ArticleBMC pregnancy and childbirth2020
Preterm birth and nativity among Black women with gestational diabetes in California, 2013-2017: a population-based retrospective cohort study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- National Variation in Black Immigrant Preterm Births and the Role of County-Level Social Factors.Journal of racial and ethnic health disparities · 2025Observational
- Clinical risk factors and adverse perinatal outcomes among U.S. and African-born Black women in California.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Impact of antenatal corticosteroid therapy on neonatal outcomes in twin pregnancies.Journal of translational medicine · 2025Article
- Protective Factors Against Hypertension: A Retrospective Population-Based Analysis of Resilience in High-Risk Groups.Cureus · 2025Article
- Risk and Protective Factors for Preterm Birth Among Racial, Ethnic, and Socioeconomic Groups in California.JAMA network open · 2024Article
- Gestational Diabetes and Preterm Birth: What Do We Know? Our Experience and Mini-Review of the Literature.Journal of clinical medicine · 2023Article
- Racial and Ethnic Disparities in Adverse Perinatal Outcomes at Term.American journal of perinatology · 2023Observational
- Nativity and perinatal outcome disparities in the United States: Beyond the immigrant paradox.Seminars in perinatology · 2022Review
- Gestational Diabetes and International Migration.Journal of the Endocrine Society · 2022Review
- Neighborhood conditions and birth outcomes: Understanding the role of perceived and extrinsic measures of neighborhood quality.Environmental epidemiology (Philadelphia, Pa.) · 2022Article
- Black Nativity and Health Disparities: A Research Paradigm for Understanding the Social Determinants of Health.International journal of environmental research and public health · 2022Review
- Incidence, Risk Factors, and Reasons for 30-Day Hospital Readmission Among Healthy Late Preterm Infants.Hospital pediatrics · 2022Article
- The Association of Preterm Birth With Maternal Nativity and Length of Residence Among Non-Hispanic Black Women.CJC open · 2022Article
- Differential Effect of Vaginal Microbiota on Spontaneous Preterm Birth among Chinese Pregnant Women.BioMed research international · 2022Article
- Addressing Inequities in Cardiovascular Disease and Maternal Health in Black Women.Circulation. Cardiovascular quality and outcomes · 2021Article
- Demolishing the Myth of the Default Human That Is Killing Black Mothers.Frontiers in public health · 2021Review
- Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDespite the disproportionate prevalence of gestational diabetes (GDM) and preterm birth (PTB) and their associated adverse perinatal outcomes among Black women, little is known about PTB among Black women with GDM. Specifically, the relationship between PTB by subtype (defined as indicated PTB and spontaneous PT labor) and severity, GDM, and nativity has not been well characterized. Here we examine the risk of PTB by severity (early < 34 weeks, late 34 to 36 weeks) and early term birth (37 to 38 weeks) by nativity among Black women with GDM in California.
methodsThis retrospective cohort study used linked birth certificate and hospital discharge data for 8609 of the 100,691 self-identifying non-Hispanic Black women with GDM who had a singleton live birth between 20 and 44 weeks gestation in California in 2013-2017. Adjusted odds ratios (aOR) and 95% confidence intervals (CIs) were examine risks for PTB, by severity and subtype, and early term birth using multivariate regression modeling.
resultsApproximately, 83.9% of Black women with GDM were US-born and 16.1% were foreign-born. The overall prevalence of early PTB, late PTB, and early term birth was 3.8, 9.5, and 29.9%, respectively. Excluding history of prior PTB, preeclampsia was the greatest overall risk factor for early PTB (cOR = 6.7, 95%, CI 5.3 to 8.3), late PTB (cOR = 4.3, 95%, CI 3.8 to 5.0), and early term birth (cOR = 1.8, 95%, CI 1.6 to 2.0). There was no significant difference in the prevalence of PTB by subtypes and nativity (p = 0.5963). Overall, 14.2% of US- compared to 8.9% of foreign-born women had a PTB (early PTB: aOR = 0.56, 95%, CI 0.38 to 0.82; late PTB: aOR = 0.57, 95%, CI 0.45 to 0.73; early term birth: aOR = 0.67, 95%, CI 0.58 to 0.77).
conclusionsForeign-born status remained protective of PTB, irrespective of severity and subtype. Preeclampsia, PTB, and GDM share pathophysiologic mechanisms suggesting a need to better understand differences in perinatal stress, chronic disease, and vascular dysfunction based on nativity in future epidemiologic studies and health services research.
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