Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives

Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) Rural Health Research Center, Department of Family Medicine, University of Washington, Seattle, WA 98195-4696, USA.
American Journal of Public Health (Impact Factor: 4.55). 09/2002; 92(9):1491-7. DOI: 10.2105/AJPH.92.9.1491
Source: PubMed

ABSTRACT We sought to provide a national profile of rural and urban American Indian/Alaska Native (AI/AN) maternal and infant health.
In this cross-sectional study of all 1989-1991 singleton AI/AN births to US residents, we compared receipt of an inadequate pattern of prenatal care, low birthweight (< 2500 g), infant mortality, and cause of death for US rural and urban AI/AN and non-AI/AN populations.
Receipt of an inadequate pattern of prenatal care was significantly higher for rural than for urban mothers of AI/AN infants (18.1% vs 14.4%, P </=.001); rates for both groups were over twice that for Whites (6.8%). AI/AN postneonatal death rates (rural = 6.7 per 1000; urban = 5.4 per 1000) were more than twice that of Whites (2.6 per 1000).
Preventable disparities between AI/ANs and Whites in maternal and infant health status persist.

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