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Variations in health and health behaviors by nativity among pregnant Black women in Philadelphia
Journal article   Open access   Peer reviewed

Variations in health and health behaviors by nativity among pregnant Black women in Philadelphia

Irma T Elo and Jennifer F Culhane
American journal of public health (1971), v 100(11), pp 2185-2192
Nov 2010
DOI: https://doi.org/10.2105/AJPH.2009.174755
PMID: 20864725
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.2105/ajph.2009.174755View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Adult Africa - ethnology African Continental Ancestry Group - ethnology African Continental Ancestry Group - statistics & numerical data Alcohol Drinking - epidemiology Caribbean Region - ethnology Female Health Behavior - ethnology Health Status Humans Logistic Models Marijuana Abuse - epidemiology Mental Health - statistics & numerical data Obesity - epidemiology Philadelphia - epidemiology Pregnancy Prospective Studies Smoking - epidemiology Socioeconomic Factors Young Adult
We compared health behaviors and health outcomes among US-born, African-born, and Caribbean-born pregnant Black women and examined whether sociodemographic and psychosocial characteristics explained differences among these population subgroups. We analyzed data from a prospective cohort study conducted in Philadelphia, Pennsylvania, with a series of nested logistic regression models predicting tobacco, alcohol, and marijuana use and measures of physical and mental health. Foreign-born Black women were significantly less likely to engage in substance use and had better self-rated physical and mental health than did native-born Black women. These findings were largely unchanged by adjustment for sociodemographic and psychosocial characteristics. The foreign-born advantage varied by place of birth: it was somewhat stronger for African-born women than for Caribbean-born women. Further studies are needed to gain a better understanding of the role of immigrant selectivity and other characteristics that contribute to more favorable health behaviors and health outcomes among foreign-born Blacks than among native-born Blacks in the United States.

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44 citations in Web of Science
44 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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