Disparities in Risk Factors and Birth Outcomes Among American Indians in North Dakota

Ramona A. Danielson, Jordyn T. Wallenborn, Donald K. Warne, Saba W. Masho

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives High infant mortality rates among American Indians in North Dakota contribute to a 20-year gap in average age at death compared to whites. Geographic- and race-specific health disparities data to drive policy making and interventions are not well disseminated. The current study examines prenatal risk factors and birth outcomes between American Indian and whites in North Dakota. Methods A retrospective descriptive analysis of North Dakota live births from 2007 to 2012 was conducted. Period prevalence and prevalence ratios were calculated. Results The infant mortality rate from 2010 to 2012 for infants born to American Indian women was 3.5 times higher than whites. Racial disparities existed in education, teen births, tobacco use during pregnancy, and breastfeeding initiation. Disparities widened for inadequate prenatal care, illegal drug use during pregnancy, and infant mortality from 2007–2009 to 2010–2012 and narrowed for sexually transmitted infections and alcohol use during pregnancy. Conclusions for Practice American Indians are disproportionately affected by poor pregnancy and birth outcomes in North Dakota. Future geographic-specific American Indian research is warranted to aid current and future public health interventions.

Original languageEnglish (US)
Pages (from-to)1519-1525
Number of pages7
JournalMaternal and Child Health Journal
Volume22
Issue number10
DOIs
StatePublished - Oct 1 2018

Fingerprint

North American Indians
Parturition
Infant Mortality
Pregnancy
Prenatal Care
Mortality
Policy Making
Live Birth
Tobacco Use
Pregnancy Outcome
Sexually Transmitted Diseases
Breast Feeding
Public Health
Alcohols
Education
Health
Research
Pharmaceutical Preparations

Keywords

  • American Indian
  • Birth outcomes
  • North Dakota
  • Racial disparities

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Disparities in Risk Factors and Birth Outcomes Among American Indians in North Dakota. / Danielson, Ramona A.; Wallenborn, Jordyn T.; Warne, Donald K.; Masho, Saba W.

In: Maternal and Child Health Journal, Vol. 22, No. 10, 01.10.2018, p. 1519-1525.

Research output: Contribution to journalArticle

Danielson, Ramona A. ; Wallenborn, Jordyn T. ; Warne, Donald K. ; Masho, Saba W. / Disparities in Risk Factors and Birth Outcomes Among American Indians in North Dakota. In: Maternal and Child Health Journal. 2018 ; Vol. 22, No. 10. pp. 1519-1525.
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