Trends in Perinatal and Infant Health Disparities Between Rural American Indians and Alaska Natives and Rural Whites
| Autor: | Eric H. Larson, Jonathan R. Sugarman, William L. Freeman, Walter B. Hollow, Laura-Mae Baldwin, L. Gary Hart, Elise Murowchick, David C. Grossman |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Research and Practice Adolescent Health Status National Center for Health Statistics U.S Prenatal care Rural Health White People Young Adult Postneonatal death Cause of Death Health care Infant Mortality Medicine Humans Healthcare Disparities business.industry Public health Public Health Environmental and Occupational Health Infant Newborn Prenatal Care Odds ratio Health Status Disparities Infant Low Birth Weight Infant mortality United States Logistic Models Inuit Relative risk Indians North American Female Rural area business Demography |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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