ArticleJournal of racial and ethnic health disparities2020
Ethnic Enclaves and Pregnancy and Behavior Outcomes Among Asian/Pacific Islanders in the USA.
Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 25 citations in OpenAlex.
- Mapping Ethnic Enclaves for Health Disparities Research: A Hybrid Clustering Approach.Journal of racial and ethnic health disparities · 2026Article
- Associations between neighborhood socioeconomic status and cardiometabolic health among Asian American residents of New York city.International journal of cardiology. Cardiovascular risk and prevention · 2026Article
- Structural Racism, Geographies of Opportunity, and Maternal Health Inequities: A Dynamic Conceptual Framework.Journal of racial and ethnic health disparities · 2026Article
- Residential segregation and cardiometabolic health of Asian immigrants living in Western countries: a scoping review.BMC public health · 2025Article
- Comparative Measurements: Ethnic Enclaves and Severe Maternal Morbidity in Asian, Black, and Hispanic Neighborhoods in California.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Contribution of county-level socioeconomic indicators to racial or ethnic differences in neonatal anthropometry in the USA: a prospective cohort study.BMJ public health · 2024Article
- Immigrant Perspectives of Social Connection in a Nontraditional Migration Area.Healthcare (Basel, Switzerland) · 2024Article
- Antimicrobial Resistance Patterns in an Urban County: a Spatiotemporal Exploration.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Residential Segregation, Perceived Neighborhood Environment, and All-Cause Mortality Among Community-Dwelling Older Chinese Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Prepregnancy body mass index and gestational diabetes mellitus across Asian and Pacific Islander subgroups in California.AJOG global reports · 2023Article
- Risk factors and pregnancy outcomes vary among Asian American, Native Hawaiian, and Pacific Islander individuals giving birth in California.Annals of epidemiology · 2022Article
- Nativity and perinatal outcome disparities in the United States: Beyond the immigrant paradox.Seminars in perinatology · 2022Review
- The immigrant birthweight paradox in an urban cohort: Role of immigrant enclaves and ambient air pollution.Journal of exposure science & environmental epidemiology · 2022Article
- Neighborhood social cohesion and serious psychological distress among Asian, Black, Hispanic/Latinx, and White adults in the United States: a cross-sectional study.BMC public health · 2022Article
- Spatial Analysis of Chinese American Ethnic Enclaves and Community Health Indicators in New York City.Frontiers in public health · 2022Article
- Joint effects of ethnic enclave residence and ambient volatile organic compounds exposure on risk of gestational diabetes mellitus among Asian/Pacific Islander women in the United States.Environmental health : a global access science source · 2021Article
- A Comparison of Community Resources for Chinese Immigrants Across Philadelphia Neighborhoods.Preventing chronic disease · 2021Article
- Considering Health Literacy, Health Decision Making, and Health Communication in the Social Networks of Vulnerable New Mothers in Hawai'i: A Pilot Feasibility Study.International journal of environmental research and public health · 2020Article
- A Systematic Review of Racial and Ethnic Disparities in Maternal Health Outcomes among Asians/Pacific Islanders.Asian/Pacific Island nursing journal · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesEthnic enclaves are ethnically, spatially, and socially distinct communities that may promote health through access to culturally appropriate resources and reduced exposure to discrimination. This study examined ethnic enclave residence and pregnancy outcomes among Asian/Pacific Islander (API) women in the USA.
designWe examined 9206 API births in the Consortium on Safe Labor (2002-2008). Ethnic enclaves were defined as hospital regions with high percentage of API residents (> 4%), high dissimilarity index (> 0.41; distribution of API and white residents within a geographic area), and high isolation index (> 0.03; interaction between API and white residents in an area). Gestational diabetes mellitus (GDM), preterm birth (PTB), small for gestational age (SGA), and smoking and alcohol use during pregnancy were reported in medical records supplemented with ICD-9 codes. Hierarchical logistic regression models estimated associations between ethnic enclaves and pregnancy outcomes, adjusted for maternal factors, area-level poverty, and air pollution.
resultsWomen in enclaves had lower odds of GDM (OR 0.61; 95%CI 0.45, 0.82), PTB (OR 0.74; 95%CI 0.56, 0.99), and SGA (OR 0.68; 95%CI 0.52, 0.89) compared with women in non-enclaves. Prenatal smoking and alcohol use appeared less likely in enclaves, but estimates were imprecise. Within enclaves, about 10.5% of homes speak an API language, compared with 6.0% in non-enclaves. The mean percent of foreign-born API populations was 67.4% in enclaves and 68.8% in non-enclaves.
conclusionsAPI women residing in ethnic enclaves had better pregnancy outcomes than API women residing in non-enclave areas. Access to culturally appropriate social supports and resources may be important for health promotion among API populations.
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