Outcome of pregnancies among Hispanics: revisiting the epidemiologic paradox

J Reprod Med. 2006 Jan;51(1):10-4.

Abstract

Objective: To evaluate the outcome of pregnancies among Hispanics in a tertiary care hospital in Miami, Florida.

Study design: Retrospective study of all women who delivered in our institution over an 11-year period. Outcome variables were stratified by race/ethnicity groups: Hispanics, non-Hispanic blacks and non-Hispanic whites. Variables included rates of low birth weight (LBW), preterm delivery (PTD) and other selected pregnancy outcomes.

Results: Thirty-five percent were of Hispanic origin, mainly of Caribbean, Central American and South American origin. Hispanics had the lowest rate of LBW (9%) when compared to blacks, non-Hispanics (18%) and white non-Hispanics (11%) (p < 0.0001). Hispanic women were less likely to deliver prematurely, at < 37 weeks (adjusted odds ratio [AOR] 0.68, 95% CI 0.65-0.91, p < 0.0001), < 32 weeks (AOR 0.57, 95% CI 0.52-0.63, p < 0.0001) and < 28 weeks (AOR 0.66, 95% CI 0.51-0.65, p < 0.0001). Hispanic women were less likely to have preterm premature rupture of membranes (AOR 0.66, 95% CI 0.58-0.75, p < 0.0001).

Conclusion: Hispanics have the lowest PTD and LBW rates when compared to non-Hispanic whites and blacks.

MeSH terms

  • Adult
  • Delivery, Obstetric / statistics & numerical data
  • Female
  • Fetal Membranes, Premature Rupture / epidemiology
  • Fetal Membranes, Premature Rupture / etiology
  • Florida / epidemiology
  • Gestational Age
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Pregnancy Complications / etiology
  • Pregnancy Outcome
  • Retrospective Studies