Office of Analysis & Epidemiology, National Center for Health Statistics, 3311 Toledo Road, Room 6103, Hyattsville, MD 20782, USA.
Am J Public Health. 2010 May;100(5):877-87. doi: 10.2105/AJPH.2009.177345. Epub 2010 Mar 18.
We examined characteristics and birth outcomes of Asian/Pacific Islander (API) mothers to determine whether differences in outcomes existed between mothers of single race/ethnicity and multiple race/ethnicity.
We used data from California and Hawaii birth certificates from 2003 through 2005 to describe variation in birth outcomes for API subgroups by self-reported maternal race/ethnicity (single versus multiple race or API subgroup), and we also compared these outcomes to those of non-Hispanic White women.
Low birthweight (LBW) and preterm birth (PTB) varied more among API subgroups than between mothers of single versus multiple race/ethnicity. After adjustment for sociodemographic and behavioral risk factors, API mothers of multiple race/ethnicity had outcomes similar to mothers of single race/ethnicity, with exceptions for multiple-race/ethnicity Chinese (higher PTB), Filipino (lower LBW and PTB), and Thai (higher LBW) subgroups. Compared with single-race non-Hispanic Whites, adverse outcomes were elevated for most API subgroups: only single-race/ethnicity Korean mothers had lower rates of both LBW (3.4%) and PTB (5.6%); single-race/ethnicity Cambodian, Laotian, and Marshallese mothers had the highest rates of both LBW (8.8%, 9.2%, and 8.4%, respectively) and PTB (14.0%, 13.7%, and 18.8%, respectively).
Strategies to improve birth outcomes for API mothers should consider variations in risk by API subgroup and multiple race/ethnicity.
我们研究了亚裔/太平洋岛民(API)母亲的特征和生育结局,以确定单一种族/民族和多种族/民族母亲的结局是否存在差异。
我们使用了 2003 年至 2005 年加利福尼亚州和夏威夷州出生证明的数据,按自我报告的母亲种族/民族(单一种族/民族与多种族/民族或 API 亚组)描述 API 亚组的生育结局差异,并且我们还将这些结果与非西班牙裔白人妇女的结果进行了比较。
低出生体重(LBW)和早产(PTB)在 API 亚组之间的差异大于单一种族/民族母亲之间的差异。在调整了社会人口统计学和行为危险因素后,多种族/民族的 API 母亲的结局与单一种族/民族的母亲相似,但多种族/民族的中国(PTB 较高)、菲律宾(LBW 和 PTB 较低)和泰国(LBW 较高)亚组除外。与单一种族非西班牙裔白人相比,大多数 API 亚组的不良结局都有所升高:只有单一种族/民族的韩国母亲的 LBW(3.4%)和 PTB(5.6%)发生率较低;单一种族/民族的柬埔寨、老挝和马绍尔群岛母亲的 LBW(分别为 8.8%、9.2%和 8.4%)和 PTB(分别为 14.0%、13.7%和 18.8%)发生率最高。
改善 API 母亲生育结局的策略应考虑 API 亚组和多种族/民族的风险差异。