Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received

Objectives: To compare the risk of preterm and low birth weight among newborns from native and immigrant women and to assess the role of prenatal care in the association between the ethnic origin of the women and their reproductive outcomes. Methods: Cross-sectional study of 21,708 women giving birt...

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Detalles Bibliográficos
Autores: Castelló Pastor, Adela, Río, Isabel, Martinez, Encarnación, Rebagliato, Marisa, Barona, Carmen, Llacer Gil de Ramales, Alicia, Bolúmar, Francisco
Tipo de recurso: artículo
Fecha de publicación:2012
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/17442
Acceso en línea:http://hdl.handle.net/20.500.12105/17442
Access Level:acceso abierto
Palabra clave:Infant, Low Birth Weight
Infant, Premature
Adult
Cross-Sectional Studies
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spelling Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care receivedCastelló Pastor, AdelaRío, IsabelMartinez, EncarnaciónRebagliato, MarisaBarona, CarmenLlacer Gil de Ramales, AliciaBolúmar, FranciscoInfant, Low Birth WeightInfant, PrematureAdultCross-Sectional StudiesObjectives: To compare the risk of preterm and low birth weight among newborns from native and immigrant women and to assess the role of prenatal care in the association between the ethnic origin of the women and their reproductive outcomes. Methods: Cross-sectional study of 21,708 women giving birth between 1997 and 2008 in a region of Spain. Multinomial logistic regression models were adjusted to evaluate associations between mother's area of origin and adverse reproductive outcomes and to assess the role of prenatal care in the occurrence of adverse reproductive results. Results: Our results indicate a worse prenatal control in immigrants than in natives. Very preterm birth (VPTB) and very low birth weight (VLBW) were greater among immigrants (odds ratio [OR], 1.78; 95% confidence interval [95% CI], 1.14-2.79 for VPTB and OR, 1.73; 95% CI, 0.89-3.33 for VLBW) but after adjustment for prenatal care the differences were substantially reduced (OR, 1.43; 95% CI 0.85-2.42 for VPTB and OR 1.15; 95% CI 0.53-2.52 for VLBW). Conclusions: Given the positive impact of prenatal care on reproductive results, strategies to improve it among immigrant women should be implemented. The difference found in the direction of the association between area of origin and different categories of low birth weight and preterm suggest that very and moderate categories should be analyzed separately in immigrant studies.Elsevier20242024-02-0220122012-03-0120122012-03-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/17442reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/174422026-06-12T12:43:37Z
dc.title.none.fl_str_mv Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
title Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
spellingShingle Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
Castelló Pastor, Adela
Infant, Low Birth Weight
Infant, Premature
Adult
Cross-Sectional Studies
title_short Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
title_full Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
title_fullStr Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
title_full_unstemmed Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
title_sort Differences in preterm and low birth weight deliveries between spanish and immigrant women: influence of the prenatal care received
dc.creator.none.fl_str_mv Castelló Pastor, Adela
Río, Isabel
Martinez, Encarnación
Rebagliato, Marisa
Barona, Carmen
Llacer Gil de Ramales, Alicia
Bolúmar, Francisco
author Castelló Pastor, Adela
author_facet Castelló Pastor, Adela
Río, Isabel
Martinez, Encarnación
Rebagliato, Marisa
Barona, Carmen
Llacer Gil de Ramales, Alicia
Bolúmar, Francisco
author_role author
author2 Río, Isabel
Martinez, Encarnación
Rebagliato, Marisa
Barona, Carmen
Llacer Gil de Ramales, Alicia
Bolúmar, Francisco
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Infant, Low Birth Weight
Infant, Premature
Adult
Cross-Sectional Studies
topic Infant, Low Birth Weight
Infant, Premature
Adult
Cross-Sectional Studies
description Objectives: To compare the risk of preterm and low birth weight among newborns from native and immigrant women and to assess the role of prenatal care in the association between the ethnic origin of the women and their reproductive outcomes. Methods: Cross-sectional study of 21,708 women giving birth between 1997 and 2008 in a region of Spain. Multinomial logistic regression models were adjusted to evaluate associations between mother's area of origin and adverse reproductive outcomes and to assess the role of prenatal care in the occurrence of adverse reproductive results. Results: Our results indicate a worse prenatal control in immigrants than in natives. Very preterm birth (VPTB) and very low birth weight (VLBW) were greater among immigrants (odds ratio [OR], 1.78; 95% confidence interval [95% CI], 1.14-2.79 for VPTB and OR, 1.73; 95% CI, 0.89-3.33 for VLBW) but after adjustment for prenatal care the differences were substantially reduced (OR, 1.43; 95% CI 0.85-2.42 for VPTB and OR 1.15; 95% CI 0.53-2.52 for VLBW). Conclusions: Given the positive impact of prenatal care on reproductive results, strategies to improve it among immigrant women should be implemented. The difference found in the direction of the association between area of origin and different categories of low birth weight and preterm suggest that very and moderate categories should be analyzed separately in immigrant studies.
publishDate 2012
dc.date.none.fl_str_mv 2012
2012-03-01
2012
2012-03-01
2024
2024-02-02
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/17442
url http://hdl.handle.net/20.500.12105/17442
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,228081

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