Maternal Health Behaviors and Infant Health Outcomes Among Arab American and Non-Hispanic White Mothers in Massachusetts, 2012-2016.

Szczegóły
Abstrakt

Tytuł:: Maternal Health Behaviors and Infant Health Outcomes Among Arab American and Non-Hispanic White Mothers in Massachusetts, 2012-2016.
Autorzy:: Abuelezam NN; 6019 Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA.
Cuevas AG; 1810 Department of Community Health, Tufts University, Medford, MA, USA.
Galea S; 1846 Boston University School of Public Health, Boston, MA, USA.
Hawkins SS; 6019 Boston College School of Social Work, Chestnut Hill, MA, USA.
Źródło:: Public health reports (Washington, D.C. : 1974) [Public Health Rep] 2020 Sep/Oct; Vol. 135 (5), pp. 658-667. Date of Electronic Publication: 2020 Aug 17.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Publication: Thousand Oaks, CA : SAGE Publications
Original Publication: Hyattsville, Md. : Washington, D.C. : U.S. Dept. of Health, Education, and Welfare, Public Health Service, Health Resources Administration ; Supt. of Docs., U.S. G.P.O., distributor,
MeSH Terms:: Arabs/*psychology
Infant Health/*statistics & numerical data
Maternal Behavior/*psychology
Maternal Health/*statistics & numerical data
Mothers/*psychology
Residence Characteristics/*statistics & numerical data
White People/*psychology
Adult ; Arabs/statistics & numerical data ; Female ; Health Behavior ; Humans ; Infant ; Infant, Newborn ; Male ; Massachusetts ; Mothers/statistics & numerical data ; White People/statistics & numerical data
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Contributed Indexing:: Keywords: Arab American; health disparities; maternal health; minority health
Entry Date(s):: Date Created: 20200818 Date Completed: 20200924 Latest Revision: 20221207
Update Code:: 20240105
PubMed Central ID:: PMC7485048
DOI:: 10.1177/0033354920941146
PMID:: 32805192
: Czasopismo naukowe

Objectives: The health profile of Arab American mothers and infants may differ from that of non-Arab American mothers and infants in the United States as a result of social stigma experienced in the historical and current sociopolitical climate. The objective of our study was to compare maternal health behaviors, maternal health outcomes, and infant health outcomes of Arab American mothers and non-Hispanic white mothers in Massachusetts and to assess the role of nativity as an effect modifier.
Methods: Using data from Massachusetts birth certificates (2012-2016), we conducted adjusted logistic and linear regression models for maternal health behaviors, maternal health outcomes, and infant health outcomes. We used Arab ethnicity as the exposure of interest and nativity as an effect modifier.
Results: Arab American mothers had higher odds than non-Hispanic white mothers of initiating breastfeeding (adjusted odds ratio [aOR] = 2.61; 95% CI, 2.39-2.86), giving birth to small-for-gestational-age infants (aOR = 1.28; 95% CI, 1.18-1.39), and having gestational diabetes (aOR = 1.31; 95% CI, 1.20-1.44). Among Arab American mothers, non-US-born mothers had higher odds than US-born mothers of having gestational diabetes (aOR = 1.80; 95% CI, 1.33-2.44) and lower odds of initiating prenatal care in the first trimester (aOR = 0.41; 95% CI, 0.33-0.50). In linear regression models, infants born to non-US-born Arab American mothers weighed 42.1 g (95% CI, -75.8 to -8.4 g) less than infants born to US-born Arab American mothers.
Conclusion: Although Arab American mothers engage in positive health behaviors, non-US-born mothers had poorer maternal health outcomes and access to prenatal care than US-born mothers, suggesting the need for targeted interventions for non-US-born Arab American mothers.

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