Clinical risk factors and adverse perinatal outcomes among U.S. and African-born Black women in California.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-07-18 DOI:10.1038/s41372-025-02361-7

Safyer McKenzie-Sampson, Rebecca J Baer, Jean Costello, Deborah Karasek, Jacqueline M Torres, Corinne A Riddell, Laura L Jelliffe-Pawlowski, Bridgette E Blebu

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引用次数: 0

Abstract

Objective: Examine the association between clinical risk factors for preterm birth (PTB) and small for gestational age delivery (SGA) among United States (US)- and African-born Black women.

Study design: Population-based study of singleton births to 171,051 US- and 19,269 African-born women in California (2011-2020). Associations between PTB and SGA with 14 clinical risk factors were examined. Adjusted Poisson regression models estimated the association between each clinical factor and the outcomes, while assessing interaction by nativity.

Results: The prevalence of PTB, SGA, and clinical factors was greater among US-born Black women, with the exception of gestational diabetes. On average, the risk of PTB and SGA among women with each clinical risk factor was significantly higher for African- compared to US-born Black women.

Conclusions: Clinical risk factors were higher among US-born women, however associations between each factor and adverse perinatal outcomes were stronger for African-born women.

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加利福尼亚美国和非洲裔黑人妇女的临床危险因素和不良围产期结局。

目的：研究美国和非洲出生的黑人妇女早产（PTB）和小胎龄分娩（SGA）的临床危险因素之间的关系。研究设计：以人口为基础的研究，对加州171,051名美国和19,269名非洲出生的女性进行单胎分娩（2011-2020年）。研究了PTB和SGA与14种临床危险因素之间的关系。调整后的泊松回归模型估计了每个临床因素与结果之间的关联，同时评估了出生的相互作用。结果：在美国出生的黑人女性中，除妊娠糖尿病外，PTB、SGA和临床因素的患病率更高。平均而言，与美国出生的黑人妇女相比，非洲妇女在每种临床风险因素中患PTB和SGA的风险明显更高。结论：临床危险因素在美国出生的妇女中较高，然而每个因素与不良围产期结局之间的关联在非洲出生的妇女中更强。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.