Trends in Perinatal and Infant Health Disparities Between Rural American Indians and Alaska Natives and Rural Whites

Bibliographic Data

ID11034179
AuthorsLaura-Mae Baldwin (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), Laura–Mae Baldwin (University of Washington), David C Grossman (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), Elise Murowchick (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), Eric H Larson (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), Walter B Hollow (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), Jonathan R Sugarman (0000-0001-5588-0250, At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), William L Freeman (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...), L Gary Hart (At the time of the study, Laura-Mae Baldwin, Elise Murowchick, Eric H. Larson, and L. Gary Hart were with the Department of Family Medicine, University of Washington School of Medicine, Seattle. David Grossman was with the Department of Pediatrics, University of Washington School of Medicine, Seattle. Walter B. Hollow was with the Native American Center of Excellence, University of Washington School of Medicine, Seattle. Jonathan R. Sugarman was with Qualis Health, Seattle. William L. Freeman was with...)
Year2009
Volume99
Issue4
Pages638-646
Publication date2009-04-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.119735
PMID18703453
PMCIDPMC2661488
OpenAlexW2124748102
LanguageEN
Citations received11
References cited20

Objectives. We examined disparities in perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native (AIAN) persons and rural Whites over time. Methods. We compared perinatal and infant health measures for 217 064 rural AIAN births and 5 032 533 rural non-Hispanic White births. Results. Among American Indians and Alaska Natives, unadjusted rates of inadequate prenatal care (1985–1987, 36.3%; 1995–1997, 26.3%) and postneonatal death (1985–1987, 7.1 per 1000; 1995–1997, 4.8 per 1000) improved significantly. However, disparities between American Indians and Alaska Natives and Whites in adjusted odds ratios (AORs) of postneonatal death (1985–1987, AOR = 1.55; 95% confidence interval [CI] = 1.41, 1.71; 1995–1997, AOR = 1.46; 95% CI = 1.31, 1.64) and adjusted risk ratios (ARRs) of inadequate prenatal care (1985–1987, ARR = 1.67; 95% CI = 1.65, 1.69; 1995–1997, ARR = 1.84; 95% CI = 1.81, 1.87) persisted. Conclusions. Despite significant decreases in inadequate prenatal care and postneonatal death among American Indians and Alaska Natives, additional measures are needed to close persistent health gaps for this group

Confidence interval · Environmental health · Infant mortality · Odds ratio · Population · Prenatal care · Relative risk · Demography · Global Maternal and Child Health · Indigenous Health, Education, and Rights · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Gerontology

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