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Perinatal outcomes for Asian, native Hawaiian, and other Pacific Islander mothers of single and multiple race/ethnicity: California and Hawaii, 2003-2005

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  • Schempf, A.H.
  • Mendola, P.
  • Hamilton, B.E.
  • Hayes, D.K.
  • Makuc, D.M.

Abstract

Objectives. We examined characteristics and birth outcomes of Asian/Pacific Islander (API) mothers to determine whether differences in outcomes existed between mothers of single race/ethnicity and multiple race/ethnicity. Methods. We used data from California and Hawaii birth certificates from 2003 through 2005 to describe variation in birth outcomes for API subgroups by selfreported maternal race/ethnicity (single versus multiple race or API subgroup), and we also compared these outcomes to those of non-Hispanic White women. Results. Low birthweight (LBW) and preterm birth (PTB) varied more among API subgroups than between mothers of single versus multiple race/ethnicity. After adjustment for sociodemographic and behavioral risk factors, API mothers of multiple race/ethnicity had outcomes similar to mothers of single race/ ethnicity, with exceptions for multiple-race/ethnicity Chinese (higher PTB), Filipino (lower LBW and PTB), and Thai (higher LBW) subgroups. Compared with single-race non-Hispanic Whites, adverse outcomes were elevated for most API subgroups: only single-race/ethnicity Korean mothers had lower rates of both LBW (3.4%) and PTB (5.6%); single-race/ethnicity Cambodian, Laotian, and Marshallese mothers had the highest rates of both LBW (8.8%, 9.2%, and 8.4%, respectively) and PTB (14.0%, 13.7%, and 18.8%, respectively). Conclusions. Strategies to improve birth outcomes for API mothers should consider variations in risk by API subgroup and multiple race/ethnicity.

Suggested Citation

  • Schempf, A.H. & Mendola, P. & Hamilton, B.E. & Hayes, D.K. & Makuc, D.M., 2010. "Perinatal outcomes for Asian, native Hawaiian, and other Pacific Islander mothers of single and multiple race/ethnicity: California and Hawaii, 2003-2005," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 877-887.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.177345_3
    DOI: 10.2105/AJPH.2009.177345
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    Cited by:

    1. Britni L. Ayers & Cari A. Bogulski & Ashlea Bennett-Milburn & Anna Fisher & Morda Netwon & Pearl A. McElfish, 2022. "Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    2. Britni L. Ayers & Rachel S. Purvis & Jennifer Callaghan-Koru & Sharon Reece & Sheena CarlLee & Nirvana Manning & Krista Langston & Sheldon Riklon & Pearl A. McElfish, 2023. "Marshallese Mothers’ and Marshallese Maternal Healthcare Providers’ Perspectives on Contraceptive Use and Reproductive Life Planning Practices and Influences," IJERPH, MDPI, vol. 20(5), pages 1-14, February.

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