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Maternal Health Disparities Among U.S.-Born and Foreign-Born African American Women in Colorado

This study compares maternal health and birth outcomes between U.S.-born and foreign-born African American women in Colorado, based on data from the African American PRAMS study. The research identifies notable differences in prenatal care access, insurance coverage, and experiences related to language and conceptual barriers. Despite similar entry into prenatal care, foreign-born women often rely on health department clinics more than private practices and face different insurance coverage situations. Insights into the unique challenges and characteristics of these populations are crucial for tailored healthcare strategies.

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Maternal Health Disparities Among U.S.-Born and Foreign-Born African American Women in Colorado

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  1. Differing maternal health and birth outcomes among U.S.-born and Foreign-born African American/Black women in Colorado Chris Wells, MS Results from the African American PRAMS study

  2. Colorado PRAMS • Colorado was funded in 1996 • Received special 3-year grant in April, 2001 • Local surveys • Medicaid record/birth certificate linking • Web-based queriable PRAMS data • African American survey

  3. African American/Black PRAMS • Surveys mailed to all Black mothers who gave birth between July and December 2002 • Response rate = 62% (n=823) • High number of women with language/conceptual barriers • 19% of women in sample are foreign born (n=144) • Of those, 67% are from African countries (13% of sample)

  4. From a list of 14 stressors

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  6. Prenatal Care • No major differences between the two groups. • No difference in entry into prenatal care after first trimester • Foreign born more likely to be seen in a health department clinic, less likely to be seen in private practice. • Foreign born less likely to be covered by Medicaid, more likely to be covered by CICP.

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  12. Summary • There are many differences between foreign born and US born Black women in their perinatal experiences and outcomes. • Acculturation? -- Don’t know how long foreign born have been in the US • 2006 CO Birth Certificate will gather this information • Service Provision? -- Can’t assume all African American/Black women share the same background

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