Sociocultural factors that affect pregnancy outcomes in two dissimilar immigrant groups in the United States.
OBJECTIVE
To compare perinatal risks and outcomes in foreign- and U.S.-born Asian-Indian and Mexican women.


METHODS
We evaluated 6.4 million U.S. vital records for births during 1995-2000 to white, foreign- and U.S.-born Asian-Indian and Mexican women. Risks and outcomes were compared by use of chi2 and logistic regression.


RESULTS
With the exception of increased teen pregnancy and tobacco use, the favorable sociodemographic profile and increased rate of adverse outcomes seen in foreign-born Asian Indians persisted in their U.S.-born counterparts. In contrast, foreign-born Mexicans had an adverse sociodemographic profile but a low incidence of low birth weight (LBW), whereas U.S.-born Mexicans had an improved sociodemographic profile and increased LBW, prematurity and neonatal death.


CONCLUSIONS
Perinatal outcomes deteriorate in U.S.-born Mexican women. In contrast, the paradoxically increased incidence of LBW persists in U.S.-born Asian-Indian women. Further research is needed to identify the social and biologic determinants of perinatal outcome.
Madan
Ashima
A
Department of Pediatrics and Stanford Research Prevention Center, Stanford University School of Medicine, Palo Alto, CA 94304, USA. ashima@stanford.edu
Palaniappan
Latha
L
Urizar
Guido
G
Wang
Yun
Y
Fortmann
Stephen P
SP
Gould
Jeffrey B
JB
D000293:Adolescent; D000328:Adult; D001208:Asia / Q000208:ethnology; D004522:Educational Status; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D016015:Logistic Models; D008423:Maternal Age; D008800:Mexico / Q000208:ethnology; D010923:Placenta Previa / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence; D011295:Prenatal Care; D044469:Racial Groups; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects / Q000208:ethnology; D014481:United States / Q000453:epidemiology