Academic Journal

Maternal and Perinatal Health Disparities Among Middle Eastern and North African Women and Children in the United States.

التفاصيل البيبلوغرافية
العنوان: Maternal and Perinatal Health Disparities Among Middle Eastern and North African Women and Children in the United States.
المؤلفون: Kindratt, Tiffany B., Dallo, Florence J., Brown, Kyrah K.
المصدر: Maternal & Child Health Journal; Apr2024, Vol. 28 Issue 4, p719-728, 10p
مصطلحات موضوعية: MATERNAL health services, RESEARCH funding, SMOKING, CHILD health services, DESCRIPTIVE statistics, CHI-squared test, NORTH Africans, ODDS ratio, LOW birth weight, MEDICAL appointments, MARITAL status, HEALTH equity, WOMEN'S health, CONFIDENCE intervals, MIDDLE Easterners, EDUCATIONAL attainment
مصطلحات جغرافية: UNITED States
مستخلص: Introduction: Few studies have evaluated the health of Middle Eastern and North African (MENA) women and children in the United States. Objectives were to determine the odds of well-visits, preventive behaviors during pregnancy, and low birthweight among foreign-born non-Hispanic MENA women and children compared to their US- and foreign-born non-Hispanic White counterparts after adjusting for covariates (hereafter, reported as MENA and White). Methods: We analyzed 2000–2018 National Health Interview Survey data (411,709 women, 311,961 children). Outcomes included well-woman visits (past 12 months); dentist visits (past 6 months) and current smoking among pregnant women; and low, moderately low, and very low birthweight among children. Covariates included age, family income, and health insurance for children. Education and marital status were also evaluated among women. Results: Over half (53.4%) of foreign-born MENA women were of childbearing age (ages 18–45) compared to 47.7% US-born and 43.2% foreign-born White women. The odds of completing a well-women visit were 0.73 times lower (95% CI = 0.38–0.89) among foreign-born MENA women compared to US-born White women after adjusting for age, education, and marital status. There was no statistically significant difference in dental visits between groups. No foreign-born MENA pregnant women reported current smoking. Foreign-born MENA children had higher odds of low (OR = 1.65; 95% CI = 1.16–2.35) and moderately low birthweight (OR = 1.78; 95% CI = 1.19–2.66) compared to US-born White children in adjusted models. Discussion: MENA women and children are classified as White by the federal government. Our results highlight that the health of foreign-born MENA women and children differ from their White counterparts. Significance: What is already known on this subject?: National studies have evaluated maternal and perinatal health among minoritized groups; however, none have presented results among Middle Eastern and North African (MENA) women and children. The few studies that have evaluated MENA maternal and child health (MCH) outcomes have provided only state and local estimates. What this study adds?: This study provides nationally representative baseline data on the maternal and perinatal health of foreign-born MENA women and children. This is the first study to examine oral health among pregnant MENA women compared to US- and foreign-born pregnant White women. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10927875
DOI:10.1007/s10995-023-03863-6