Perinatal and infant health among rural and urban American Indians/Alaska Natives

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Authors: Baldwin LM., Grossman DC., Casey S., Hollow W., Sugarman JR., Freeman WL, Hart LG

Publication Year: 2002

Last Updated: 2010-01-21 08:14:08

Journal: American Journal of Public Health

Keywords: Adolescence; Adult; Alaska/epidemiology; Cause of Death; Cross-Sectional Studies; Eskimos/statistical & numerical data; Female; Infant; Infant Mortality; Infant welfare/ethnology; Low Birth Weight; National Center for Health Statistics; Pregnancy; Prenatal Care/standards; Public Health Risk Factors; Rural Health; Urban Health

 

Short Abstract: Objectives. We sought to provide a national profile of rural and urban American Indian/Alaska Native (AI/AN) maternal and infant health.

 

Abstract: Objectives. We sought to provide a national profile of rural and American Indian/Alaska Native (AI/AN) maternal and infant health. Methods. In this cross-sectional study of all 1989-1991 singleton AI/AN births to US residents, we compared receipt of an inadequate pattern of prenatal care, low birthweight (<2500), infant mortality, and cause of death for US rural and urban AI/AN and non AI/AN populations. Results. Receipt of an inadequate pattern of prenatal care was significantly higher for rural than for urban mothers of AI/AN infants (18.1% vs. 14.4%, P?.001), rates for both groups were over twice that for Whites (6.8%). AI/AN postneonatal death rates (rural=6.7 per 1000; urban=5.4 per 1000) were more than twice of Whites (2.6 per 1000). Conclusions. Preventable disparities between AI/AN and Whites in maternal and infant health status persist. (Am J Public Health. 2002;92:1491-1497)

 

Source: Link to Original Article.

Funding:

Code: 3028

Source:

Type of Resource: Best Practices Newsletter