We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Lifetime Upward Economic Mobility and US-Born Latina Women's Preterm Birth Rates.
- Authors
Feister, John; Najera, Clarissa; Rankin, Kristin; Collins, James W
- Abstract
Objectives: To determine whether Latina women's upward economic mobility from early-life residence in impoverished urban neighborhoods is associated with preterm birth (< 37 weeks, PTB). Methods: Multivariate logistic regression analyses were performed on the Illinois transgenerational birth-file with appended US census income information for Hispanic infants (born 1989–1991) and their mothers (born 1956–1976). Results: In Chicago, modestly impoverished-born Latina women (n = 1,674) who experienced upward economic mobility had a PTB rate of 8.5% versus 13.1% for those (n = 3,760) with a lifelong residence in modestly impoverished neighborhoods; the unadjusted and adjusted (controlling for age, marital status, adequacy of prenatal care, and cigarette smoking) RR equaled 0.65 (0.47, 0.90) and 0.66 (0.47, 0.93), respectively. Extremely impoverished-born Latina women (n = 2,507) who experienced upward economic mobility across their life-course had a PTB rate of 12.7% versus 15.9% for those (n = 3,849) who had a lifelong residence in extremely impoverished neighborhoods, the unadjusted and adjusted RR equaled 0.8 (0.63. 1.01) and 0.95 (0.75, 1.22), respectively. Conclusions for Practice: Latina women's upward economic mobility from early-life residence in modestly impoverished urban neighborhoods is associated with a decreased risk of PTB. A similar trend is absent among their peers with an early-life residence in extremely impoverished areas. Significance: What is Already Known on this Subject?: Robust literature supports a life-course conceptual model of birth outcome. Prior studies have demonstrated associations between upward economic mobility from poverty and decreased rates of preterm birth in non-Latina Black and White women. What this Study Adds?: Upward economic mobility is associated with decreased rates of preterm birth in US-born Latina women. This finding adds context to the life-course conceptual model of birth outcomes and may be salient to understanding the increased risk of adverse birth outcome among US-born (versus foreign-born) Latina women.
- Subjects
UNITED States; HISPANIC Americans; RISK assessment; RESEARCH funding; PREMATURE infants; MULTIPLE regression analysis; SMOKING; PSYCHOLOGY of women; DESCRIPTIVE statistics; RETROSPECTIVE studies; LONGITUDINAL method; PRENATAL care; METROPOLITAN areas; MEDICAL records; ACQUISITION of data; DATA analysis software; CONFIDENCE intervals; POVERTY; NEIGHBORHOOD characteristics
- Publication
Maternal & Child Health Journal, 2024, Vol 28, Issue 6, p1086
- ISSN
1092-7875
- Publication type
Article
- DOI
10.1007/s10995-023-03890-3