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Acculturation and low birthweight among Latinos in the Hispanic HANES

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  • Scribner, R.
  • Dwyer, J.H.

Abstract

Self reports from 1,645 Latino mothers of Mexican descent who participated in the Hispanic Health and Nutrition Examination Survey (HHANES) were used to relate the birthweight of their infants to the HHANES acculturation index. After controlling for parity, a one point increase on the acculturation scale was found to be associated with a 1.19 (95% CI = 1.05, 1.34) increase in risk of maternal low birthweight (LBW)(1.98 risk increase for four points). The estimated relative risk increased to 1.34 (1.12, 1.60) with controls for age at interview, wealth, city size, and years of education; controlling for current smoking status reduced the relative risk to 1.31. US-born respondents were also at increased risk relative to Mexican-born, but this relation was explained by acculturation. The effect of education was found to depend on level of acculturation. Years of education was unrelated to risk among the Mexican-oriented, while increased education was associated with reduced risk in the US-oriented. These results suggest that factors associated with a Mexican cultural orientation may be protective against the risk of LBW.

Suggested Citation

  • Scribner, R. & Dwyer, J.H., 1989. "Acculturation and low birthweight among Latinos in the Hispanic HANES," American Journal of Public Health, American Public Health Association, vol. 79(9), pages 1263-1267.
    • Handle: RePEc:aph:ajpbhl:1989:79:9:1263-1267_9
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    Cited by:

    1. James Cramer, 1995. "Racial and Ethnic Differences in Birthweight: The Role of Income and Financial Assistance," Demography, Springer;Population Association of America (PAA), vol. 32(2), pages 231-247, May.
    2. repec:pri:crcwel:wp04-01-ff-kimbro is not listed on IDEAS
    3. Urquia, Marcelo L. & O'Campo, Patricia J. & Heaman, Maureen I., 2012. "Revisiting the immigrant paradox in reproductive health: The roles of duration of residence and ethnicity," Social Science & Medicine, Elsevier, vol. 74(10), pages 1610-1621.
    4. repec:pri:crcwel:wp08-15-ff is not listed on IDEAS
    5. Lisa M. Bates & Julien O. Teitler, 2008. "Immigration and low birthweight in the US: The role of time and timing," Working Papers 1085, Princeton University, School of Public and International Affairs, Center for Research on Child Wellbeing..
    6. Wingate, Martha S & Alexander, Greg R, 2006. "The healthy migrant theory: Variations in pregnancy outcomes among US-born migrants," Social Science & Medicine, Elsevier, vol. 62(2), pages 491-498, January.
    7. Daniel Powers, 2013. "Paradox Revisited: A Further Investigation of Racial/Ethnic Differences in Infant Mortality by Maternal Age," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 495-520, April.
    8. Rachel Kimbro & Scott Lynch & Sara McLanahan, 2008. "The Influence of Acculturation on Breastfeeding Initiation and Duration for Mexican-Americans," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 27(2), pages 183-199, April.
    9. Acevedo-Garcia, Dolores & Soobader, Mah-J. & Berkman, Lisa F., 2007. "Low birthweight among US Hispanic/Latino subgroups: The effect of maternal foreign-born status and education," Social Science & Medicine, Elsevier, vol. 65(12), pages 2503-2516, December.
    10. Rachel Tolbert Kimbro & Scott M. Lynch & Sara McLanahan, 2004. "The Hispanic Paradox And Breastfeeding: Does Acculturation Matter? Evidence From The Fragile Families Study," Working Papers 949, Princeton University, School of Public and International Affairs, Center for Research on Child Wellbeing..
    11. Padilla, Yolanda C. & Reichman, Nancy E., 2001. "Low birthweight: Do unwed fathers help?," Children and Youth Services Review, Elsevier, vol. 23(4-5), pages 427-452.
    12. Sunmin Lee & Allison H O’Neill & Emily S Ihara & David H Chae, 2013. "Change in Self-Reported Health Status among Immigrants in the United States: Associations with Measures of Acculturation," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.
    13. Johnson, Michelle A. & Marchi, Kristen S., 2009. "Segmented assimilation theory and perinatal health disparities among women of Mexican descent," Social Science & Medicine, Elsevier, vol. 69(1), pages 101-109, July.
    14. S. M. Kanaiaupuni, "undated". "Child Well-Being and the Intergenerational Effects of Undocumented Immigrant Status," Institute for Research on Poverty Discussion Papers 1210-00, University of Wisconsin Institute for Research on Poverty.
    15. Jennifer Runkle & Joan Flocks & Jeannie Economos & J. Antonio Tovar-Aguilar & Linda McCauley, 2014. "Occupational Risks and Pregnancy and Infant Health Outcomes in Florida Farmworkers," IJERPH, MDPI, vol. 11(8), pages 1-21, August.
    16. Daniel A. Powers & W. Parker Frisbie & Robert A. Hummer & Starling G. Pullum & Patricio Solis, 2006. "Race/Ethnic differences and age-variation in the effects of birth outcomes on infant mortality in the U.S," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 14(10), pages 179-216.
    17. Abdulrahim, Sawsan & Baker, Wayne, 2009. "Differences in self-rated health by immigrant status and language preference among Arab Americans in the Detroit Metropolitan Area," Social Science & Medicine, Elsevier, vol. 68(12), pages 2097-2103, June.
    18. Urquia, Marcelo L. & Frank, John W. & Glazier, Richard H., 2010. "From places to flows. International secondary migration and birth outcomes," Social Science & Medicine, Elsevier, vol. 71(9), pages 1620-1626, November.
    19. Miguel Ceballos, 2011. "Simulating the Effects of Acculturation and Return Migration on the Maternal and Infant Health of Mexican Immigrants in the United States: A Research Note," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 425-436, May.
    20. Ilana Akresh, 2009. "Health Service Utilization Among Immigrants to the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(6), pages 795-815, December.
    21. Carmela Alcántara & Shakira F. Suglia & Irene Perez Ibarra & A. Louise Falzon & Elliot McCullough & Talha Alvi & Leopoldo J. Cabassa, 2021. "Disaggregation of Latina/o Child and Adult Health Data: A Systematic Review of Public Health Surveillance Surveys in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(1), pages 61-79, February.
    22. Harley, Kim & Eskenazi, Brenda, 2006. "Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent," Social Science & Medicine, Elsevier, vol. 62(12), pages 3048-3061, June.
    23. Rachel Tolbert Kimbro, 2009. "Acculturation in Context: Gender, Age at Migration, Neighborhood Ethnicity, and Health Behaviors," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1145-1166, December.

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