Health Disparities Beginning Prenatally: Risk Factors and Birth Outcomes Among American Indians in North Dakota
Methods: Data from birth and death records from the ND Department of Health Division of Vital Records was examined, including period prevalence of a variety of risk factors and birth outcomes by race of the mother.
Results: From 2010-2012, 10% of births in ND were to AI mothers. Infants born to AI mothers were more likely to experience prenatal risk factors than infants born to white mothers, including inadequate prenatal care, teen births, smoking, drinking, or using illegal drugs during pregnancy, and gestational diabetes. Infants born to AI mothers were also more likely to experience poor birth outcomes, including preterm birth, low birth weight, and infant mortality.
Conclusions: AI mothers in ND are more likely to experience prenatal risk factors and poor birth outcomes compared to infants born to white mothers. Statewide efforts to reduce poor outcomes for AI children include the Infant Mortality Collaborative Improvement and Innovation Network (CoIIN) focusing on safe sleep, smoking cessation, social determinants of health, and prevention of preterm deliveries with targeted outreach to the state’s tribal communities.
Public health or related public policy
Public health or related research
Social and behavioral sciences
Describe the patterns of disparities in risk factors and birth outcomes for infants born to American Indian mothers in North Dakota. Explain contextual factors contributing to the differences seen in risk factors and birth outcomes for infants born to American Indian mothers in North Dakota.
Keyword(s): Birth Outcomes, Health Disparities/Inequities
Qualified on the content I am responsible for because: I am a program evaluator and research specialist with the MPH program at North Dakota State University, with a special focus on American Indian health disparities. I have 15 years of experience in applied social research on maternal and child health-related projects in the northern Plains. My scientific interests include improving outcomes across the life course through maternal, infant, and child health and early childhood experiences.
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.