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Chris Wells, MS

Differing maternal health and birth outcomes among U.S.-born and Foreign-born African American/Black women in Colorado. Chris Wells, MS. Results from the African American PRAMS study. Colorado PRAMS. Colorado was funded in 1996 Received special 3-year grant in April, 2001 Local surveys

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Chris Wells, MS

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  1. Differing maternal health and birth outcomes among U.S.-born and Foreign-born African American/Black women in Colorado Chris Wells, MS Results from the African American PRAMS study

  2. Colorado PRAMS • Colorado was funded in 1996 • Received special 3-year grant in April, 2001 • Local surveys • Medicaid record/birth certificate linking • Web-based queriable PRAMS data • African American survey

  3. African American/Black PRAMS • Surveys mailed to all Black mothers who gave birth between July and December 2002 • Response rate = 62% (n=823) • High number of women with language/conceptual barriers • 19% of women in sample are foreign born (n=144) • Of those, 67% are from African countries (13% of sample)

  4. From a list of 14 stressors

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  6. Prenatal Care • No major differences between the two groups. • No difference in entry into prenatal care after first trimester • Foreign born more likely to be seen in a health department clinic, less likely to be seen in private practice. • Foreign born less likely to be covered by Medicaid, more likely to be covered by CICP.

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  12. Summary • There are many differences between foreign born and US born Black women in their perinatal experiences and outcomes. • Acculturation? -- Don’t know how long foreign born have been in the US • 2006 CO Birth Certificate will gather this information • Service Provision? -- Can’t assume all African American/Black women share the same background

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