reproductive health indicators for asian women in massachusetts susan e. manning, md, mph cdc...
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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
Teen Births (<20 yrs) by Race and Asian Ethnicity, 2010 MA Birth Data
MA
White
, NH
Asian/P
I
Asian In
dian
Cambodian
Chinese
Korean
Vietnam
ese
Other A
sian/P
I0
5
10
15
20
25
5.43.5
2.0
11.7
0.32.9
Perc
ent
** *
* Calculations based on 1-4 events are excluded.
Preterm Births by Race and Asian Ethnicity, 2010 MA Birth Data
MA
White
, NH
Asian
Asian In
dian
Cambodian
Chinese
Korean
Vietnam
ese
Other A
sian/P
I0
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
, NH
Asian
Asian In
dian
Cambodian
Chinese
Korean
Vietnam
ese
Other A
sian
0
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
, NH
Asian
Chinese
Cambodian
Asian In
dian
Vietnam
ese
Korean
Other A
sian/P
I0
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 70
32.5
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 70
45.9
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
Cambodian
Other Asian
Korean
Chinese
Total Asian
Japanese
Asian Indian
Filipino
Vietnamese
0 5 10 15 20 25
6.7
4.8
5.5
10.3
11.6
11.6
12.1
14.4
15.3
15.8
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 25
5.9
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