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The Asian birth outcome gap.

CPQCC Publication
TitleThe Asian birth outcome gap.
Publication TypeJournal Article
Year of Publication2006
AuthorsQin C, Gould JB
JournalPaediatr Perinat Epidemiol
Date Published2006 Jul
KeywordsAdult, Asia, Birth Weight, California, Female, Humans, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Maternal Age, Parity, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Risk Factors, Socioeconomic Factors, Sudden Infant Death

Asians are often considered a single group in epidemiological research. This study examines the extent of differences in maternal risks and birth outcomes for six Asian subgroups. Using linked birth/infant death certificate data from the State of California for the years 1992-97, we assessed maternal socio-economic risks and their effect on birthweight, preterm delivery (PTD), neonatal, post-neonatal and infant mortality for Filipino (87,120), Chinese (67,228), Vietnamese (45,237), Korean (23,431), Cambodian/Laotian (21,239) and Japanese (18,276) live singleton births. The analysis also included information about non-Hispanic whites and non-Hispanic blacks in order to give a sense of the magnitude of risks among Asians. Logistic regression models explored the effect of maternal risk factors and PTD on Asian subgroup differences in neonatal and post-neonatal mortality, using Japanese as the reference group. Across Asian subgroups, the differences ranged from 2.5- to 135-fold for maternal risks, and 2.2-fold for infant mortality rate. PTD was an important contributor to neonatal mortality differences. Maternal risk factors contributed to the disparities in post-neonatal mortality. Significant differences in perinatal health across Asian subgroups deserve ethnicity-specific interventions addressing PTD, teen pregnancy, maternal education, parity and access to prenatal care.

Alternate JournalPaediatr Perinat Epidemiol
PubMed ID16879500