TY - JOUR
T1 - Nativity-Related Disparities in Preterm Birth and Cardiovascular Risk in a Multiracial U.S. Cohort
AU - Kwapong, Yaa A.
AU - Boakye, Ellen
AU - Obisesan, Olufunmilayo H.
AU - Shah, Lochan M.
AU - Ogunwole, S. Michelle
AU - Hays, Allison G.
AU - Blumenthal, Roger S.
AU - Creanga, Andreea A.
AU - Blaha, Michael J.
AU - Cainzos-Achirica, Miguel
AU - Nasir, Khurram
AU - Douglas, Pamela S.
AU - Wang, Xiaobin
AU - Sharma, Garima
N1 - Funding Information:
XW and The Boston Birth Cohort (the parent study) were supported in part by the March of Dimes PERI grants (20-FY02-56, # 21-FY07-605), NIH grants (R21ES011666, 2R01HD041702, R21HD066471, R01HD086013, R01HD098232, R01 ES031272, and R01ES031521), and the Health Resources and Services Administration of HHS (UJ2MC31074). GS is funded by the Blumenthal Scholarship in Preventive Cardiology at the Ciccarone Center.
Publisher Copyright:
© 2022
PY - 2022/6
Y1 - 2022/6
N2 - INTRODUCTION: Having a preterm birth is associated with future cardiovascular risk. Non-Hispanic Black women have higher rates of preterm birth than non-Hispanic White and Hispanic women, but nativity-related disparities in preterm birth are not well understood.METHODS: Data from 6,096 women in the Boston Birth Cohort: non-Hispanic Black (2,699), non-Hispanic White (997), or Hispanic (2,400), were analyzed in June 2021. Differences in cardiovascular risk factors were assessed. The association of preterm birth with nativity and duration of U.S. residence were investigated using multivariable logistic regression.RESULTS: U.S.-born women in all 3 racial-ethnic groups had a higher prevalence of obesity, smoking, and severe stress than foreign-born women. Foreign-born non-Hispanic Black and Hispanic women had lower odds of preterm birth than U.S.-born counterparts (non-Hispanic Black: AOR=0.79, 95% CI=0.65, 0.97; Hispanic: AOR=0.72, 95% CI=0.56, 0.93). In all the 3 groups, foreign-born women with shorter (<10 years) duration of U.S. residence had lower odds of preterm birth than the U.S.-born women (non-Hispanic Black: AOR=0.57, 95% CI=0.43, 0.75; Hispanic: AOR=0.72, 95% CI=0.55, 0.94; non-Hispanic White: AOR=0.46, 95% CI=0.25, 0.85), whereas the odds of preterm birth in foreign-born women with ≥10 years of residence were not significantly different.CONCLUSIONS: Foreign-born women had better cardiovascular risk profiles in all groups and lower odds of preterm birth in non-Hispanic Black and Hispanic groups. In all the 3 groups, a shorter duration of U.S. residence was associated with lower odds of preterm birth. Further studies are needed to understand the biological and social determinants underlying these nativity-related disparities and the impact of acculturation.
AB - INTRODUCTION: Having a preterm birth is associated with future cardiovascular risk. Non-Hispanic Black women have higher rates of preterm birth than non-Hispanic White and Hispanic women, but nativity-related disparities in preterm birth are not well understood.METHODS: Data from 6,096 women in the Boston Birth Cohort: non-Hispanic Black (2,699), non-Hispanic White (997), or Hispanic (2,400), were analyzed in June 2021. Differences in cardiovascular risk factors were assessed. The association of preterm birth with nativity and duration of U.S. residence were investigated using multivariable logistic regression.RESULTS: U.S.-born women in all 3 racial-ethnic groups had a higher prevalence of obesity, smoking, and severe stress than foreign-born women. Foreign-born non-Hispanic Black and Hispanic women had lower odds of preterm birth than U.S.-born counterparts (non-Hispanic Black: AOR=0.79, 95% CI=0.65, 0.97; Hispanic: AOR=0.72, 95% CI=0.56, 0.93). In all the 3 groups, foreign-born women with shorter (<10 years) duration of U.S. residence had lower odds of preterm birth than the U.S.-born women (non-Hispanic Black: AOR=0.57, 95% CI=0.43, 0.75; Hispanic: AOR=0.72, 95% CI=0.55, 0.94; non-Hispanic White: AOR=0.46, 95% CI=0.25, 0.85), whereas the odds of preterm birth in foreign-born women with ≥10 years of residence were not significantly different.CONCLUSIONS: Foreign-born women had better cardiovascular risk profiles in all groups and lower odds of preterm birth in non-Hispanic Black and Hispanic groups. In all the 3 groups, a shorter duration of U.S. residence was associated with lower odds of preterm birth. Further studies are needed to understand the biological and social determinants underlying these nativity-related disparities and the impact of acculturation.
KW - Cardiovascular Diseases/epidemiology
KW - Female
KW - Heart Disease Risk Factors
KW - Humans
KW - Infant, Newborn
KW - Premature Birth/epidemiology
KW - Racial Groups
KW - Risk Factors
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U2 - 10.1016/j.amepre.2021.12.027
DO - 10.1016/j.amepre.2021.12.027
M3 - Article
C2 - 35597568
AN - SCOPUS:85129955362
SN - 0749-3797
VL - 62
SP - 885
EP - 894
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 6
ER -