Maternal Morbidity and Perinatal Outcomes Among Foreign-Born Cambodian, Laotian, and Vietnamese Americans in Washington State, 1993–2006

Cripe, Swee May; O’Brien, William D.; Gelaye, Bizu; Williams, Michelle A.

doi:10.1007/s10903-010-9328-6

Cited by 24 publications

(25 citation statements)

References 26 publications

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“…South Asians, including women from India and Pakistan, tend to have the highest prevalence of GDM (143,145). However, reports vary regarding the risk among Southeast Asians (143,145,148,149), including women from Cambodia, Vietnam, Laos, Thailand, or the Philippines, as well as East Asians such as Koreans, Japanese, and Chinese (143,145,147,148). Japanese women consistently have a lower GDM prevalence than other Asians (143,145,147,148).…”

Section: Epidemiology Of Gdmmentioning

confidence: 99%

Health Disparities in Endocrine Disorders: Biological, Clinical, and Nonclinical Factors—An Endocrine Society Scientific Statement

Golden

Brown

Cauley

et al. 2012

The Journal of Clinical Endocrinology &Amp; Metabolism

344

282

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Several themes emerged in the statement, including a need for basic science, population-based, translational and health services studies to explore underlying mechanisms contributing to endocrine health disparities. Compared to non-Hispanic whites, non-Hispanic blacks have worse outcomes and higher mortality from certain disorders despite having a lower (e.g. macrovascular complications of diabetes mellitus and osteoporotic fractures) or similar (e.g. thyroid cancer) incidence of these disorders. Obesity is an important contributor to diabetes risk in minority populations and to sex disparities in thyroid cancer, suggesting that population interventions targeting weight loss may favorably impact a number of endocrine disorders. There are important implications regarding the definition of obesity in different race/ethnic groups, including potential underestimation of disease risk in Asian-Americans and overestimation in non-Hispanic black women. Ethnic-specific cut-points for central obesity should be determined so that clinicians can adequately assess metabolic risk. There is little evidence that genetic differences contribute significantly to race/ethnic disparities in the endocrine disorders examined. Multilevel interventions have reduced disparities in diabetes care, and these successes can be modeled to design similar interventions for other endocrine diseases.

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Section: Epidemiology Of Gdmmentioning

confidence: 99%

Health Disparities in Endocrine Disorders: Biological, Clinical, and Nonclinical Factors—An Endocrine Society Scientific Statement

Golden

Brown

Cauley

et al. 2012

The Journal of Clinical Endocrinology &Amp; Metabolism

344

282

View full text Add to dashboard Cite

show abstract

“…Since the 1980s, a considerable amount of research has been conducted on infant health among Asian Americans and among different Asian subgroups in the US [ 11 – 16 ]. Most contemporary studies have omitted Hmong women from analysis altogether or aggregated them with Laotians and other Southeast Asians [ 17 ] with two exceptions.…”

Section: Introductionmentioning

confidence: 99%

Preterm birth among the hmong, other Asian subgroups and non-hispanic whites in California

Vang

Elo

Nagano

2015

BMC Pregnancy Childbirth

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BackgroundWe investigated very preterm (VPTB) and preterm birth (PTB) risk among Hmong women relative to non-Hispanic whites and other Asian subgroups. We also examined the maternal education health gradient across subgroups.MethodsCalifornia birth record data (2002–2004) were used to analyze 568,652 singleton births to white and Asian women. Pearson Chi-square and logistic regression were used to assess variation in maternal characteristics and VPTB/PTB risk by subgroup.ResultsWhite, Chinese, Japanese, Korean, Asian Indian, and Vietnamese women had 36–59 % lower odds of VPTB and 30–56 % lower odds of PTB than Hmong women. Controls for covariates did not substantially diminish these disparities. Cambodian, Filipino and Lao/Thai women’s odds of VPTB were similar to that of Hmong women. But they had higher adjusted odds of PTB compared to the Hmong. There was heterogeneity in the educational gradient of PTB, with significant differences between the least and most educated women among whites, Chinese, Japanese, Asian Indians, Cambodians, and Laoians/Thais. Maternal education was not associated with PTB for Hmong, Vietnamese and Korean women, however.ConclusionsStudies of Hmong infant health from the 1980s, the decade immediately following the group’s mass migration to the US, found no significant differences in adverse birth outcomes between Hmong and white women. By the early 2000s, however, the disparities in VPTB and PTB between Hmong and white women, as well as between Hmong and other Asian women had become substantial. Moreover, despite gains in post-secondary education among childbearing-age Hmong women, the returns to education for the Hmong are negligible. Higher educational attainment does not confer the same health benefits for Hmong women as it does for whites and other Asian subgroups.

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“…Migrant women account for a steadily increasing proportion of those giving birth in many Western industrialised countries. There is no generic “migrant woman”; the heterogeneous migration history, health status, knowledge and expectations regarding pregnancy and delivery depending on ethnic or regional origin must be considered 1 , 2 . Approximately 165 000 persons with a Vietnamese migration background live in Germany, and about half of them have German citizenship.…”

Section: Introductionmentioning

confidence: 99%

Perinatal Outcome in Women with a Vietnamese Migration Background – Retrospective Comparative Data Analysis of 3000 Deliveries

Boxall

David

Schalinski

et al. 2018

Geburtshilfe Frauenheilkd

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Introduction Perinatal data of women with a Vietnamese migration background have not been systematically studied in Germany to date. Numerous details of important maternal and child outcomes were compared and analysed. The studyʼs primary parameters were the frequency of and indication for c-section. Methodology The perinatal data from a Berlin hospital were analysed retrospectively. The women (Vietnamese migration background vs. autochthonous) were grouped using name analysis. Datasets of 3002 women giving birth, including 999 women with a Vietnamese migration background, were included. The associations between primary or secondary cesarean delivery and different child outcomes depending on the migration background (exposure) were studied using logistical regression analysis. Results Women with a Vietnamese migration background have a lower c-section rate of 8.0% for primary and 12.6% for secondary c-section than women without a migration background (11.1% primary and 16.4% secondary c-section respectively). Regression analysis shows that the odds that women with a Vietnamese migration background will have a primary (OR 0.75; p = 0.0884) or secondary c-section (OR 0.82; p = 0.1137) are not significantly lower. A Vietnamese migration background was associated with higher odds for an episiotomy but not for a grade 3 – 4 perineal tear. A Vietnamese migration background does not have a significant influence on poor 5-min Apgar scores ≤ 7 and low umbilical cord arterial pH values ≤ 7.10. Newborns of mothers with a Vietnamese migration background have higher odds of a relatively higher birth weight (> 3110 g). Summary There was no evidence that women with a Vietnamese migration background are delivered more often by caesarean section. There were also no differences as regards important child outcome data from women in the comparator group. Overall, the results do not provide any evidence for poorer quality of care of women with a Vietnamese migration background in Berlin despite the cultural and communication barriers in the reality of care provision.

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Maternal Morbidity and Perinatal Outcomes Among Foreign-Born Cambodian, Laotian, and Vietnamese Americans in Washington State, 1993–2006

Cited by 24 publications

References 26 publications

Health Disparities in Endocrine Disorders: Biological, Clinical, and Nonclinical Factors—An Endocrine Society Scientific Statement

Health Disparities in Endocrine Disorders: Biological, Clinical, and Nonclinical Factors—An Endocrine Society Scientific Statement

Preterm birth among the hmong, other Asian subgroups and non-hispanic whites in California

Perinatal Outcome in Women with a Vietnamese Migration Background – Retrospective Comparative Data Analysis of 3000 Deliveries

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