Reproductive Health Indicators for Asian Women in Massachusetts
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Reproductive Health Indicators for Asian Women in Massachusetts Susan E. Manning, MD, MPH CDC Maternal and Child Health Epidemiology Assignee Massachusetts Department of Public Health
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Reproductive Health Indicators for Asian Women in Massachusetts. Susan E. Manning, MD, MPH CDC Maternal and Child Health Epidemiology Assignee Massachusetts Department of Public Health. Background. Asian-Americans are a diverse population Often stereotyped as the “healthy minority” - PowerPoint PPT Presentation
Transcript of Reproductive Health Indicators for Asian Women in Massachusetts
Reproductive Health Indicators for Asian Women in Massachusetts
Susan E. Manning, MD, MPHCDC Maternal and Child Health Epidemiology
AssigneeMassachusetts Department of Public Health
Background• Asian-Americans are a diverse population• Often stereotyped as the “healthy minority”• Asian American women have highest life
expectancy (85.8 years) in U.S. • Grouping Asian Americans into a single category
can masks disparities in health outcomes
Births by Race and Asian Ethnicity, Massachusetts PRAMS, 2007-2010
Teen Births (<20 yrs) by Race and Asian Ethnicity, 2010 MA Birth Data
MA
White, N
H
Asian/PI
Asian In
dian
Cambodian
Chinese
Korean
Vietnamese
Other Asia
n/PI0
5
10
15
20
25
5.43.5
2.0
11.7
0.32.9Pe
rcen
t
** *
* Calculations based on 1-4 events are excluded.
Preterm Births by Race and Asian Ethnicity, 2010 MA Birth Data
MA
White, N
HAsia
n
Asian In
dian
Cambodian
Chinese
Korean
Vietnamese
Other Asia
n/PI0
5
10
15
20
25
8.6 8.2 8.1 7.59.4
6.78.4 8.8 9.3
Perc
ent
Low Birthweight Births by Race and Asian Ethnicity, 2010 MA Birth Data
MA
White, N
HAsia
n
Asian In
dian
Cambodian
Chinese
Korean
Vietnamese
Other Asia
n0
5
10
15
20
25
7.8 7.08.6
10.6 10.3
5.77.0 7.6
9.7
Perc
ent
Adequate Prenatal Care* by Race and Asian Ethnicity, MA Births 2010
MA
White, N
HAsia
n
Chinese
Cambodian
Asian In
dian
Vietnamese
Korean
Other Asia
n/PI0
102030405060708090
10084.9 87.3 85.1 87.2
81.6 85.4 86.3 86.0 81.3
Perc
ent
* Adequacy of prenatal care is based on the Adequacy of Prenatal Care Utilization (APNCU) Index.
Unintended Pregnancy by Asian Ethnicity, MA PRAMS 2007-2010
MA
CambodianVietnameseOther AsianTotal Asian
FilipinoKorean
ChineseJapanese
Asian Indian
0 10 20 30 40 50 60 7032.5
48.738.8
34.526.3
25.424.8
23.517.3
13.4
Percent
**
*
*
* Statistically significantly lower than the state total.* Statistically significantly higher than the state total.
Breastfeeding Exclusively at 8 Weeks Asian Ethnicity, MA PRAMS 2007-2010
MA
FilipinoAsian Indian
JapaneseOther AsianTotal Asian
ChineseKorean
VietnameseCambodian
0 10 20 30 40 50 60 7045.9
63.947.4
43.842.842.3
41.237
33.532
Percent
No statistically significant differences observed.
Gestational Diabetes Mellitus (GDM) by Asian Ethnicity, MA PRAMS 2007-2010
Massachusetts
CambodianOther Asian
KoreanChinese
Total AsianJapanese
Asian IndianFilipino
Vietnamese
0 5 10 15 20 25
6.7
4.85.5
10.311.611.6
12.114.4
15.315.8
Percent
*
*
*
*
*
* Statistically significantly higher than the state total.
Postpartum Check-up by Asian Ethnicity, MA PRAMS 2007-2010
Massachusetts
FilipinoOther AsianVietnameseCambodianTotal Asian
KoreanChinese
Asian IndianJapanese
0 5 10 15 20 255.9
12.710.4
9.85.75.7
3.93.83.8
2.1
% of Women Not Receiving a 6-week Post-Partum Check-up
Percent
No statistically significant differences observed.
Discussion• Asian women as a group do as well or better than
other racial groups on a variety of reproductive health indicators
• Important differences exist when examined by subgroup
• Data limitations include small numbers for some subgroups and limited languages included in PRAMS (English and Spanish only)
• Disaggregation of Asian ethnic groups is needed to accurately reflect risk factors and health outcomes and appropriately inform interventions
Questions?
