| Full text | |
| Author(s): |
J.M. Fonseca
[1]
;
A.A.M. Silva
[2]
;
P.R.H. Rocha
[3]
;
R.L.F. Batista
[4]
;
E.B.A.F. Thomaz
[5]
;
F. Lamy-Filho
[6]
;
M.A. Barbieri
[7]
;
H. Bettiol
[8]
Total Authors: 8
|
| Affiliation: | [1] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[2] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[3] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Pediatria e Puericultura - Brasil
[4] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[5] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[6] Universidade Federal do Maranhão. Departamento de Saúde Pública - Brasil
[7] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Pediatria e Puericultura - Brasil
[8] Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Pediatria e Puericultura - Brasil
Total Affiliations: 8
|
| Document type: | Journal article |
| Source: | Brazilian Journal of Medical and Biological Research; v. 54, n. 1 2021-01-22. |
| Abstract | |
This study aimed to estimate and compare racial inequality in low birth weight (LBW), preterm birth (PTB), and intrauterine growth restriction (IUGR) in two Brazilian birth cohorts. This was a cross-sectional study nested within two birth cohorts in Ribeirão Preto (RP) and São Luís (SL), whose mothers were interviewed from January to December 2010. In all, 7430 (RP) and 4995 (SL) mothers were interviewed. The maternal skin color was the exposure variable. Associations were adjusted for socioeconomic and biological covariates: maternal education, per capita family income, family economic classification, household head occupation, maternal age, parity, marital status, prenatal care, type of delivery, maternal pre-pregnancy BMI, hypertension, hypertension during pregnancy, and smoking during pregnancy collected from questionnaires applied at birth. Statistical analysis was done with the chi-squared test and logistic regression. In RP, newborns from mothers with black skin color had a higher risk of LBW and IUGR, even after adjusting for socioeconomic and biological variables (P<0.001). In SL, skin color was not a risk factor for LBW (P=0.859), PTB (P=0.220), and IUGR (P=0.062), before or after adjustment for socioeconomic and biological variables. The detection of racial inequality in these perinatal outcomes only in the RP cohort after adjustment for socioeconomic and biological factors may be reflecting the existence of racial discrimination in the RP society. In contrast, the greater miscegenation present in São Luís may be reflecting less racial discrimination of black and brown women in this city. (AU) | |
| FAPESP's process: | 08/53593-0 - Etiological factors of preterm birth and consequences of perinatal factors in child health: birth cohorts in two Brazilian cities (BRISA project) |
| Grantee: | Marco Antonio Barbieri |
| Support Opportunities: | Research Projects - Thematic Grants |