238584 Birthweight, Prenatal Care, and Tobacco Use Outcomes of Pregnancies among Asian American Subgroups

Monday, October 31, 2011: 10:30 AM

Jiali Ye, PhD , National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA
Yvonne W. Fry-Johnson, MD, MSCR , Department of Pediatrics and NCPC, Morehouse School of Medicine, Atlanta, GA
George Rust , National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA
Background: Despite the extensive heterogeneity of Asian Americans, they are often aggregated when compared with other racial groups on maternal and child health issues. This study aims to examine ethnic differentials in several major indicators of maternal and infant health among Asian American Subgroup populations.

Methods: Data from Birth Certificates of persons of Asian descent in Georgia aggregated from 1997 through 2006 were analyzed. Data are presented for seven Asian origin subgroups—Asian Indians, Chinese, Korean, Filipino, Japanese, Vietnamese, and “Other Asian” Americans. These groups are compared with respect to risk for low birthweight, very low birthweight, inadequate prenatal care, and mother's use of tobacco during pregnancy.

Results: A total of 38774 births were analyzed. Asian Indian mothers and Vietnamese mothers had significantly higher percentages (9.9% and 8.9% respectively) of low birthweight than Chinese mothers (4.4%). A higher percentage of Korean mothers (9.6%) and Filipino mothers (9.0%) had inadequate prenatal care compared to Asian Indian mothers (7.9%), Japanese mothers (6.7%), and “other Asian” mothers (6.6%). A larger proportion of Korean mothers (4.5%), Filipino mothers (2.8%) and Japanese mothers (2.6%) reported use of tobacco during pregnancy compared to mothers from Asian Indian (0.6%), Chinese (0.4%) and Vietnamese (0.6%) subgroups.

Discussion: Maternal and birth characteristics distributions varied by ethnic subgroups. Our findings provide additional evidence of the importance of subgroup analysis when computing data on health outcomes of Asian population.

Learning Areas:
Assessment of individual and community needs for health education

Learning Objectives:
1) To identify salient risks in maternal and infant health in major Asian subgroups. 2) To assess disparities in maternal and birth outcomes within Asian population.

Keywords: Birth Outcomes, Asian Women

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an expert in examining Asian health disparities and health outcomes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.