ArticleMaternal and child health journal2019
Adverse Pregnancy and Neonatal Outcomes Among Marshallese Women Living in the United States.
Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Preterm birth among Pacific Islanders in the United States and the US-affiliated Pacific Islands: A systematic review and meta-analysis.Birth (Berkeley, Calif.) · 2023Pooled it
- Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Participation during Pregnancy: Racial/ethnic Inequities among Medicaid-Covered Asian, Native Hawaiian and Pacific Islander, and Hispanic Women.Journal of racial and ethnic health disparities · 2026Article
- Epidemiological assessment on birth outcomes among Marshallese migrants: a retrospective cohort study in the largest Marshallese community in the USA.BMJ public health · 2026Article
- Disparities in Prenatal Care Utilization in the United States.Maternal and child health journal · 2025Article
- Exploring the Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.Women's reproductive health (Philadelphia, Pa.) · 2025Article
- Providers' Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas.Nursing for women's health · 2024Article
- Application Status Among Women Enrolled in a Healthy Start Program in Arkansas for the Special Nutrition Program for Women and Children.Journal of community health · 2023Article
- Exploring the feasibility, acceptability, and preliminary effectiveness of a culturally adapted group prenatal program, CenteringPregnancy, to reduce maternal and infant health disparities among Marshallese Pacific Islanders: A study protocol.Contemporary clinical trials communications · 2023Article
- Marshallese Mothers' and Marshallese Maternal Healthcare Providers' Perspectives on Contraceptive Use and Reproductive Life Planning Practices and Influences.International journal of environmental research and public health · 2023Article
- Global prevalence of preterm birth among Pacific Islanders: A systematic review and meta-analysis.PLOS global public health · 2023Article
- Implicit Racial Attitudes and Associations Among Obstetricians in Hawai'i: a Pilot Study.Journal of racial and ethnic health disparities · 2022Article
- Stressful life events and social support among pregnant Marshallese women.Maternal and child health journal · 2022Article
- Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis.International journal of environmental research and public health · 2022Article
- Article
- Multicomponent Informed Consent with Marshallese Participants.Journal of empirical research on human research ethics : JERHRE · 2021Article
- Relationship between sleep duration and quality and glycated hemoglobin, body mass index, and self-reported health in Marshallese adults.Sleep health · 2021Article
- Could Subtle Obstetrical Brachial Plexus Palsy Be Related to Unilateral B Glenoid Osteoarthritis?Journal of clinical medicine · 2021Article
- Gestational weight gain influences, beliefs, and goals among Marshallese pregnant women in Arkansas: a mixed-methods analysis.American journal of translational research · 2021Article
- Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
Objective Despite heterogeneity among Pacific Islanders, most studies aggregate them regardless of origin. Thus, limited information is available about perinatal outcomes among various subgroups of Pacific Islanders in the United States, including immigrants from the Republic of the Marshall Islands. We sought to evaluate perinatal outcomes among Marshallese women. Methods We conducted a cross-sectional study of women with at least one singleton live birth between 1997 and 2013 in two Arkansas counties using birth certificate data from the Arkansas Department of Health. Unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were calculated from modified Poisson regression models. Results Of the 91,662 singleton births in both counties during the study period, 2488 were to Marshallese women. In adjusted analyses, Marshallese women had higher prevalence of "other medical risk factors" (PR = 1.47; 95% CI 1.30, 1.65) than NH White women. Marshallese women had higher rates of precipitous labor and fetal distress during labor compared to NH White women (PR = 2.65; 95% CI 2.22, 3.17 and 1.89; 95% CI 1.62, 2.21, respectively). Marshallese were also more likely to have tocolysis (PR = 1.43; 95% CI 1.16, 1.76), forceps (PR = 1.68; 95% CI 1.16, 2.43) or vacuum (PR = 1.89; 95% CI 1.60, 2.22) used in delivery and cesarean section (PR = 1.13; 95% CI 1.01, 1.27). Marshallese infants had higher rates of anemia (PR = 3.10; 95% CI 2.01, 4.77), birth injury (PR = 2.13; 95% CI 1.50, 3.03), assisted ventilation < 30 min (PR = 2.11; 95% CI 1.64, 2.71), preterm birth (PR = 1.67; 95% CI 1.50, 1.83), and small-for-gestational age (PR = 1.25; 95% CI 1.12, 1.39) than NH White infants. Conclusions Marshallese women and infants had higher rates of adverse perinatal outcomes compared to their NH White counterparts. Additional studies are needed to determine if perinatal outcomes among the Marshallese differed from other Pacific Islander subgroups.
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