G Maupome, W R McConnell, B L Perry, R Marino, E R Wright
Psychological and behavioral acculturation in a social network of Mexican Americans in the United States and use of dental services
Community dentistry and oral epidemiology
examined literacy related healthy gestational weight gain gwg immigrant native japanese mothers determined whether associated childrens birth weight longitudinal cohort study baseline survey japan environment childrens study jecs mothers completed selfadministered questionnaires distributed hand pregnancy selfadministered questionnaires used study distributed mail 6 months delivery childrens birth weight actual gwg complications delivery recorded obstetricians collaborating jecs 97 452 mothers consented participate jecs pregnancy january 2011 march 2014 67 953 included study exclusions multiple births multiple instances consent pregnant woman miscarriagesstillbirths withdrawal study within 3 years participating total 324 immigrant mothers 963 native japanese mothers selected propensity score matching analysis data collected maternal literacy related healthy gwg baseline survey data actual gwg childrens birth weight collected obstetricians associations knowledge healthy gwg mothers actual gwg maternal nativity status examined using 2 students ttest native japanese mothers immigrant mothers knew appropriate gwg reason needing know actual gwg significantly higher among immigrant mothers within recommended range low birthweight lbw incidence significantly higher among native mothers immigrant mothers japan less knowledge appropriate gwg actual gwg appropriate delivered fewer lbw infants native japanese mothers findings may indicate presence protective factors pregnancy delivery among immigrant mothers