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EFFECTS OF AGE, ETHNICITY AND HEALTH BEHAVIOURS ON THE PREVALENCE OF ADVERSE BIRTH OUTCOMES IN TAIWAN

Published online by Cambridge University Press:  07 June 2012

SHU-CHUAN WANG  and
MUNG-CHIH LEE
SHU-CHUAN WANG
Affiliation:
Department of Medical Sociology and Social Work, Chung Shan Medical University, Taiwan
MUNG-CHIH LEE
Affiliation:
Department of Medicine, Chung Shan Medical University, Taiwan
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Summary

This study sampled 8432 singleton first live births from Taiwan's 2005 Birth Registration Database to determine if there were more pre-term or low birth weight deliveries among aboriginal women than there were among Han Chinese women, and if the ‘weathering’ hypothesis applied to aboriginal women in Taiwan. Although the aboriginal women were socially disadvantaged and engaged in more unhealthy behaviours, including smoking, drinking, chewing betel quid and exposure to second-hand smoke, the evidence did not support the hypothesis that these teenaged minority women would have better birth outcomes, as has been demonstrated among teenage African-American women in the United States. Behaviours and not ethnicity were risk factors for teenage aboriginal mothers, who started deleterious health behaviours earlier than did their older counterparts. Teenage mothers had more adverse outcomes regardless of ethnicity and aboriginal mothers had more risky behaviours in all age groups. The prevalence of detrimental health behaviour among teenage mothers in Taiwan is of concern, particularly for aboriginal teenage mothers.

Type
Research Article
Information
Journal of Biosocial Science , Volume 44 , Issue 5 , September 2012 , pp. 513 - 524
Copyright
Copyright © Cambridge University Press 2011

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References

Buescher, P. & Mittal, M. (2005) Racial Disparities in Birth Outcomes Increase with Maternal Age: Recent Data from North Carolina. Statistical Brief No. 27, North Carolina Department of Health and Human Services.CrossRefGoogle Scholar
Chen, S. L. (2001) A follow up survey study on factors causing differences between aborigine's and Han's secondary school students' drinking behavior and academic achievement: an example from the Qau-san area of Taitung County. Journal of Education & Psychology 24, 67–98[in Chinese].Google Scholar
Cleary-Goldman, J., Malone, F., Vidaver, J., Ball, R. H., Nyberg, D. A., Comstock, C. H. et al. (2005) Impact of maternal age on obstetric outcome. Obstetrics and Gynecology 105(5 Part I), 983–990.CrossRefGoogle ScholarPubMed
Council of Indigenous Peoples, Republic of China (2007) Report on the Survey of the Economic Situation of Indigenous Taiwanese. Council of Indigenous Peoples, Taipei[in Chinese].Google Scholar
Council of Indigenous Peoples, Republic of China (2011) Report on the Survey of the Economic Situation of Indigenous Taiwanese in 2010. Council of Indigenous Peoples, Taipei[in Chinese].Google Scholar
Fraser, A., Brockert, J. & Ward, R. (1995) Association of young maternal age with adverse reproductive outcomes. New England Journal of Medicine 332, 1113–1117.CrossRefGoogle ScholarPubMed
Geronimus, A. (1996) Black/white differences in the relationship of maternal age to birthweight: a population-based test of the weathering hypothesis. Social Science & Medicine 42, 589–597.CrossRefGoogle ScholarPubMed
Geronimus, A. T., Hicken, M., Keene, D. & Bound, J. (2006) “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health 96, 826–833.CrossRefGoogle ScholarPubMed
Holzman, C., Eyster, J., Kleyn, M., Messer, L. C., Kaufman, J. S., Laraia, B. A. et al. (2009) Maternal weathering and risk of preterm delivery. American Journal of Public Health 99, 1864–1871.CrossRefGoogle ScholarPubMed
Jacobsson, B., Ladfors, L. & Milsom, I. (2004) Advanced maternal age and adverse perinatal outcome. Obstetrics & Gynecology 104, 727–733.CrossRefGoogle ScholarPubMed
Joseph, K., Allen, A., Dodds, L., Turner, L. A., Scott, H. & Liston, B. (2005) The perinatal effects of delayed childbearing. Obstetrics and Gynecology 105, 1410–1418.CrossRefGoogle ScholarPubMed
Kleinman, J. C. & Kessel, S. S. (1987) Racial differences in low birth weight. New England Journal of Medicine 317, 749–753.CrossRefGoogle ScholarPubMed
Lee, M. C., Suhng, L. A., Lu, T. H. & Chou, M. C. (1998) Association of parental characteristics with adverse outcomes of adolescent pregnancy. Family Practice 15, 336–342.CrossRefGoogle ScholarPubMed
Lee, Y. M. & Chang, T. K. (2005) Maternal demographic and psychological factors associated with low birth weight in eastern Taiwan. Kaohsiung Journal of Medical Science 21, 502–509.Google Scholar
Liu, C., Chang, N. & Chou, P. (2008) Testing the “epidemiologic paradox” of birth outcomes among Asian immigrant women in Hsin-Chu County, Taiwan. Journal of the Formosan Medical Association 107, 782–790.CrossRefGoogle ScholarPubMed
Lundsberg, L. S., Bracken, M. B. & Saftias, A. F. (1997) Low-to-moderate gestational alcohol use and intrauterine growth retardation, low birthweight, and preterm delivery. Annals of Epidemiology 7, 498–508.CrossRefGoogle ScholarPubMed
Ouellette, E. M., Rosett, H. L., Rosman, N. P. & Weiner, L. (1977) Adverse effects on offspring of maternal alcohol abuse during pregnancy. New England Journal of Medicine 297, 528–530.CrossRefGoogle ScholarPubMed
Rauh, V. A., Andrews, H. F. & Garfinkel, R. S. (2001) The contribution of maternal age to racial disparities in birthweight: a multilevel perspective. American Journal of Public Health 91, 1815–1824.CrossRefGoogle ScholarPubMed
Rich-Edwards, J. W., Buka, S. L., Brennan, R. T. & Earls, F. (2003) Diverging associations of maternal age with low birthweight for black and white mothers. International Journal of Epidemiology 32, 83–90.CrossRefGoogle ScholarPubMed
Taiwan Directorate-General of Budget, Accounting, and Statistics (2007) Report on the Survey of Family Income and Expenditures, 2006. The Executive Yuan, Republic of China, Taipei.Google Scholar
Tan, K. D. (2002) A study on problems of school adjustment and attribution in indigenous high school, indigenous students from Shinchu County. Aboriginal Education Quarterly 27, 45–68[in Chinese].Google Scholar
Vohr, B. R., Tyson, J. E., Wright, L. L., Perritt, R. L., Li, L. & Poole, W. K. (2009) Maternal age, multiple birth, and extremely low birth weight infants. Journal of Pediatrics 154, 498–503.CrossRefGoogle ScholarPubMed
Wang, S. C., Lee, S. H., Lee, M. C. & Wang, L. (2009) The effects of age and aboriginality on the incidence of low birthweight in mountain townships of Taiwan. Journal of Public Health 31, 406–412.CrossRefGoogle ScholarPubMed
Wen, C. P., Tsai, S. P., Shih, Y. T. & Chung, W. S. (2004) Bridging the gap in life expectancy of the aborigines in Taiwan. International Journal of Epidemiology 33, 320–327.CrossRefGoogle Scholar
Winstock, A. (2002) Areca nut-abuse liability, dependence and public health. Addiction Biology 7, 133–138.CrossRefGoogle ScholarPubMed
Yang, M. S., Chang, F. T., Chen, S. S., Lee, C. H. & Ko, Y. C. (1999) Betel quid chewing and risk of adverse pregnancy outcomes among aborigines in Southern Taiwan. Public Health 113, 189–192.CrossRefGoogle ScholarPubMed
Yang, M. S., Lee, C. H., Chang, S. J., Chung, T. C., Tsai, E. M., Ko, A. M. & Ko, Y. C. (2008) The effect of maternal betel quid exposure during pregnancy on adverse birth outcomes among aborigines in Taiwan. Drug and Alcohol Dependence 93, 134–139.CrossRefGoogle Scholar
Yeh, M. Y. (2003) Drinking behavior: a study of drinking behavior from the perspectives of aboriginal adolescents. Aboriginal Education Quarterly 32, 29–48[in Chinese].Google Scholar
Yeh, M. Y. & Chiang, I. C. (2005) Comparison of the predictors of alcohol use and misuse among Han and aboriginal students in Taiwan. Addictive Behaviors 30, 989–1000.CrossRefGoogle Scholar