Risk factors and pregnancy outcomes vary among Asian American, Native Hawaiian, and Pacific Islander individuals giving birth in California

被引：13

作者：

Bane, Shalmali ^{[1
]}

Abrams, Barbara ^{[2
]}

Mujahid, Mahasin ^{[3
]}

Ma, Chen ^{[4
]}

Shariff-Marco, Salma ^{[5
]}

Main, Elliott ^{[6
,7
]}

Profit, Jochen ^{[8
,9
]}

Xue, Aileen ^{[10
]}

Palaniappan, Latha ^{[11
]}

Carmichael, Suzan L. ^{[4
,7
]}

机构：

[1] Stanford Univ, Sch Med, Dept Epidemiol & Populat Hlth, Stanford, CA 94305 USA

[2] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA USA

[3] Univ Calif Berkeley, Div Epidemiol & Biostat, Berkeley, CA USA

[4] Stanford Univ, Sch Med, Dept Pediat, Stanford, CA USA

[5] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA

[6] Stanford Univ, Calif Maternal Qual Care Collaborat, Stanford, CA USA

[7] Stanford Univ, Dept Obstet & Gynecol, Sch Med, Stanford, CA USA

[8] Stanford Univ, Dept Pediat,Sch Med, Div Neonatol, Perinatal Epidemiol & Hlth Outcomes Res Unit, Stanford, CA USA

[9] Calif Perinatal Qual Care Collaborat, Palo Alto, CA USA

[10] Case Western Reserve Univ, Dept Nutr, Cleveland, OH USA

[11] Stanford Univ, Sch Med, Dept Med, Stanford, CA USA

来源：

ANNALS OF EPIDEMIOLOGY | 2022年 / 76卷

基金：

美国国家卫生研究院;

关键词：

Social determinants of health; Maternal health; Public Health; GESTATIONAL WEIGHT-GAIN; PERINATAL OUTCOMES; MATERNAL MORBIDITY; AGE; VIETNAMESE; ETHNICITY; DELIVERY; WOMEN; US;

D O I：

10.1016/j.annepidem.2022.09.004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To compare frequencies of risk factors and pregnancy outcomes in ethnic groups versus the combined total of Asian American, Native Hawaiian, and Pacific Islander (AANHPI) populations.Methods: Using linked birth and fetal death certificate and maternal hospital discharge data (California 2007-2018), we estimated frequencies of 15 clinical and sociodemographic exposures and 11 pregnancy outcomes. Variability across 15 AANHPI groups was compared using a heat map and compared to fre-quencies for the total group ( n = 904,232).Results: AANHPI groups varied significantly from each other and the combined total regarding indicators of social disadvantage (e.g., range for high school-level educational or less: 6.4% Korean-55.8% Samoan) and sociodemographic factors (e.g., maternal age < 20 years: 0.2% Chinese-8.8% Guamanian) that are re-lated to adverse pregnancy outcomes. Perinatal outcomes varied significantly (e.g., severe maternal mor-bidity: 1.2% Korean-1.9% Filipino). No single group consistently had risk factors or outcome prevalence at the extremes, i.e., no group was consistently better or worse off across examined factors.Conclusions: Substantial variability in perinatal risk factors and outcomes exists across AANHPI groups. Aggregation into "AANHPI" is not appropriate for outcome reporting.(c) 2022 Elsevier Inc. All rights reserved.

引用

页码：128 / +

页数：17

共 46 条

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