Preterm Delivery and Low Birth Weight among First-Born Infants of Black and White College Graduates

Reproductive outcomes were investigated in black and white female college graduates, presumed to be of similar socioeconomic status and similar risk profile with respect to environmental factors. Data were gathered by mail survey from graduates(1973–1985) of four Atlanta, Georgia, colleges between F...

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Veröffentlicht in:American journal of epidemiology 1992-08, Vol.136 (3), p.266-276
Hauptverfasser: McGrady, Gene A., Sung, John F. C., Rowley, Diane L., Hogue, Carol J. R.
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container_issue 3
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container_title American journal of epidemiology
container_volume 136
creator McGrady, Gene A.
Sung, John F. C.
Rowley, Diane L.
Hogue, Carol J. R.
description Reproductive outcomes were investigated in black and white female college graduates, presumed to be of similar socioeconomic status and similar risk profile with respect to environmental factors. Data were gathered by mail survey from graduates(1973–1985) of four Atlanta, Georgia, colleges between February and June 1988. Of 6, 867 alumnae to whom questionnaires were mailed, 3,084 responded. A follow-up study of black nonrespondents yielded responses from 14%(335) of those who did not respond to the mail survey. For all graduates with a first live born at the time of survey (n = 1, 089), the rates of preterm delivery, low birth weight, and infant mortality were 80.8, 82.6, and 14.6 per thousand births (primigravlda), respectively. Compared with white graduates, black graduates had 1.67 times the risk of preterm delivery and 2.48 times the risk of low birth weight. Measures of social and economic status differed significantly by race. However, adjustment for these variables did not reduce the estimated risk for black graduates compared with whites. Analysis of the nonresponder survey suggested that respondent data alone overestimates the incidence of adverse outcomes in blacks; using nonresponder data, relative risks of 1.28 (preterm delivery) and 1.75 (low birth weight) were calculated as lower limits of the increased risk for blacks. Am J Epidemiol 1992; 136: 266–76
doi_str_mv 10.1093/oxfordjournals.aje.a116492
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Obstetrics ; Humans ; Incidence ; Income - statistics &amp; numerical data ; infant ; Infant Mortality ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; labor ; Life Sciences &amp; Biomedicine ; Logistic Models ; low birth weight ; Marital Status ; Medical sciences ; Parity ; Pregnancy ; Pregnancy Outcome ; Pregnancy. Fetus. 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C.</creatorcontrib><creatorcontrib>Rowley, Diane L.</creatorcontrib><creatorcontrib>Hogue, Carol J. R.</creatorcontrib><title>Preterm Delivery and Low Birth Weight among First-Born Infants of Black and White College Graduates</title><title>American journal of epidemiology</title><addtitle>AM J EPIDEMIOL</addtitle><addtitle>Am J Epidemiol</addtitle><description>Reproductive outcomes were investigated in black and white female college graduates, presumed to be of similar socioeconomic status and similar risk profile with respect to environmental factors. Data were gathered by mail survey from graduates(1973–1985) of four Atlanta, Georgia, colleges between February and June 1988. Of 6, 867 alumnae to whom questionnaires were mailed, 3,084 responded. A follow-up study of black nonrespondents yielded responses from 14%(335) of those who did not respond to the mail survey. For all graduates with a first live born at the time of survey (n = 1, 089), the rates of preterm delivery, low birth weight, and infant mortality were 80.8, 82.6, and 14.6 per thousand births (primigravlda), respectively. Compared with white graduates, black graduates had 1.67 times the risk of preterm delivery and 2.48 times the risk of low birth weight. Measures of social and economic status differed significantly by race. However, adjustment for these variables did not reduce the estimated risk for black graduates compared with whites. Analysis of the nonresponder survey suggested that respondent data alone overestimates the incidence of adverse outcomes in blacks; using nonresponder data, relative risks of 1.28 (preterm delivery) and 1.75 (low birth weight) were calculated as lower limits of the increased risk for blacks. 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Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Income - statistics &amp; numerical data</subject><subject>infant</subject><subject>Infant Mortality</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>labor</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Logistic Models</subject><subject>low birth weight</subject><subject>Marital Status</subject><subject>Medical sciences</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy. Fetus. 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subjects Adult
African Americans
African Continental Ancestry Group
Biological and medical sciences
Birth Order
Continental Population Groups
data collection
Decision Trees
Diseases of mother, fetus and pregnancy
education
Educational Status
European Continental Ancestry Group
Female
Georgia
Gynecology. Andrology. Obstetrics
Humans
Incidence
Income - statistics & numerical data
infant
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
labor
Life Sciences & Biomedicine
Logistic Models
low birth weight
Marital Status
Medical sciences
Parity
Pregnancy
Pregnancy Outcome
Pregnancy. Fetus. Placenta
premature
Public, Environmental & Occupational Health
Risk Factors
Sampling Studies
Science & Technology
Social Class
Socioeconomic Factors
students
Surveys and Questionnaires
title Preterm Delivery and Low Birth Weight among First-Born Infants of Black and White College Graduates
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