
[12] Duke Univ, Duke Clin Res Inst, Div Cardiol, Durham, NC USA
[13] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD USA
[14] Johns Hopkins Univ, Sch Med, Ciccarone Ctr Prevent Cardiovasc Dis, 565 C Carnegie Bldg,600 N Wolfe St, Baltimore, MD 21287 USA
基金
美国国家卫生研究院;
关键词
CARDIOVASCULAR-DISEASE PREVENTION; RACIAL/ETHNIC DISPARITIES; PREGNANCY OUTCOMES; HYPERTENSION; INFLAMMATION; NETHERLANDS; POPULATION; GUIDELINES; STATEMENT; MOTHERS;
D O I
10.1016/j.cjco.2021.10.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Preterm birth (PTB) is associated with future cardiovascular disease (CVD) risk and disproportionally affects non-Hispanic Black (NHB) women. Limited data exist on the influence of length of US residence on nativity-related disparities in PTB. We examined PTB by maternal nativity (US born vs foreign born) and length of US residence among NHB women. Methods: We analyzed data from 2699 NHB women (1607 US born; 1092 foreign born) in the Boston Birth Cohort, originally designed as a case-control study. Using multivariable logistic regression, we investigated the association of PTB with maternal nativity and length of US residence. Results: In the total sample, 29.1% of women delivered preterm (31.4% and 25.6% among US born and foreign born, respectively). Compared with foreign born, US-born women were younger (25.8 vs 29.5 years), had higher prevalence of obesity (27.6% vs 19.6%), smoking (20.5% vs 4.9%), alcohol use (13.2% vs 7.4%), and moderate to severe stress (73.5% vs 59.4%) (all P < 0.001). Compared with US-born women, foreign-born women had lower odds of PTB after adjusting for sociodemographic characteristics, alcohol use, stress, parity, smoking, body mass index, chronic hypertension, and diabetes (adjusted odds ratio [aOR], 0.79; 95% confidence interval [CI], 0.650.97). Foreign-born NHB women with < 10 years of US residence had 43% lower odds of PTB compared with US-born (aOR, 0.57; 95% CI, 0.43-0.75), whereas those with >= 10 years of US residence did not differ significantly from US-born women in their odds of PTB (aOR, 0.76; 95% CI, 0.54-1.07). Conclusions: The prevalence of CVD risk factors and proportion of women delivering preterm were lower in foreign-born than US-born NHB women. The "foreign-born advantage" was not observed with > 10 years of US residence. Our study highlights the need to intensify public health efforts in exploring and addressing nativity-related disparities in PTB.
引用
收藏
页码:289 / 298
页数:10
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