Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Oct 13:10.1038/s41372-024-02149-1.
doi: 10.1038/s41372-024-02149-1. Online ahead of print.

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

Isabelle Nguyên Ý Maricar  1   2 , Daniel Helkey  3   4 , Santhosh Nadarajah  5   6 , Risa Akiba  5   7 , Adrian Matias Bacong  5   8 , Sheila Razdan  3 , Latha Palaniappan  5   8 , Ciaran S Phibbs #  3   9 , Jochen Profit #  3   4
Affiliations

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

Isabelle Nguyên Ý Maricar et al. J Perinatol. .

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.

PubMed Disclaimer

Conflict of interest statement

COMPETING INTERESTS

The authors declare no competing interests. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the U.S. government.

Similar articles

See all similar articles

References

    1. Mathews TJ, Driscoll AK. Trends in infant mortality in the United States, 2005–2014. NCHS Data Brief. 2017:8. - PubMed
    1. Ely DM, Driscoll AK. Infant mortality in the United States, 2019: data from the period linked birth/infant death file. Natl. Vital Stat Rep 2021;70:1–18. - PubMed
    1. Pabayo R, Cook DM, Harling G, Gunawan A, Rosenquist NA, Muennig P. State-level income inequality and mortality among infants born in the United States 2007–2010: a cohort study. BMC Public Health. 2019;19:1333. - PMC - PubMed
    1. Gillette E, Boardman JP, Calvert C, John J, Stock SJ. Associations between low Apgar scores and mortality by race in the United States: a cohort study of 6,809,653 infants. PLoS Med 2022;19:e1004040. - PMC - PubMed
    1. Singh GK, Yu SM. Infant mortality in the United States, 1915–2017: large social inequalities have persisted for over a century. Int J MCH AIDS 2019;8:19–31. - PMC - PubMed

LinkOut - more resources