Preterm birth outcomes among Asian women by maternal place of birth

J Perinatol. 2020 May;40(5):758-766. doi: 10.1038/s41372-020-0633-1. Epub 2020 Feb 24.

Abstract

Objective: To investigate overall, spontaneous, and medically indicated preterm birth (PTB) rates between US-born and non-US-born Asian women living in California.

Study design: Nulliparous women with a singleton livebirth and Asian race in California between 2007 and 2011 were investigated. The prevalence of overall (<37 weeks), spontaneous, and medically indicated PTB was examined by self-reported race and place of birth among ten Asian subgroups.

Results: There were marked differences in PTB rates between the individual Asian subgroups. After adjustments, non-US-born Chinese, Japanese, Vietnamese, and Indian women had lower odds of overall PTB and Chinese, Vietnamese, Cambodian, and Indian women had lower odds of spontaneous PTB compared with their US-born counterparts.

Conclusion: Further investigation of biological and social factors contributing to these lower odds of spontaneous PTB among the non-US-born Asian population could potentially offer clues for reducing the burden of PTB among the US born.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asian
  • Female
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Premature Birth* / epidemiology
  • Risk Factors