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Updated: Sep 14, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Baseline differences and comparative change in pregnancy and birth outcomes for the Asian Indian American population:
Tanya Bhargava1, Mugdha Mokashi2, Joe Feinglass3
1Program in Public Health, Northwestern University, 633 N. St Clair 20th Floor, Chicago, IL 60611, USA.
Purpose:
To analyze changes in pregnancy and birth outcomes for the rapidly growing Asian Indian American (AIA) population between 2014 and 2024, comparing foreign born to US born individuals.
Methods:
Using national singleton birth certificate data, logistic and Poisson regression models tested the significance of year and nativity status for ten adverse pregnancy and birth outcomes, adjusting for pre-pregnancy sociodemographic and clinical characteristics.
Results:
There were 57,684 births in 2014 (90.0% immigrant) and 71,398 births in 2024 (86.9% immigrant), reflecting a 23.8% increase. In 2024 the AIA population was older and more educated with a higher prevalence of pre-pregnancy hypertension, diabetes, and obesity. In adjusted analyses, there was an 85% increase in the likelihood of any hypertensive disorder of pregnancy, a 35% increase in the likelihood of gestational diabetes, and a 72% increase in the likelihood of not initiating breastfeeding.
Conclusions:
The AIA birthing population is affected by increasing pre-pregnancy risk factors and adverse metabolic and hypertensive conditions. By 2024, over 20% of AIA birthing individuals experienced at least one adverse pregnancy or birth outcome. These findings pose a major life course challenge to the health of pregnant individuals and their offspring that require both public health and clinical interventions.
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