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Paternal race/ethnicity and risk of adverse birth outcomes in the United States, 1989-2013.


ABSTRACT:

Objectives

Investigate adverse birth outcomes in the United States (US) from 1989-2013 in relation to paternal and maternal race/ethnicity.

Design

We used US natality data for singleton births to women 15-44 with information on birthweight, gestational age, and covariates (n = 90,771,339). We calculated unadjusted and adjusted probabilities of preterm birth (PTB, < 37 weeks gestation) and small for gestational age (SGA, < 10th percentile) among all combinations of maternal and paternal race/ethnicity: non-Hispanic black (NHB), non-Hispanic white (NHW), Hispanic, and Asian, and where paternal race/ethnicity was missing.

Results

Missing, followed by NHB, paternal race/ethnicity had the two highest risks of PTB within each maternal racial/ethnic group. Asian, followed by NHW, paternal race/ethnicity had the two lowest risks of PTB. For SGA, however, Asian, followed by missing, paternal race/ethnicity had the two highest risks, and NHW race/ethnicity had the lowest risk. Our findings also demonstrate effect modification on the additive scale, with missing and NHB paternal race/ethnicity conferring a larger increase in risk of PTB for NHB women compared to women of other race/ethnicity groups.

Conclusions

These data confirm US disparities in adverse birth outcomes by maternal and paternal race/ethnicity and argue for increased resources and interventions in response.

SUBMITTER: Li Y 

PROVIDER: S-EPMC6141552 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Paternal race/ethnicity and risk of adverse birth outcomes in the United States, 1989-2013.

Li Yu Y   Luo Zhehui Z   Holzman Claudia C   Liu Hui H   Margerison Claire E CE  

AIMS public health 20180816 3


<h4>Objectives</h4>Investigate adverse birth outcomes in the United States (US) from 1989-2013 in relation to paternal and maternal race/ethnicity.<h4>Design</h4>We used US natality data for singleton births to women 15-44 with information on birthweight, gestational age, and covariates (n = 90,771,339). We calculated unadjusted and adjusted probabilities of preterm birth (PTB, < 37 weeks gestation) and small for gestational age (SGA, < 10<sup>th</sup> percentile) among all combinations of mater  ...[more]

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