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Am J Perinatol 2019; 36(12): 1256-1263
DOI: 10.1055/s-0038-1676487
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patterns of Preterm Birth among Women of Native Hawaiian and Pacific Islander Descent

Molly R. Altman
1   Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, Washington
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
,
Rebecca J. Baer
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
3   Department of Pediatrics, University of California, San Diego, La Jolla, California
,
Laura L. Jelliffe-Pawlowski
2   California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California
4   Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California
› Institutsangaben Funding This research was supported by the University of California, San Francisco, California Preterm Birth Initiative, funded by Lynne and Marc Benioff.
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Publikationsverlauf

20. März 2018

24. Oktober 2018

Publikationsdatum:
21. Dezember 2018 (online)

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Abstract

Objective To describe the characteristics and risk factors for preterm birth in Hawaiian and Pacific Islander women.

Study Design Retrospective cohort study of 10,470 women of Hawaiian or Pacific Islander descent drawn from a population-based birth cohort dataset in California. Variables were examined across preterm birth subtype (spontaneous, provider initiated) and by gestational age grouping (early preterm birth and late preterm birth) and all preterm births.

Results Hawaiian/Pacific Islander women were at higher risk for preterm birth when they had fewer than three prenatal visits; were underweight, reported tobacco, alcohol, or illicit drugs use in pregnancy; had a diagnosis of anemia, gestational diabetes, preexisting diabetes, or hypertension with or without pre-eclampsia; or had a history of previous preterm birth. Obesity was found to be protective for preterm birth.

Conclusion Women of Hawaiian and Pacific Islander descent demonstrate a similar yet unique constellation of risk and protective factors for preterm birth as compared with other groups at high risk for preterm birth. Interventions aimed to prevent preterm birth need to support the specific needs of this population.

Keywords

Hawaiian - Pacific Islander - preterm birth - racial

Supplementary Material