Community income, smoking, and birth weight disparities in Wisconsin

This study examined the extent to which community-level income and smoking status were associated with birth-weight disparities in the state of Wisconsin. Data included 1998 and 1999 birth record files with appended census income data for African-American, Latino, and White single births in Wisconsi...

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Bibliographic Details
Published inJournal of National Black Nurses' Association : JNBNA Vol. 18; no. 2; p. 16
Main Authors Sims, Mario, Sims, Tammy Harris, Bruce, Marino A
Format Journal Article
LanguageEnglish
Published United States 01.12.2007
Subjects
Adult
African Americans - education
African Americans - ethnology
Birth Weight
Cross-Cultural Comparison
European Continental Ancestry Group - education
European Continental Ancestry Group - ethnology
Female
Health Status Disparities
Health Status Indicators
Hispanic Americans - education
Hispanic Americans - ethnology
Humans
Infant, Newborn
Logistic Models
Poverty Areas
Pregnancy
Pregnancy Complications - economics
Pregnancy Complications - ethnology
Pregnancy Outcome - economics
Pregnancy Outcome - ethnology
Prenatal Care - economics
Residence Characteristics
Risk Assessment
Risk Factors
Smoking - adverse effects
Smoking - economics
Smoking - ethnology
Socioeconomic Factors
Wisconsin - epidemiology
Wisconsin
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Summary:This study examined the extent to which community-level income and smoking status were associated with birth-weight disparities in the state of Wisconsin. Data included 1998 and 1999 birth record files with appended census income data for African-American, Latino, and White single births in Wisconsin. Multinomial logistic regression analysis was performed where the dependent variable included low birth weight (LBW: < 2,500 grams) and very low birth weight (VLBW: < 1,500 grams) relative to normal birth weight. The independent variables included income levels categorized as poor (< $12,499), lower middle ($12,500-34,999), and upper middle to affluent ($35,000 or more) determined by zip code, and smoking status (yes/no). African-American and Latino mothers who lived in poor communities and smoked were almost three times more likely to have a low birth weight (LBW) infant than their more affluent, non-smoking counterparts. Community income and smoking status played significant roles in birth weight disparities.
ISSN:0885-6028