Indochinese refugee fertility rates and pregnancy risk factors, Oregon.

Hopkins, David; Clarke, Nancy G.

doi:10.2105/ajph.73.11.1307

Cited by 24 publications

(7 citation statements)

References 12 publications

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“…While there were no signficant differences in the incidences of low birth-weight between immigrant and Australian-born women, the immigrant groups had a lower mean birth-weight, and in Vietnamese women, this was 2638 lower than in the Australianborn. Differences in mean birth-weight between different ethnic groups have been well-documented (6,8,16). After controlling for many factors affecting birth-weight in one study (16), it was suggested that a genetic or ethnic factor remains.…”

Section: Specific Conditionsmentioning

confidence: 99%

“…One was a study on obstetric complications in Greek and Italian immigrants at the Queen Victoria Hospital in Mel- 1977-1980 (6). In the United States, pregnancy outcomes have been noted to be relatively favourable in Vietnamese women but less so in Kampuchean and Laotian women (7,8). Some aspects of concern have been the higher incidence of low birth-weight and lack of antenatal care, higher parity and much higher fertility at older ages of Indochinese mothers compared with local residents.…”

mentioning

confidence: 99%

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Obstetric Profiles of Immigrant Women from Non‐English Speaking Countries in South Australia, 1981–1983

Chan

Roder

Macharper

1988

Aust NZ J Obst Gynaeco

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Obstetric profiles of non-English speaking immigrant women in South Australia are presented to assist in planning for health services. They were derived from perinatal data routinely collected by midwives and neonatal nurses. The characteristics of 5,675 immigrant women were compared with those of a random sample of approximately 5% of Australian-born women who delivered babies in 1981-1983 in South Australia. This study demonstrates that immigrant women tended to be urban dwellers and to deliver their babies in large metropolitan hospitals. They were less often from unemployed families but more often from those of low occupational status. They were older, with fewer teenagers and single women among them. They were of higher parity, and tended to commence antenatal care later. They had lower incidences of pregnancy hypertension and induced labour, but were more likely to have anaemia, antepartum haemorrhage and a Caesarean section. There were also important differences between the 7 largest immigrant groups. For example, the very high Caesarean section rate (36%) in Filipino women is of concern. Also, the mean birth-weight of babies of Vietnamese women was 263g lower than that of babies of Australian-born women. Support services need to be logistically located and address the findings of this study in a culturally acceptable way.

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Section: Specific Conditionsmentioning

confidence: 99%

mentioning

confidence: 99%

Obstetric Profiles of Immigrant Women from Non‐English Speaking Countries in South Australia, 1981–1983

Chan

Roder

Macharper

1988

Aust NZ J Obst Gynaeco

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“…Davis et a l l 6 studying Indochinese refugees in California reported more favourable pregnancy outcomes with lower low birthweight rates than that of births which had recently been studied in the USA.'' In contrast, Hopkins ef a1., 18 found a higher occurrence of low birthweight among Indochinese refugees in Oregon. (8.5% compared with only 4.9% for the general Oregon population).…”

Section: Discussionmentioning

confidence: 91%

Preterm delivery and low birthweight among refugees in Greece

Malamitsi‐Puchner¹,

Tzala²,

Minaretzis³

et al. 1994

Paediatric Perinatal Epid

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Recently Greece received a large number of refugees mainly from Eastern European countries, Middle East, Africa and the Pontus region. Refugee status, implying psychosocial adversities and financial problems, has traditionally been associated with unfavourable pregnancy outcome. This study aimed to compare the incidence of preterm delivery and low birthweight among 638 refugees and 1231 indigenous women giving birth at the same hospital in Athens. Conditional logistic regression was used in the analysis to account for parity and delivery date (matching variables) as well as controlling explicitly for maternal age and gender of the neonate. It was demonstrated that refugee status did not overall influence the occurrence of preterm delivery or low birthweight, thus implying that these two variables are not sensitive or early indicators of the adverse effects of psychosocial stress suffered by refugees.

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“…Many traditional Vietnamese believe that the normal period of childbearing lies between the ages of 20 and 50 (Hart, Rajadhon and Coughlin, 1965). Correspondingly, the refugee birth rate shot up to nearly 14 times the U.S. rate for women in the 40-44 age range (Hopkins and Clarke, 1983). These statistics reflect both the lack of contraceptive information available for most Indochinese women, as well as the traditional expectation of large families.…”

Section: Contraceptives and Pregnancy Dietsmentioning

confidence: 99%

Dietary habits and obstetrical service utilization during pregnancy and lactation among Tai Dam women of central Iowa

Stewart

Whiteford

1987

Ecology of Food and Nutrition

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Throughout the world, pregnancy and lactation are considered to be periods of vulnerability to the well-being of both mother and child. Cross-culturally the physiological, metabolic and psychological requirements of childbirth are met differently. This study investigates the nutritional and medical worldview of Tai Dam refugee women living in central Iowa. It focuses on perceptions of pregnancy and lactation, dietary beliefs which affect the foods consumed during these stages of the female lifecycle, and provides an assessment of the health implications to Tai Dam women. Physician/patient communication is addressed, particularly in terms of how cultural traditions inhibit the utilization of available health care during pregnancy. In addition, this article examines social change and its effect on traditional health practices. INTRODUCTIONThroughout the world, pregnancy and lactation are considered to be periods of vulnerability to the well-being of both mother and child. These are times, for example, when women in many cultures often are thought to possess supernatural powers, or be influenced by them. In most cultures specific foods are equated with health (Foster and Anderson, 1978). Although there is an enormous range of diversity, dietary precautions are commonly followed in order to promote a healthy pregnancy and ensure successful lactation.Cross-culturally the physiological, metabolic and psychological requirements of childbirth are met differently. In the United States, for example, the emphasis on nutrition cautions against the use of alcohol and certain medications, while encouraging the consumption of milk, protein-rich foods and vitamins. In other cultures, dietary restrictions may be influenced by the belief that certain common foods cause specific maladies. For example, Tamilnad women of South India believe ingestion of fish during pregnancy will produce fits in the child (Ferro-Luzzi, 1973). In many Asian cultures precautions are based on the belief that a balance of foods containing "hot" and "cold" qualities is essential. In rural Latin America, pregnant women avoid many foods with hot qualities. Similarly, traditional Chinese women 121 F.N.-B demonstrate this principle by avoiding the overuse of hot spices in their diet .Regardless of the cultural reasoning behind dietary alterations, nutrition during pregnancy affects the health of both mother and child. For health officials who wish to provide traditional ethnic women with pre-and post-natal care, familiarity with the cultural differences between health providers and patient can ease communication and provide more successful health care.The purpose of this study is to investigate the nutritional and medical worldview of Tai Dam refugee women living in central Iowa and obtain previously unavailable information on their traditional belief system. Specifically, it focuses on perceptions of pregnancy and lactation, dietary beliefs which affect the foods consumed during these stages of the female lifecycle, and provides an assessment of the health i...

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Indochinese refugee fertility rates and pregnancy risk factors, Oregon.

Cited by 24 publications

References 12 publications

Obstetric Profiles of Immigrant Women from Non‐English Speaking Countries in South Australia, 1981–1983

Obstetric Profiles of Immigrant Women from Non‐English Speaking Countries in South Australia, 1981–1983

Preterm delivery and low birthweight among refugees in Greece

Dietary habits and obstetrical service utilization during pregnancy and lactation among Tai Dam women of central Iowa

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