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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Ann M Dozier, RN, PhD, Department of Community and Preventive Medicine, University of Rochester, Box 324, 601 Elmwood Avenue, Rochester, NY 14642, 585-273-2592, ann_dozier@urmc.rochester.edu and Phyllis Collier, MSPH, Perinatal Network of Monroe County, 339 East Avenue, Rochester, NY 14605.
Disparities for perinatal outcomes among ethnic minorities were highlighted in Healthy People 2010. Much attention is paid to African American (AA) women, as outcomes for Hispanics have traditionally been on par with those of non-Hispanic whites. This is changing. Analysis of births among upstate New York inner city Hispanic women demonstrated worsening outcomes from 1999 to 2001. Low birthweight (LBW) births increased by 27% from 7 to 9% (while AA LBW births declined 13%). Preterm births (PTB) increased 13% in both groups. Protective effects of Hispanic family/culture were often credited for their heretofore low rates of LBW and PTB. Factors contributing to the recent increases are unclear.A follow-on study using Population Attributable Risk (PAR) analysis compared LBW and PTB outcomes among inner city Hispanic and AA women using 12 risk factors (e.g. maternal education, prior PTB, smoking). A factor’s attributable risk identifies the extent of potential outcome improvement if the factor’s impact is mitigated.PAR% defined two leading factors for Hispanic women’s birth outcomes: late entry into care (LBW:38%/PTB19%) and medical risk (LBW:22%/PTB:10%). Maternal education (22%) was associated only with LBW births. This was not a factor among births to AA women. Relatively, prior PTB had a much lower PAR% for both outcomes in both ethnic groups (6-7%). Mother being born outside the US did not influence Hispanic’s perinatal outcomes, although it functioned as a protective factor for AA women.These differences reinforce the importance of creating programs driven by data and sensitive to differences among ethnic minorities.
Learning Objectives:
Keywords: Hispanic, Perinatal Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.