Abstract：
:As socioeconomic status (SES) increases, the incidence of low birthweight and preterm birth decreases irrespective of social class. However, low birthweight remains twice as high for African-American women as for white women even when SES is controlled. This study examines to what extent second generation high SES African-American women experience improvement in birthweight and gestational age. One hundred eighty-nine former Meharry students were surveyed. Identified were 934 births that are the children and grandchildren of these students who matriculated at Meharry. These infants are compared with a cohort of white mothers from a study in the School of Public Health at Yale University. Low birthweight was reduced in the third generation high SES African-American children (6.9%) from the second generation (11.4%) but remained higher than white children (3.3%). Results showed that African-American third generation children remained at higher risk for low birthweight than were white children (relative risk [RR], 1.78; 95% confidence interval [CI], 1.03, 3.09). Similar results were observed for preterm delivery where the increased risk to third generation African-American children was 3.16 (1.89, 5.27). Persistent strong ethnic differences in birthweight in this high SES cohort (OR = 3.16, 95% CI, 1.89-5.27) support a conclusion that African-American women have birthweight distributions that are somewhat lighter than white women. This may explain a portion of current ethnic differences in birthweight. It is also possible that persistent psychosocial and behavioral factors continue to negatively influence birthweight, even in second generation high SES African-American mothers. This explanation will require identification of powerful risk factors, which are largely unrelated to those presently under investigation.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Foster HW,Wu L,Bracken MB,Semenya K,Thomas J,Thomas Jkeywords:
subject
Has Abstractpub_date
2000-05-01 00:00:00pages
213-21issue
5eissn
0027-9684issn
1943-4693journal_volume
92pub_type
杂志文章abstract：:The authors' experience with selective shunting during carotid endarterectomy utilizing electroencephalographic and stump pressure measurements is reported. No postoperative neurological deficits occurred in this group of selectively shunted patients. EEG appeared to offer no significant benefit in the management of t...
journal_title：Journal of the National Medical Association
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doi：
更新日期：1983-06-01 00:00:00
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journal_title：Journal of the National Medical Association
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更新日期：1989-09-01 00:00:00
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journal_title：Journal of the National Medical Association
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更新日期：2002-06-01 00:00:00
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