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Reproductive Health Indicators for Asian Women in Massachusetts. Susan E. Manning, MD, MPH CDC Maternal and Child Health Epidemiology Assignee Massachusetts Department of Public Health. Background. Asian-Americans are a diverse population Often stereotyped as the “healthy minority”
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Reproductive Health Indicators for Asian Women in Massachusetts Susan E. Manning, MD, MPH CDC Maternal and Child Health Epidemiology Assignee Massachusetts 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
Births by Race and Asian Ethnicity, Massachusetts PRAMS, 2007-2010
Teen Births (<20 yrs) by Race and Asian Ethnicity, 2010 MA Birth Data * Calculations based on 1-4 events are excluded.
PretermBirths by Race and Asian Ethnicity, 2010 MA Birth Data
Low BirthweightBirths by Race and Asian Ethnicity, 2010 MA Birth Data
Adequate Prenatal Care* by Race and Asian Ethnicity, MA Births 2010 * Adequacy of prenatal care is based on the Adequacy of Prenatal Care Utilization (APNCU) Index.
Unintended Pregnancy by Asian Ethnicity, MA PRAMS 2007-2010 * • * 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 No statistically significant differences observed.
Gestational Diabetes Mellitus (GDM) by Asian Ethnicity, MA PRAMS 2007-2010 * * * * Statistically significantly higher than the state total.
Postpartum Check-up by Asian Ethnicity, MA PRAMS 2007-2010 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