Birth risks and outcomes among American Indian and Alaska Native women in Idaho Data from Improving Data & Enhancing Access – Northwest (IDEA-NW) Project (Northwest Tribal EpiCenter) and ID Bureau of Vital Records & Health Statistics Notes The data presented come from linked birth certificates from years 2006-2010. Race information on birth certificates may not be correctly recorded if the mother or father isn’t asked directly. The IDEA-NW Project compared parents’ information on state birth certificates to the Northwest Tribal Registry to more completely represent Native mothers and infants. This results in more complete and accurate data for Northwest AI/AN. Please contact us if you are interested in additional data for your community. Characteristics of Mothers Maternal Age at Birth • AI/AN: American Indian/Alaska Native • NHW: Non-Hispanic White 60% Married 48.4% 78.6% Unmarried 51.6% 21.4% Percent of Births Marital Status AI/AN 50% Demographic Characteristics of Mothers AI/AN NHW 54.1% 35.1% 29.1% 30% 20% Education 10.8% ≤12th grade, no Diploma/GED Diploma/GED or higher WIC use (Special Supplemental Nutrition Program for Women, Infants, and Children) 24.2% 9.2% 75.8% 90.8% 10% AI/AN <15 yrs 61.2% 34.5% NHW 5.5% 15-17 yrs 18-19 yrs 20-24 yrs Age Group 25-34 yrs 35+ yrs AI/AN NHW Normal or Underweight (<25) 41.9% 56.5% Overweight or Obese (≥25) 58.1% 43.5% Pre-Pregnancy Diabetes 1.2% 0.6% Pre-Pregnancy Hypertension 1.1% 1.0% 133.7 28.0 0.2 15-19 years old† 9.7% Physical Characteristics of Mothers 82.0 10-14 years old* 7.9% Average Maternal Age By Race: • AI/AN: 25 yrs • NHW: 27 yrs 105.2 0.7 5.5% 1.6% 0.1% 0.0% 0% Birth Rates by Age Group Birth Rate per 1,000 females 40.7% NHW 40% 15-44 years old (General Fertility Rate)‡ Pre-Pregnancy Body Mass Index (BMI) *Birth Rate (10-14 years old): # births to females ages 10-14 per 1,000 females ages 10-14 per year †Birth Rate (15-19 years old): # births to females ages 15-19 per 1,000 females ages 15-19 per year ‡General Fertility Rate (GFR) (15-44 years old): # live births to females 15-44 per 1,000 females ages 15-44 per year Northwest Portland Area Indian Health Board 1 Characteristics of Pregnancies & Births Trimester Entered Prenatal Care Characteristics of Pregnancies AI/AN NHW Gestational Diabetes 4.6% 3.7% Gestational Hypertension 6.8% 6.5% Any Smoking During Pregnancy 20.2% 13.5% Third Trimester 3.1% No Prenatal Care Mothers With STIs (includes HIV, chlamydia, syphilis, gonorrhea, and herpes) 5.8% First Trimester AI/AN 59.1% 31.0% 1.4% 8.6% Second Trimester NHW 74.5% 20.8% 0.7% 3.9% Characteristics of Births AI/AN NHW Preterm (<37 wks) 9.8% 8.7% Term (≥37 wks) 90.2% 91.3% Smoking¥ by Trimester Gestational Age Vaginal 72.4% 77.0% Cesarean 27.6% 23.0% Birth Weight Low (<2500 g) 6.7% 6.1% Normal (2500 to <4000 g) 83.8% 85.5% 9.5% 8.4% High (≥4000 g) Breastfeeding when leave hospital 19.5% 20% Percent of Births Method of Delivery 83.3% 89.3% No 16.7% 10.7% 15.7% 14.8% 15% 10% 13.1% 10.8% 5% 10.3% 0% First Trimester ¥Smoking Yes AI/AN NHW 25% Second Trimester Third Trimester means at least one cigarette per day. For more information please contact: Suzanne Zane, DVM Maternal and Child Health Epidemiologist Phone: 503-416-3293 E-mail: szane@npaihb.org Website: http://www.npaihb.org/epicenter/project/ improving_data_enhancing_access_northwest_idea_nw/ Northwest Portland Area Indian Health Board 2