Infant mortality, low birth weight, and prematurity among Hispanic, white, and African American women in North Carolina.
OBJECTIVE
The study was undertaken to compare Hispanic birth outcomes with those of white and African American women in North Carolina and to examine variables associated with adverse birth outcomes among Hispanic women.


METHODS
Retrospective comparison of birth outcomes by ethnicity/race, from linked birth/infant death certificates in North Carolina (1993-1997) was conducted. Multivariate, binary logistic regression and chi(2) analysis were used to examine relationships between available medical and sociodemographic index values and composite birth outcomes among Hispanic women.


RESULTS
Infant mortality rates were lowest among Hispanic women. Low birth weight and prematurity rates were similar to those of white women and lower than those of African American women. Variables significantly related to healthy composite birth outcomes among Hispanic women included higher education, no preterm delivery history, prenatal care, marriage, and no daily tobacco use.


CONCLUSIONS
Hispanic birth outcomes in North Carolina were better than those of African American women and similar to those of white women, despite use of prenatal care and socioeconomic characteristics similar to African American women.
Department of Obstetrics and Gynecology, Mountain Area Health Education Center, 93 Victoria Road, Asheville, NC 28801, USA.
Jennie C
JC
Leslie
Shelley L
SL
Galvin
Sandra J
SJ
Diehl
Trude A
TA
Bennett
Paul A
PA
Buescher
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D004493:Education; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D017533:Marital Status; D008499:Medical Records; D015999:Multivariate Analysis; D011295:Prenatal Care; D012907:Smoking; D044465:White People / Q000706:statistics & numerical data*