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Acculturation and Adverse Birth Outcomes in a Predominantly Puerto Rican Population.

Authors :
Barcelona de Mendoza, Veronica
Harville, Emily
Theall, Katherine
Buekens, Pierre
Chasan-Taber, Lisa
Source :
Maternal & Child Health Journal. Jun2016, Vol. 20 Issue 6, p1151-1160. 10p. 4 Charts.
Publication Year :
2016

Abstract

Introduction Latinas in the United States on average have poorer birth outcomes than Whites, yet considerable heterogeneity exists within Latinas. Puerto Ricans have some of the highest rates of adverse outcomes and are understudied. The goal of this study was to determine if acculturation was associated with adverse birth outcomes in a predominantly Puerto Rican population. Methods We conducted a secondary analysis of Proyecto Buena Salud, a prospective cohort study conducted from 2006 to 2011. A convenience sample of pregnant Latina women were recruited from a tertiary care hospital in Massachusetts. Acculturation was measured in early pregnancy; directly via the Psychological Acculturation Scale, and via proxies of language preference and generation in the United States. Birth outcomes (gestational age and birthweight) were abstracted from medical records (n = 1362). Results After adjustment, psychological acculturation, language preference, and generation was not associated with odds of preterm birth. However, every unit increase in psychological acculturation score was associated with an increase in gestational age of 0.22 weeks (SE = 0.1, p = 0.04) among all births. Women who preferred to speak Spanish (β = −0.39, SE = 0.2, p = 0.02) and who were first generation in the US (β = −0.33, SE = 0.1, p = 0.02) had significantly lower gestational ages than women who preferred English or who were later generation, respectively. Similarly, women who were first generation had babies who weighed 76.11 g less (SE = 35.2, p = 0.03) than women who were later generation. Discussion We observed a small, but statistically significant adverse impact of low acculturation on gestational age and birthweight in this predominantly Puerto Rican population. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10927875
Volume :
20
Issue :
6
Database :
Academic Search Index
Journal :
Maternal & Child Health Journal
Publication Type :
Academic Journal
Accession number :
115423718
Full Text :
https://doi.org/10.1007/s10995-015-1901-0