TY - JOUR
T1 - Does Preconception Health Differ by Nativity?
T2 - Findings from the Los Angeles Mommy and Baby (LAMB) Study
AU - Chao, Shin M.
AU - Wakeel, Fathima
AU - Nazinyan, Yeghishe
AU - Sun, Stacy
N1 - Funding Information:
The 2012 Los Angeles Mommy and Baby (LAMB) survey was supported by First 5 LA and the Los Angeles County Department of Maternal, Child, And Adolescent Health (MACH) Program’s general grants. FW was supported by a grant from the Health Disparities Research Training Program (T32 HD049302; Principal Investigator G. Sarto). We would like to thank the Los Angeles Mommy and Baby Study team for their dedicated work in the design and implementation of the 2012 LAMB project. We also are grateful to all of the Los Angeles County mothers who took the time to complete the LAMB survey.
Publisher Copyright:
© 2015, Springer Science+Business Media New York (outside the USA).
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objectives To compare certain preconception health (PCH) behaviors and conditions among US-born (USB) and foreign-born (FB) mothers in Los Angeles County (LAC), regardless of race/ethnicity, and to determine if any identified differences vary among Asian/Pacific Islanders (API’s) and Hispanics. Methods Data are from the 2012 Los Angeles Mommy and Baby study (n = 6252). PCH behaviors included tobacco use, multivitamin use, unintended pregnancy, and contraception use. PCH conditions comprised being overweight/obese, diabetes, asthma, hypertension, gum disease, and anemia. The relationship between nativity and each PCH behavior/condition was assessed using multivariable logistic regression models. Results USB women were more likely than FB women to smoke (AOR 2.12, 95 % CI 1.49–3.00), be overweight/obese (AOR 1.57, 95 % CI 1.30–1.90), and have asthma (AOR 2.04, 95 % CI 1.35–3.09) prior to pregnancy. They were less likely than FB women to use contraception before pregnancy (AOR 0.59, 95 % CI 0.49–0.72). USB Hispanics and API’s were more likely than their FB counterparts to be overweight/obese (AOR 1.57, 95 % CI 1.23–2.01 and AOR 2.37, 95 % CI 1.58–3.56, respectively) and less likely to use contraception (AOR 0.58, 95 % CI 0.45–0.74 and AOR 0.46, 95 % CI 0.30–0.71, respectively). USB Hispanic mothers were more likely than their FB counterparts to smoke (AOR 2.47, 95 % CI 1.46–4.17), not take multivitamins (AOR 1.30, 95 % CI 1.02–1.66), and have asthma (AOR 2.35, 95 % CI 1.32–4.21) before pregnancy. Conclusions US nativity is linked to negative PCH among LAC women, with many of these associations persisting among Hispanics and API’s. As PCH profoundly impacts maternal and child health across the lifecourse, culturally-appropriate interventions that maintain positive behaviors among FB reproductive-aged women and encourage positive behaviors among USB women should be pursued.
AB - Objectives To compare certain preconception health (PCH) behaviors and conditions among US-born (USB) and foreign-born (FB) mothers in Los Angeles County (LAC), regardless of race/ethnicity, and to determine if any identified differences vary among Asian/Pacific Islanders (API’s) and Hispanics. Methods Data are from the 2012 Los Angeles Mommy and Baby study (n = 6252). PCH behaviors included tobacco use, multivitamin use, unintended pregnancy, and contraception use. PCH conditions comprised being overweight/obese, diabetes, asthma, hypertension, gum disease, and anemia. The relationship between nativity and each PCH behavior/condition was assessed using multivariable logistic regression models. Results USB women were more likely than FB women to smoke (AOR 2.12, 95 % CI 1.49–3.00), be overweight/obese (AOR 1.57, 95 % CI 1.30–1.90), and have asthma (AOR 2.04, 95 % CI 1.35–3.09) prior to pregnancy. They were less likely than FB women to use contraception before pregnancy (AOR 0.59, 95 % CI 0.49–0.72). USB Hispanics and API’s were more likely than their FB counterparts to be overweight/obese (AOR 1.57, 95 % CI 1.23–2.01 and AOR 2.37, 95 % CI 1.58–3.56, respectively) and less likely to use contraception (AOR 0.58, 95 % CI 0.45–0.74 and AOR 0.46, 95 % CI 0.30–0.71, respectively). USB Hispanic mothers were more likely than their FB counterparts to smoke (AOR 2.47, 95 % CI 1.46–4.17), not take multivitamins (AOR 1.30, 95 % CI 1.02–1.66), and have asthma (AOR 2.35, 95 % CI 1.32–4.21) before pregnancy. Conclusions US nativity is linked to negative PCH among LAC women, with many of these associations persisting among Hispanics and API’s. As PCH profoundly impacts maternal and child health across the lifecourse, culturally-appropriate interventions that maintain positive behaviors among FB reproductive-aged women and encourage positive behaviors among USB women should be pursued.
KW - Maternal and child health
KW - Nativity
KW - Preconception health
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U2 - 10.1007/s10995-015-1907-7
DO - 10.1007/s10995-015-1907-7
M3 - Article
C2 - 26728899
AN - SCOPUS:84961124270
SN - 1092-7875
VL - 20
SP - 769
EP - 777
JO - Maternal and child health journal
JF - Maternal and child health journal
IS - 4
ER -