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

Publication ,  Journal Article
Minhas, AS; Boakye, E; Obisesan, OH; Kwapong, YA; Zakaria, S; Creanga, AA; Vaught, AJ; Mehta, LS; Davis, MB; Bello, NA; Cainzos-Achirica, M ...
Published in: CJC Open
March 2022

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], 0.65-0.97). 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.

Duke Scholars

Published In

CJC Open

DOI

EISSN

2589-790X

Publication Date

March 2022

Volume

4

Issue

3

Start / End Page

289 / 298

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Minhas, A. S., Boakye, E., Obisesan, O. H., Kwapong, Y. A., Zakaria, S., Creanga, A. A., … Sharma, G. (2022). The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women. CJC Open, 4(3), 289–298. https://doi.org/10.1016/j.cjco.2021.10.009
Minhas, Anum S., Ellen Boakye, Olufunmilayo H. Obisesan, Yaa A. Kwapong, Sammy Zakaria, Andreea A. Creanga, Arthur J. Vaught, et al. “The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women.CJC Open 4, no. 3 (March 2022): 289–98. https://doi.org/10.1016/j.cjco.2021.10.009.
Minhas AS, Boakye E, Obisesan OH, Kwapong YA, Zakaria S, Creanga AA, et al. The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women. CJC Open. 2022 Mar;4(3):289–98.
Minhas, Anum S., et al. “The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women.CJC Open, vol. 4, no. 3, Mar. 2022, pp. 289–98. Pubmed, doi:10.1016/j.cjco.2021.10.009.
Minhas AS, Boakye E, Obisesan OH, Kwapong YA, Zakaria S, Creanga AA, Vaught AJ, Mehta LS, Davis MB, Bello NA, Cainzos-Achirica M, Nasir K, Blaha MJ, Blumenthal RS, Douglas PS, Wang X, Sharma G. The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women. CJC Open. 2022 Mar;4(3):289–298.
Journal cover image

Published In

CJC Open

DOI

EISSN

2589-790X

Publication Date

March 2022

Volume

4

Issue

3

Start / End Page

289 / 298

Location

United States