Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives

Baldwin, Laura‐Mae; Grossman, David C.; Casey, Susan; Hollow, Walter B.; Sugarman, Jonathan R.; Freeman, William L.; Hart, L. Gary

doi:10.2105/ajph.92.9.1491

Cited by 88 publications

(72 citation statements)

References 21 publications

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“…[1][2][3][4][5][6][7][14][15][16] Differences between Aboriginal and non-Aboriginal birth outcomes in Australia have received considerable investigative attention, and factors such as maternal malnutrition, smoking and hypertension 15,16 have been implicated in poor outcomes. In contrast to the present study, information on Aboriginal births in North America has been obtained largely from analyses of secondary databases.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to the present study, information on Aboriginal births in North America has been obtained largely from analyses of secondary databases. For example, Baldwin and associates 6 found a significantly higher rate of low birth weight among American Indians and Alaska Natives in an analysis of a large national database for the period 1989 to 1991. Many factors, including inadequate prenatal care, 6,17 socioeconomic disparities 2,17,18 and short interpregnancy intervals, 19 have been implicated in the incidence of low birth weight in studies involving North American native people.…”

Section: Discussionmentioning

confidence: 99%

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A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

Wenman¹

2004

Canadian Medical Association Journal

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

Wenman¹

2004

Canadian Medical Association Journal

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“…For example, rural racial/ethnic minorities report lower use of services for sickle cell anemia than urban racial/ethnic minorities. 52 Rural racial/ethnic minorities have reduced odds of receiving preventive care 53 and cancer screening services, 54 effects linked to differences in education and other characteristics. Rural American Indians/Alaska Natives are more likely to have inadequate prenatal care than urban American Indians/Alaska Natives; both populations fare worse than Whites.…”

Section: Rural Racial/ethnic Minorities and Access To Carementioning

confidence: 99%

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Probst

Moore²,

Glover³

et al. 2004

Am J Public Health

289

264

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Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities. We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

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“…The search resulted in 25 hits; after reading the abstracts, 12 articles were included (27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38). (Table III).…”

Section: Factors Associated With Low Birthweight In Comparable Indigementioning

confidence: 99%

Low birthweight as an indicator of child health in Greenland—use, knowledge and implications

Niclasen¹

2007

International Journal of Circumpolar Health

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Objectives. The aim of this study was to analyse if low birthweight is a valuable indicator of child health in Greenland. Study design. A case study focusing on "low birthweight as an indicator in Greenland" with 3 units and 5 subunits of analyses. Methods. Literature reviews, interviews with health care professionals and an analysis of the National Birth Register. Results. Low birthweight was a well-known and yearly surveyed indicator, but not used by clinicians or by policymakers. Research was sparse, but the major risk factor observed was smoking. The rate of low birthweight in 1997-2005 was on average 5.0%. Of the low birthweight cases, 67.0% infants were born prematurely but only 44.8% of these births had a low birthweight. The known risk factors for a low birthweight in Greenland included abnormal delivery, low Apgar score at 5 minutes, female gender, multiple birth, being a single mother and less than complete prenatal care by a midwife. For preterm birth, associations were found with a not normal delivery, perinatal mortality, low Apgar score at 5 minutes, multiple birth, single mothers, mothers born in Greenland, young mothers, mothers living in a village and in nulliparae. Conclusions. Low birthweight is as valuable an indicator of child health at the national level in Greenland as it is in other developed countries. If interventions are to be aimed at known, quantitatively important, modifiable determinants of low birthweight, the results suggest that cigarette smoking and antenatal care are the most important to address (Int J Circumpolar Health 2007; 66(3):215-225).

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Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives

Abstract: Preventable disparities between AI/ANs and Whites in maternal and infant health status persist.

Cited by 88 publications

References 21 publications

A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

A prospective cohort study of pregnancy risk factors and birth outcomes in Aboriginal women

Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

Low birthweight as an indicator of child health in Greenland—use, knowledge and implications

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