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KMID : 0904520160410010131
Health and Medical Sociology
2016 Volume.41 No. 1 p.131 ~ p.165
Effect of Parental Foreign-Born Status on Birth Outcomes in Korea, 2010~2012
Choi See-Moon

Abstract
The objective of this study is to compare the birth outcomes of Korean-born parent family (KBPF), foreign-born father family (FBFF), and foreign-born mother family (FBMF) and to investigate whether parental foreign-born status confers a protective effect on birth outcomes among singleton births in Korea. The main data were Korean Birth Registries collected between 2010 and 2012. We analyzed 678,290 first-order newborns and 503,892 second-order newborns. Birth outcomes included birth weight and low birth weight (<2,500g). Adjusting for gender, gestational age, parental age group and educational status, and paternal occupation, we conducted multivariate linear regressions and logistic regressions by birth order and year. While newborns of FBFF are 42.24g heavier than those of KBPF, newborns of FBMF are 17.53g lighter. For first-order births, being born from FBFF has lower odds of low birth weight (OR 0.83, 95% CI: 0.70-0.97) than being born from KBPF and being born from FBMF is not significantly different. For second-order births, being born from FBMF protects against low birth weight by 24%(95% CI: 0.68-0.85) compared to those born from KBPF. Newborns of Chinese-born mother family are heavier and have lower odds of low birth weight compared to those born from KBPF regardless of birth-order. First-order newborns of Philippine and Japanese mother family have lighter birth weight and higher odds of low birth weight than those born from KBPF. Except Philippine and Japanese mother family, we found the epidemiological paradox in birth outcomes of the second-order newborns from FBMF. In Korea, parental foreign-born status is significantly associated with birth outcomes and its impacts vary by type of family, parents¡¯ country of origin, and birth order. This study implies that government programs to support multinational families should be customized considering these factors.
KEYWORD
immigrants, birth weight, low birth weight, birth outcomes
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