1. Reproductive Health Indicators for Asian Women in Massachusetts Susan E. Manning, MD, MPH CDC Maternal and Child Health Epidemiology Assignee Massachusetts Department of Public Health

2. Background Asian-Americans are a diverse population Often stereotyped as the “healthy minority” Asian American women have highest life expectancy (85.8 years) in U.S. Grouping Asian Americans into a single category can masks disparities in health outcomes

3. Births by Race and Asian Ethnicity, Massachusetts PRAMS, 2007-2010

4. Teen Births (<20 yrs) by Race and Asian Ethnicity, 2010 MA Birth Data * Calculations based on 1-4 events are excluded.

5. Preterm Births by Race and Asian Ethnicity, 2010 MA Birth Data

6. Low Birthweight Births by Race and Asian Ethnicity, 2010 MA Birth Data

7. Adequate Prenatal Care* by Race and Asian Ethnicity, MA Births 2010 * Adequacy of prenatal care is based on the Adequacy of Prenatal Care Utilization (APNCU) Index.

8. Unintended Pregnancy by Asian Ethnicity, MA PRAMS 2007-2010 * * Statistically significantly lower than the state total. * Statistically significantly higher than the state total.

9. Breastfeeding Exclusively at 8 Weeks Asian Ethnicity, MA PRAMS 2007-2010 No statistically significant differences observed.

10. Gestational Diabetes Mellitus (GDM) by Asian Ethnicity, MA PRAMS 2007-2010 * * * * Statistically significantly higher than the state total.

11. Postpartum Check-up by Asian Ethnicity, MA PRAMS 2007-2010 No statistically significant differences observed.

12. Discussion Asian women as a group do as well or better than other racial groups on a variety of reproductive health indicators Important differences exist when examined by subgroup Data limitations include small numbers for some subgroups and limited languages included in PRAMS (English and Spanish only) Disaggregation of Asian ethnic groups is needed to accurately reflect risk factors and health outcomes and appropriately inform interventions

13. Questions?