Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Dela Cruz, Rica ; Grant, Jeanolivia ; Heck, Julia E. ; Cash, Haley L.
Dela Cruz, Rica ; Grant, Jeanolivia ; Heck, Julia E. ; Cash, Haley L. Less -
Description:
Introduction

Although other studies have found evidence for perinatal health disparities among Pacific Islanders in other regions, no studies have evaluated racial/ethnic disparities in adverse perinatal health outcomes in the small US island territory of the Commonwealth of the Northern Mariana Islands (CNMI).

Methods

We used retrospective cohort data on 8,427 singleton births from 2007 to 2014 at the Commonwealth Healthcare Corporation (CHCC), the only hospital in the CNMI. We used multivariate logistic regression to estimate risk for preterm birth (<37 weeks) and macrosomia (>4,000 g) among the racial/ethnic groups in the CNMI.

Results

Indigenous CNMI mothers (Chamorros and Carolinians, hereinafter Chamorro/Carolinian) and other Pacific Islander mothers were significantly more likely to have a preterm birth than Chinese mothers (adjusted odds ratio [AOR] = 2.7; 95% confidence interval [CI], 2.0–3.6 for Chamorro/Carolinians and AOR = 2.9; 95% CI, 2.1–4.1 for other Pacific Islanders). Additionally, Chamorro/Carolinian mothers and other Pacific Islander mothers were also significantly more likely to deliver babies with macrosomia (AOR = 2.4; 95% CI, 1.7–3.5 and 2.3; 95% CI 1.4–3.6 respectively) than Filipino mothers.

Conclusion

Although underlying causes for these disparities are still unknown, these findings add to the limited knowledge on maternal and neonatal health among Pacific Islanders and provide support for further research and intervention development to aid in reducing racial/ethnic disparities of perinatal health in the CNMI.


Subjects:
[+]
Adult Asians Female Fetal Macrosomia Gestational Age Health Status Disparities Humans Infant, Low Birth Weight Infant, Newborn Multivariate Analysis Native Hawaiian Or Other Pacific Islander Outcome Assessment, Health Care Pregnancy Premature Birth Prenatal Care Retrospective Studies Risk Factors Self Report Young Adult
Source:
Prev Chronic Dis. 15.
Pubmed ID:
29522702
Pubmed Central ID:
PMC5858154
Document Type:
Journal Article
Funding:
R21 CA175959/CA/NCI NIH HHS/United States
Place as Subject:
Micronesia
Location:
Oceania
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:2c90ee4513dd4404c1abd74be8a254c554b05a1d30f031a5905a7619bb7c712d
Download URL:
https://stacks.cdc.gov/view/cdc/53087/cdc_53087_DS1.pdf
File Type:

Supporting Files

• PCD-15-E29.nxml

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