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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/research/resarch.htm" class="crumb_link"><em>Research Activities</em> Archive</a> > <a href="." class="crumb_link">July/August 1996</a>
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<td><h1><a name="h1" id="h1"></a>Feature Story</h1>
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h2>Higher incidence of birth defects may be linked to lower use
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of prenatal testing in black and Hispanic women </h2>
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<p>Latinas and black women are much less likely to undergo
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amniocentesis and chorionic villus sampling (CVS) to detect
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chromosomal abnormalities than white and Asian women. Latinas
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older than 35 years of age are three times more apt to give birth
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to a Down syndrome-affected infant than white women, and black
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women are nearly twice as likely to do so. These findings suggest
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a causal relationship between use of prenatal testing and the
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incidence of birth defects, concludes a study supported in part
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by the Agency for Health Care Policy and Research (HS07373).</p><p>
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Miriam Kuppermann, Ph.D., M.P.H., and colleagues at the
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University of California, San Francisco (UCSF), examined the
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medical charts of 238 pregnant women 35 years of age and older
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seen at UCSF in 1993 and 1994 to assess their use of prenatal
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diagnostic tests. After adjusting for socioeconomic
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characteristics, black women had one-third the odds of undergoing
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prenatal diagnosis as white women, and Latinas had one-fourth the
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odds. On the other hand, Asian women had nearly twice the chance
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of undergoing prenatal testing as white women.</p>
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<p>Regardless of race or ethnicity, women who were professionals or
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students, or had partners who were professionals or students,
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were significantly more likely to undergo prenatal diagnosis than
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women who indicated that they or their partners were homemakers,
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unemployed, or employed in blue-collar jobs. But even after
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accounting for patient or partner occupation, black and Hispanic
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women were less likely to receive prenatal diagnosis than white
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or Asian women. This suggests that attitudes toward prenatal
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testing, pregnancy termination, and/or raising a disabled child
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may differ across these racial-ethnic groups, transcending
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socioeconomic strata. Alternatively, black and Hispanic women may
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not be receiving adequate, clearly understandable, and culturally
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sensitive information about the possible ramifications and
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outcomes of testing or not testing.</p>
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<p>See "Racial-ethnic differences in prenatal diagnostic test use
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and outcomes: Preferences, socioeconomics, or patient knowledge?"
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by Dr. Kuppermann, Ph.D., M.P.H., Elena Gates, M.D., and A.
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Eugene Washington, M.D., M.Sc., in the May 1996 issue of
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<em>Obstetrics & Gynecology</em> 87, pp. 675-682.</p>
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<p class="size2"><a href=".">Return to Contents</a><br />
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<a href="dept1.htm">Proceed to Next Section</a></p>
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