Abstract:This study compares the likelihood of sexually transmitted infections (STIs) present or treated during pregnancy among Mexican origin, non-Hispanic White, and Black birth-giving women. Logistic regression analyses of birth certificate records from the National Center for Health Statistics (NCHS), for years 2009–2012, are used to determine the likelihood of presence or treatment of STIs for birth-giving women. Despite Mexican-origin women having the lowest levels of socioeconomic status (SES), as measured by educational attainment, logistic regression results show that the likelihood of presence or treatment of an STI is unexpectedly higher for Whites and Blacks when compared to their Mexican-origin counterparts. The unanticipated results parallel other health advantages commonly found within the ‘Latina paradox literature’. Results show that women who defer their first prenatal visit until the last trimester of pregnancy have the highest odds of having an STI present or treated during pregnancy. The present study suggest that the Latina paradox could be extended via future research on STIs, and supports policies that might improve the maternal health of underserved women who defer their first prenatal visit until the third trimester.

中文翻译：

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扩展拉丁悖论：墨西哥裔、黑人和白人生育妇女性传播感染的比较结果

摘要：本研究比较了墨西哥裔、非西班牙裔白人和黑人分娩妇女在怀孕期间出现或治疗性传播感染 (STI) 的可能性。对 2009 年至 2012 年国家卫生统计中心 (NCHS) 出生证明记录的逻辑回归分析用于确定分娩妇女存在或治疗性传播感染的可能性。尽管以教育程度衡量，墨西哥裔妇女的社会经济地位 (SES) 水平最低，但逻辑回归结果显示，与墨西哥裔相比，白人和黑人患 STI 的可能性出乎意料地更高同行。意料之外的结果与“拉丁悖论文献”中常见的其他健康优势相似。结果表明，将第一次产前检查推迟到怀孕最后三个月的妇女在怀孕期间出现性传播感染或接受治疗的几率最高。本研究表明，拉丁裔悖论可以通过未来对性传播感染的研究来扩展，并支持可能改善服务不足妇女的孕产妇健康的政策，这些妇女将第一次产前检查推迟到妊娠晚期。