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Preterm births, low birth weights: affluence doesn't change racial differences in birth outcomes.(Obstetrics)
SAN FRANCISCO -- Money alone doesn't guarantee a good birth outcome. Dr. Dyan M. Simon said at the annual meeting of the Pediatric Academic Societies.
A retrospective study of 777 African American women and 2,327 white women who were lifelong residents of affluent Chicago neighborhoods found higher rates of preterm births and very low birth weights among infants born to the African American women, Dr. Simon said.
In the general population, the risk for preterm delivery or very low birth weight is three times higher among African American women than it is among whites, for unknown reasons. Previous studies in New York and Chicago found that these racial differences persist even among women living in affluent neighborhoods, based on the mother's place of residence at the time of delivery.
This study takes this line of inquiry a step further in trying to discern whether affluence might soften life's "wear and tear" and improve birth outcomes, she said. The investigators studied birth certificates for the new-borns and compared their mothers' names with U.S. Census Bureau income data to identify those who lived in affluent neigh borhoods. They then reviewed the mothers' birth certificates to get their mothers' names and matched those with U.S. Census Bureau income data to identify families in which all three generations lived in affluent areas. They presumed that these women lived their entire ...
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