Perinatal Risk Factors, Prenatal Care Use, Birth Outcomes, and Infant Mortality of Rural and Urban American Indian Women


While American Indians (AIs) constitute a substantial minority population in many rural areas, population-based research on the health status of AI women and infants is limited. This study used the National Linked Birth Death Certificate Data Set for 1989 and 1991 to compare the perinatal risk factors, prenatal care use, birth outcomes, and infant death rates of rural AIs, urban AIs, and whites. Results from this study should help administrators and policy makers to better understand the health care needs of this population, as well as the targeted interventions needed to improve birth outcomes and infant health status. Funded by HRSA’s ORHP.