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Adverse Outcomes Among Asian Indian Singleton Births in New Jersey, 2008-2011

Karen Kurtyka1, Sunanda Gaur, Naveen Mehrotra

  • 1Department of Epidemiology, Rutgers School of Public Health, 683 Hoes Lane West, Room 221, Piscataway, NJ, 08854, USA.

Journal of Immigrant and Minority Health
|July 23, 2014
PubMed

Insights

Asian Indian (AI) newborns in New Jersey had higher rates of low birth weight (LBW) and small for gestational age (SGA). Anemia was a unique predictor of SGA in AI infants, highlighting disparities in perinatal health.

Area of Science:

  • Perinatal epidemiology
  • Maternal-fetal health
  • Ethnic health disparities

Background:

  • Asian Indians (AI) are a growing population in the United States, yet their perinatal health outcomes compared to other ethnic groups are not well-characterized.
  • Understanding birth outcomes like low birth weight (LBW) and small for gestational age (SGA) is crucial for public health initiatives.

Purpose of the Study:

  • To determine the incidence of LBW, SGA, preterm birth, and perinatal morbidity among AI in New Jersey.
  • To identify predictors of SGA specifically within the AI population and compare them to non-Hispanic white (NHW) populations.

Main Methods:

  • Analysis of singleton birth records from New Jersey (2008-2011).
  • Comparison of perinatal outcomes between mothers identified as AI and NHW.
  • Statistical analysis to identify factors associated with SGA in both groups.

Main Results:

  • AI infants had elevated rates of LBW and SGA compared to NHW infants.
  • Preterm birth rates were similar between AI and NHW infants, but neonatal intensive care unit admission was lower for AI.
  • Predictors of SGA in AI included nulliparity, anemia, hypertension, placental abruption, and lack of prenatal care; anemia was uniquely associated with SGA in AI.

Conclusions:

  • AI infants experience higher rates of SGA despite similar preterm birth rates to NHW infants.
  • Specific maternal factors, notably anemia, are uniquely associated with SGA in the AI population.
  • These findings underscore the need for targeted interventions to address perinatal health disparities among Asian Indians.

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