Maternal morbidity and perinatal outcomes among foreign-born Cambodian, Laotian, and Vietnamese Americans in Washington State, 1993-2006.
This study examined differences in perinatal outcomes of Southeast Asian (SEA) women compared with non-Hispanic white women in Washington. Using linked birth certificate and hospitalization discharge records for the years 1993-2006, we compared singleton births of Cambodian (3,858), Laotian (2,223), and Vietnamese (12,949) women with a random sample of white women (35,581). Associations between maternal nativity and perinatal outcomes were assessed using multivariable logistic regression. There are clear nativity differences among SEAs for gestational diabetes mellitus, anemia, placenta previa and febrile illness. SEAs had increased risks for these disorders when compared with white women. Compared with infants delivered of white women, infants of SEAs had increased risks for moderate to heavy meconium, birth injury and low birth weight. Differences in nativity among SEAs (populations that are traditionally studied in aggregate) should be considered when designing and carrying out interventions to prevent adverse pregnancy morbidity and outcomes among immigrants.
Department of Epidemiology, University of Washington, 1959 NE Pacific St., Box 357236, Seattle, WA 98195-7236, USA. smtang@u.washington.edu
Swee May
SM
Cripe
William
W
O'Brien
Bizu
B
Gelaye
Michelle A
MA
Williams
D000328:Adult; D001210:Asia, Southeastern / Q000208:ethnology; D016208:Databases, Factual; D005260:Female; D006801:Humans; D009017:Morbidity; D018743:Perinatal Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000208:ethnology; D011256:Pregnancy Outcome / Q000208:ethnology*; D014861:Washington / Q000453:epidemiology; D055815:Young Adult