Kieffer E C, Mor J M, Alexander G R
University of Michigan, School of Public Health, Ann Arbor 48109-2029.
Am J Public Health. 1994 Sep;84(9):1501-4. doi: 10.2105/ajph.84.9.1501.
Hawaii vital record data for 1979 through 1990 were analyzed to examine potentially differing relationships between maternal and infant risks and outcomes in native Hawaiian and White infants. Despite high rates of inadequate prenatal care and teenage and unmarried childbearing, the Hawaiian low-birth-weight rate was below the US average. Hawaiian infants experienced an elevated risk of mortality, particularly among those of normal birthweight during the postneonatal period. Public health initiatives to reduce infant mortality must go beyond preventing teenage pregnancy and low birthweight to address Hawaiian infants' unique pattern of risk factors and the social and economic environment in which such risks abound.
对1979年至1990年夏威夷的生命记录数据进行了分析，以研究夏威夷原住民婴儿和白人婴儿在孕产妇和婴儿风险及结局之间可能存在的不同关系。尽管产前护理不足、青少年生育和未婚生育的比例很高，但夏威夷的低体重出生率低于美国平均水平。夏威夷婴儿的死亡风险有所增加，尤其是在出生体重正常的婴儿中，在新生儿后期更为明显。降低婴儿死亡率的公共卫生举措必须超越预防青少年怀孕和低体重出生，以解决夏威夷婴儿独特的风险因素模式以及此类风险普遍存在的社会和经济环境。
