| Titre : | Early-life effects on socio-economic performance and mortality in later life : A full life course approach using contemporary and historical sources. Do biological, sociodemographic, and behavioral characteristics explain racial/ethnic disparities in preterm births ? (2009) |
| Auteurs : | JOHNELLE SPARKS (P.) : USA. University of Texas at San Antonio. Demography and Organization Studies. One Utsa Circle. San Antonio. TX. ; BENGTSSON (Tommy) / éd. : SWE. Cente for Economic Demography and Department of Economic History. Lund University. School of Economics and Management. Lund. ; MINEAU (Geraldine-P) / éd. : USA. Hunstman Cancer Institute. University of Utah. Oncological Sciences. Salt Lake City. UT. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 68, n° 9, 2009) |
| Pagination : | 1667-1675 |
| Langues: | Anglais |
| Mots-clés : | Biologie ; Facteur sociodémographique ; Race ; Ethnie ; Prématurité ; Homme ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS pk89kR0x. Diffusion soumise à autorisation]. Many studies find racial/ethnic disparities in a diverse set of birth outcomes. However few empirical studies have examined the existence and possible explanations for racial/ethnic disparities in preterm births using a diverse set of racial/ethnic categories and a nationally representative sample of births. This research fills that gap. Using data from the US Early Childhood Longitudinal Study - Birth Cohort (ECLS-B), this research first explores the distribution of biological, sociodemographic, and behavioral characteristics of mothers and infants based on seven categories of maternal race/ethnicity. Next, multivariable logistic regression models are estimated in a nested manner to test for possible explanations for racial/ethnic disparities in preterm births. Lastly, race-stratified models are estimated to better elucidate the mechanism leading to racial/ethnic disparities in preterm births. Results from the chi-square tests of significance for racial/ethnic differences indicate that all variables used in this analysis, except for infant's gender, differ significantly based on maternal race/ethnicity. Results from the full multivariable logistic regression model finds that the only racial/ethnic disparity found in preterm births is observed for infants born to Native American mothers compared to non-Hispanic white mothers, once all variables are controlled for in the model. Race-stratified models indicate that maternal health complications and prenatal care adequacy offer the most potential in explaining remaining racial/ethnic disparities in preterm births. Results from this research support the need to increase access to appropriate and timely prenatal care for women of all races/ethnicities in an effort to reduce racial/ethnic disparities in preterm births. |
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