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Racial and Ethnic Disparities in Preterm Birth Among American Indian and Alaska Native Women

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Abstract

Objectives

Preterm birth disproportionately affects American Indian/Alaska Native (AI/AN) women. This disparity in birth outcomes may stem from higher levels of exposure to psychosocial, sociodemographic, and medical risk factors.

Methods

This paper reviews relevant research related to preterm birth in American Indian and Alaska Native women.

Conclusions

This narrative review examines disparities in preterm birth rates between AI/AN and other American women, and addresses several maternal risk factors and barriers that contribute to elevated preterm birth rates among this racial minority group. Additionally, this paper focuses on recent evidence that geographical location can significantly impact preterm birth rates among AI/AN women. In particular, access to care among AI/AN women and differences between rural and urban areas are discussed.

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Acknowledgments

Financial support for this study was provided in part by a grant from the Maternal and Child Health Bureau (Title V, Social Security Act, Health Resources and Services Administration, and Department of Health and Human Services (DHHS). The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report.

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Authors and Affiliations

  1. Department of Research, American College of Obstetricians and Gynecologists, Washington, DC, 20024, USA

    Greta B. Raglan, Katherine M. Jones & Jay Schulkin

  2. Department of Psychology, American University, Washington, DC, 20016, USA

    Greta B. Raglan & Katherine M. Jones

  3. Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle, WA, 98195, USA

    Sophia M. Lannon

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  1. Greta B. Raglan
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Raglan, G.B., Lannon, S.M., Jones, K.M. et al. Racial and Ethnic Disparities in Preterm Birth Among American Indian and Alaska Native Women. Matern Child Health J 20, 16–24 (2016). https://doi.org/10.1007/s10995-015-1803-1

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