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The health benefits of hispanic communities for non-hispanic mothers and infants: Another hispanic paradox

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  • Shaw, R.J.
  • Pickett, K.E.

Abstract

Objectives. In the United States, Hispanic mothers have birth outcomes comparable to those of White mothers despite lower socioeconomic status. The contextual effects of Hispanic neighborhoods may partially explain this 'Hispanic paradox.' We investigated whether this benefit extends to other ethnic groups. Methods. We used multilevel logistic regression to investigate whether the county-level percentage of Hispanic residents is associated with infant mortality, low birth weight, preterm delivery, and smoking during pregnancy in 581 151 Black and 2 274 247 White non-Hispanic mothers from the US Linked Birth and Infant Death Data Set, 2000. Results. For White and Black mothers, relative to living in counties with 0.00%- 0.99% of Hispanic residents, living in counties with 50.00% or more of Hispanic residents was associated with an 80.00% reduction in the odds of smoking, an infant mortality reduction of approximately one third, and a modest reduction in the risks of preterm delivery and low birth weight. Conclusions. The health benefits of living in Hispanic areas appear to bridge ethnic divides, resulting in better birth outcomes even for those of non- Hispanic origin.

Suggested Citation

  • Shaw, R.J. & Pickett, K.E., 2013. "The health benefits of hispanic communities for non-hispanic mothers and infants: Another hispanic paradox," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 1052-1057.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300985_3
    DOI: 10.2105/AJPH.2012.300985
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    Cited by:

    1. O'Connell, Heather A., 2015. "Where there's smoke: Cigarette use, social acceptability, and spatial approaches to multilevel modeling," Social Science & Medicine, Elsevier, vol. 140(C), pages 18-26.
    2. Samuel H. Fishman & S. Philip Morgan & Robert A. Hummer, 2018. "Smoking and Variation in the Hispanic Paradox: A Comparison of Low Birthweight Across 33 US States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(5), pages 795-824, October.
    3. Borrell, Luisa N. & Bolúmar, Francisco & Rodriguez-Alvarez, Elena & Nieves, Christina I., 2022. "Adverse birth outcomes in New York City women: Revisiting the Hispanic Paradox," Social Science & Medicine, Elsevier, vol. 315(C).
    4. Bjornstrom, Eileen E.S. & Kuhl, Danielle C., 2014. "A different look at the epidemiological paradox: Self-rated health, perceived social cohesion, and neighborhood immigrant context," Social Science & Medicine, Elsevier, vol. 120(C), pages 118-125.
    5. Petrova, Olga & Gray, Natallia, 2021. "The effects of medical marijuana laws on birth outcomes: Evidence from early adopting U.S. states," Economic Analysis and Policy, Elsevier, vol. 69(C), pages 68-82.

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