National Trends in the Perinatal and Infant Health Care of Rural and Urban American Indians (AIs) and Alaska Natives (ANs)


Description:

While there have been dramatic improvements in AI/AN maternal and child health since these measures were first recorded in the mid-1950s, significant disparities persist between AI/AN and non-AI/AN populations in the United States. This study (1) examined trends in prenatal care use, low-birthweight rate, and the neonatal and postneonatal mortality rates in rural and urban AI/AN populations nationally between 1985 and 1997, and compared these trends in the white populations during the same time period; (2) examined trends in causes of death for rural and urban AI/AN populations nationally between 1985 and 1997, and compared these trends to the white population during the same time period; and (3) analyzed trends in our study measures for AI/AN and white populations by Census region, division, and Indian Health Service (IHS) Service Areas. The study used the National Linked Birth Death Data Set at three points in time: 1985-1987, 1989-1991, and 1995-1997, and compared rates of inadequate prenatal care, low birthweight, neonatal and postneonatal death, and causes of death between rural AI/ANs and Caucasians in each of the three time periods, as well as over time. Funded by HRSA’s ORHP.

 

Status:

Complete

 

Publications/Presentations

Authors Title Type Date Documents/Media
Baldwin LM, Grossman DC, Murowchick E, Larson EH, Hollow WB, Sugarman JR, Freeman WL, Hart LG National trends in the perinatal and infant health of rural American Indians (AIs) and Alaska Natives (ANs): have the disparities between AI/ANs and whites narrowed? PUBLICATION 06-30-2008
Full report Policy brief
Baldwin LM, Grossman DC, Murowchick E, Larson EH, Hollow WB, Sugarman JR, Freeman WL, Hart LG Trends in perinatal and infant health disparities between rural American Indians and Alaska Natives and rural whites PUBLICATION 04-01-2009 Article