Evidence map›Paper›PMID 27025385›Full record

ArticleMaternal and child health journal2016

Latina Birth Outcomes in California: Not so Paradoxical.

Emma V Sanchez-Vaznaugh, Paula A Braveman, Susan Egerter, Kristen S Marchi, Katherine Heck, Michael Curtis

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

  1. Patient Activation in the Postpartum Period by Race, Ethnicity, and Spoken Language.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2026
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  11. The association of maternal country/region of origin and nativity with infant mortality rate among Hispanic preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Emma V Sanchez-VaznaughDepartment of Health Education, San Francisco State University, 1600 Holloway Ave., San Francisco, CA, 94132, USA. emmav@sfsu.edu.
Paula A BravemanCenter on Social Disparities in Health, University of California San Francisco, San Francisco, CA, USA.
Susan EgerterCenter on Social Disparities in Health, University of California San Francisco, San Francisco, CA, USA.
Kristen S MarchiCenter on Social Disparities in Health, University of California San Francisco, San Francisco, CA, USA.
Katherine HeckCenter on Social Disparities in Health, University of California San Francisco, San Francisco, CA, USA.
Michael CurtisSurveillance, Assessment and Program Development Section, Epidemiology, Assessment and Program Development Branch, Maternal, Child and Adolescent Health Program, California Department of Public Health, Sacramento, CA, USA.
University of California, San Francisco · USCalifornia Department of Public Health · USSan Francisco State University · US

Funding

Multilevel Influences on Childhood Obesity DisparitiesK01HL115471 · NHLBI · SAN FRANCISCO STATE UNIVERSITY · PI SANCHEZ-VAZNAUGH, EMMA V. · 2012 to 2016
$734k
NHLBI NIH HHS K01 HL115471
6 · The paper itself

Abstract

Objectives To investigate Latina-White differences in birth outcomes in California from 2003 to 2010, looking for evidence of the often-cited "Latina paradox" and assessing the possible role of socioeconomic factors in observed differences. MethodsUsing statewide-representative data from the California Maternal and Infant Health Assessment, an annual population-based postpartum survey, we compared rates of preterm birth (PTB) and low birth weight (LBW) in five groups: U.S.-born non-Latina Whites ("Whites"), U.S.-born Mexican-Americans, U.S.-born non-Mexican Latinas, Mexican immigrants, and non-Mexican Latina immigrants. Logistic regression models examined the relative likelihood of PTB and LBW for women in each Latina subgroup compared with Whites, before and after adjustment for socioeconomic and other covariates. Results In unadjusted analyses, women in each Latina subgroup appeared more likely than White women to have PTB and LBW, although the increased likelihood of LBW among Mexican immigrants was statistically non-significant. After adjustment for less favorable socioeconomic characteristics among Latinas compared with Whites, observed differences in the estimated likelihoods of PTB or LBW for Latina subgroups relative to Whites were attenuated and (with the exception of PTB among U.S.-born Mexican Americans) no longer statistically significant. Conclusions We found no evidence of a "Latina paradox" in birth outcomes, which some have cited as evidence that social disadvantage is not always health-damaging. As observed in several previous studies, our findings were non-paradoxical: consistent with their socioeconomic disadvantage, Latinas had worse birth outcomes than non-Latina White women. Policy-makers should not rely on a "Latina paradox" to ensure good birth outcomes among socioeconomically disadvantaged Latina women.

Indexed as

Infant, Low Birth WeightAdolescentAdultCaliforniaEmigrants and ImmigrantsFemaleHealth BehaviorHispanic or LatinoHumansInfant, NewbornLogistic ModelsMexicoMiddle AgedPopulation SurveillancePregnancyPregnancy OutcomeDisparities in preterm birthLatina paradoxLow birth weightSocioeconomic factors

Identifiers

PMID27025385
PMCPMC5007144
OpenAlexW2321929547

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.