Neonatal mortality among disaggregated Asian American and Native Hawaiian/Pacific Islander populations.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-10-13 DOI:10.1038/s41372-024-02149-1

Isabelle Nguyên Ý Maricar, Daniel Helkey, Santhosh Nadarajah, Risa Akiba, Adrian Matias Bacong, Sheila Razdan, Latha Palaniappan, Ciaran S Phibbs, Jochen Profit

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引用次数: 0

Abstract

Objective: We compared neonatal (<28 days) mortality rates (NMRs) across disaggregated Asian American and Native Hawaiian/Pacific Islander (AANHPI) groups using recent, national data.

Study design: We used 2015-2019 cohort-linked birth-infant death records from the National Vital Statistics System. Our sample included 61,703 neonatal deaths among 18,709,743 births across all racial and ethnic groups. We compared unadjusted NMRs across disaggregated AANHPI groups, then compared NMRs adjusting for maternal sociodemographic, maternal clinical, and neonatal risk factors.

Results: Unadjusted NMRs differed by over 3-fold amongst disaggregated AANHPI groups. Native Hawaiian/Pacific Islander neonates in aggregate had the highest fully-adjusted odds of mortality (OR: 1.08 [95% CI: 0.89, 1.31]) compared to non-Hispanic White neonates. Filipino, Asian Indian, and Other Asian neonates experienced significant decreases in odds ratios after adjusting for neonatal risk factors.

Conclusion: Aggregating AANHPI neonates masks large heterogeneity and undermines opportunities to provide targeted care to higher-risk groups.

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按亚裔美国人和夏威夷原住民/太平洋岛民分类的新生儿死亡率。

研究目的我们比较了新生儿（研究设计：我们使用了国家人口动态统计系统中 2015-2019 年队列关联的出生-婴儿死亡记录。我们的样本包括所有种族和民族群体中 18709743 例新生儿中的 61703 例新生儿死亡。我们比较了按 AANHPI 分类的各组未经调整的新生儿死亡率，然后比较了根据产妇社会人口学、产妇临床和新生儿风险因素调整后的新生儿死亡率：结果：在按亚非裔美国人和太平洋岛民分类的群体中，未经调整的新生儿死亡率相差超过 3 倍。与非西班牙裔白人新生儿相比，夏威夷原住民/太平洋岛民新生儿总的完全调整后死亡几率最高（OR：1.08 [95% CI：0.89, 1.31]）。在对新生儿风险因素进行调整后，菲律宾裔、亚裔印度人和其他亚裔新生儿的几率显著下降：结论：将亚裔、印地安人和其他亚裔新生儿聚集在一起会掩盖巨大的异质性，并破坏为高风险群体提供有针对性护理的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.