| Titre : | Perinatal and infant health among rural and urban American Indians/Alaska natives. (2002) |
| Auteurs : | Laura-Mae BALDWIN ; Susan CASEY ; William-L FREEMAN ; David-C GROSSMAN ; Lgary HART ; Walter HOLLOW ; Jonathan-R SUGARMAN ; Washington. Wyoming. Alaska. Montana. And Idaho Wwami Rural Health Research Center. Department of Family Medicine. University of Washington. Seattle. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 92, n° 9, 2002) |
| Pagination : | 1491-1497 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Surveillance épidémiologique ; Epidémiologie ; Ethnie ; Etat santé ; Mère ; Milieu urbain ; Milieu rural ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS oR0xC2I1. Diffusion soumise ... autorisation]. Objectives. We sought to provide a national profile of rural and urban American Indian/Alaska Native (Al/AN) maternal and infant health. Methods. In this cross-sectional study of all 1989-1991 singleton Al/AN births to US residents, we compared receipt of an inadequate pattern of prenatal care, low birthweight (<2500 g), infant mortality, and cause of death for US rural and urben Al/An and non-Al/AN populations. Results. Receipt of an inadequate pattern of prenatal care was significantly higher for rural than for urban mothers of Al/AN infants (18.1% vs 14.4%, P<=001) ; rates for both groups were over twice that for Whites (6.8%). Al/AN postneonatal death rates (rural=6.7 per 1000 ; urban=5.4 per 1000) were more than twice that of Whites (2.6 per 1000). Conclusions. Preventable disparities between Al/ANs and Whites in maternal and infant health status persist. |
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