Adverse birth outcomes among Korean Americans: The impactof nativity and social proximity to other Koreans

Adverse birth outcomes among Korean Americans: The impactof nativity and social proximity to... In the past two decades, the size of the Korean American population has notably increased. Despite this, there has been little research on the perinatal health of this population. This paper examines which and to what extent maternal risk factors are associated with birth outcomes (prematurity and intrauterine growth retardation [IUGR]) among Korean Americans, particularly focusing on maternal nativity and residential proximity to other Koreans. The authors employ the National Center for Health Statistics Linked Birth/Infant Death Files for 1995–1997, pooled and linked with contextual information obtained from the 2000 Census Summary File 1 for seven selected states. Major findings, based on multinomial logistic regression models, suggest that maternal educational attainments and the status of prenatal care are strong predictors of adverse birth outcomes among this population. Although descriptive analysis indicates an elevated risk of adverse birth among U.S.-born Korean women, compared to their foreign-born counterparts, the control of prenatal care eliminates the effect of maternal nativity. Social proximity to co-ethnics, measured by the population size of Koreans in counties, has little influence on birth outcomes among Korean Americans. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Population Research and Policy Review Springer Journals

Adverse birth outcomes among Korean Americans: The impactof nativity and social proximity to other Koreans

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Publisher
Kluwer Academic Publishers
Copyright
Copyright © 2005 by Springer
Subject
Geography; Demography; Economic Policy; Population Economics
ISSN
0167-5923
eISSN
1573-7829
D.O.I.
10.1007/s11113-005-4083-4
Publisher site
See Article on Publisher Site

Abstract

In the past two decades, the size of the Korean American population has notably increased. Despite this, there has been little research on the perinatal health of this population. This paper examines which and to what extent maternal risk factors are associated with birth outcomes (prematurity and intrauterine growth retardation [IUGR]) among Korean Americans, particularly focusing on maternal nativity and residential proximity to other Koreans. The authors employ the National Center for Health Statistics Linked Birth/Infant Death Files for 1995–1997, pooled and linked with contextual information obtained from the 2000 Census Summary File 1 for seven selected states. Major findings, based on multinomial logistic regression models, suggest that maternal educational attainments and the status of prenatal care are strong predictors of adverse birth outcomes among this population. Although descriptive analysis indicates an elevated risk of adverse birth among U.S.-born Korean women, compared to their foreign-born counterparts, the control of prenatal care eliminates the effect of maternal nativity. Social proximity to co-ethnics, measured by the population size of Koreans in counties, has little influence on birth outcomes among Korean Americans.

Journal

Population Research and Policy ReviewSpringer Journals

Published: Mar 21, 2005

References

  • Health insurance coverage of immigrants living in the United States: Differences by citizenship status and country of origin
    Carrasquillo, O.; Carrasquillo, A. I.; Shea, S.
  • An evaluation of the Kessner adequacy of prenatal care index and a proposed adequacy of prenatal care utilization index
    Kotelchuck, M.
  • Acculturation and health in Korean Americans
    Lee, S. K.; Sobal, J.; Frongillo, E. A.

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