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race and outcomeFrom: David Nagey (dnagey@c3p0.ab.umd.edu)Thu Oct 5 14:00:59 1995
>jason.gardosi@nottingham.ac.uk >Ob/Gyn, Queen's Medical Centre >University of Nottingham, UK >wrote: >I doubt whether biological differences are very important after adjusting >for everything else. Each race surely represents a champion of evolution as >far as reproduction is concerned. Apart from social deprivation, there are >of course a whole host of other differences such as ease of access to health >services, education, family support, smoking patterns, number of sexual >partners and so on, which are all likely to affect perinatal performance. and also said that huge numbers would be needed - Jason we have a TWO-FOLD difference in prematurity and perinatal mortality rates! Your 50,000 person database might just do the trick. There may be some biologic differences - African-Americans have calcified distal femoral epiphyses 1-2 weeks sooner than do caucasians - and develop meconium sooner (paper by Greg Alexander & Tom Hulsey & others(?) in the Gray Journal 2-4 years ago) - I really think there is a place for a cross-cultural epidemiologic study to try to answer how much is biology, how much is culture (macro-environment) and how much is neighborhood/socioeconomic status (midi-environment). We do have 20,000+ deliveries in our database if anyone on another continent is interested... David -- David Nagey -University of Maryland School of Medicine -dnagey@c3p0.ab.umd.edu (410) 328-5957, FAX (410) 328-8389, beeper (410) 389-9097
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