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- W4200467440 abstract "Research has been done on the adverse perinatal outcomes among Hispanic women but none of the studies have examined the birth outcomes by their country of origin. We sought to examine the differences in outcomes by women’s country of origin among foreign-born Hispanics. We used linked vital statistics-patient discharge data of United States (2015-2018), and included singletons, non-anomalous births with gestational age of 23-42 weeks. We excluded women with unknown nativity. We categorized country of origin into four categories- Mexico, Caribbean, Central America and South America, and utilized chi-square tests and multivariable logistic regression models to examine the association of country of origin with the outcomes among foreign born Hispanics, after controlling for maternal age, education, body mass index, insurance, chronic diabetes and chronic hypertension. A total of 1,368,731 births were included. Most of the Hispanics were less educated and with public insurance. Odds of preterm births were 1.08 (95% CI: 1.05-1.11) times higher in Central America Hispanics as compared to Hispanics from Mexico. Odds of NICU admission were 1.43 (95% CI: 1.39-1.46) higher in Caribbean, 1.07 (95% CI: 1.04-1.10) times higher in Central America and 1.15 (95% CI: 1.12-1.18) times higher in South America as compared to Mexico. Odds of SGA was 1.09 (95% CI: 1.06-1.11) times higher in Caribbean and 1.18 (95% CI: 1.16-1.22) times higher in Central American Hispanics. Our results suggest that adverse perinatal outcomes differ by country of origin among Hispanics. Future studies should report the outcomes by country of origin.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
- W4200467440 created "2021-12-31" @default.
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- W4200467440 date "2022-01-01" @default.
- W4200467440 modified "2023-10-04" @default.
- W4200467440 title "Birth outcomes in Hispanic women by their country of origin" @default.
- W4200467440 doi "https://doi.org/10.1016/j.ajog.2021.11.1205" @default.
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