First Advisor

Aileen Duldulao

Date of Award

8-9-2019

Document Type

Thesis

Degree Name

Bachelor of Science (B.S.) in Health Studies: Health Sciences and University Honors

Department

Health Studies

Subjects

Low birth weight -- Risk factors, African American women -- Health and hygiene, Diabetes in pregnancy, Hypertension in pregnancy, Prenatal care

DOI

10.15760/honors.833

Abstract

This study sought to analyze the relationship between diabetes, hypertension, and low birth weight (LBW) amongst non-Latinx African American women. The Oregon Health Assessment Tool (OPHAT) served as a data base for the sample population. The sample population consisted of African American women between the ages of 25-39 that gave birth between 2013-2014. Relative risk ratios were calculated to determine the likelihood of delivering a LBW infant. The exposures for the risk ratios were: Prepregnancy diabetes (DM), gestational diabetes (GM), prepregnancy hypertension (HTN), and gestational hypertension (GHTN). An analysis of conditional factors that impact birth weight was also conducted. The percentage of LBW that occurred after exposure to the conditional factors was calculated. The conditional factors in this study included: Level of education mother received, amount of prenatal care received (PNC), mother's insurance, mother's weight gain during pregnancy, and the use of tobacco during the first trimester of pregnancy. Relative risk ratios revealed a risk ratio of 11.9% for women that experienced GDM, and a risk ratio of 7.3% for women that had DM. Additionally, the relative risk ratios revealed a risk ratio of 12.5% for women that experienced GHTN and a risk ratio of 12.3% for women that had HTN. This data indicates that GDM and GHTN are higher risk factors for delivering a LBW infant. However, LBW amongst non-Latinx African American is a complex issue to address due to the numerous conditional factors that influence the likelihood of developing chronic disease and delivering a LBW infant.

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Persistent Identifier

https://archives.pdx.edu/ds/psu/32533

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