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Pregnancy health and perinatal outcomes among Pacific Islander women in the United States and US Affiliated Pacific Islands: Protocol for a scoping review

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  • Rachel Suss
  • Madison Mahoney
  • Kendall J Arslanian
  • Kate Nyhan
  • Nicola L Hawley

Abstract

This scoping review examines the literature on pregnancy and perinatal outcomes among Pacific Islander women in the United States (U.S.) and U.S.-affiliated Pacific Islands. Our aim was to identify research that disaggregated Pacific Islanders from other population groups. We conducted a systematic search of MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCO), and PsycINFO (Ovid) databases and a hand-search of grey literature. Forty-eight articles published between January 2010 and June 2020 were included. The majority of studies were conducted in Hawaii and utilized clinical record data. Infant outcomes were more commonly reported than maternal outcomes. We highlighted several limitations of the existing literature that included aggregation of Pacific Islanders with Asian American and other ethnic groups; limited comparison between Pacific Islander sub-groups; inadequate definitions of the nationality and ethnic composition of Pacific Islander groups; a lack of hypothesis-driven primary data collection and clinical trials; and underrepresentation of Pacific Islanders in population-based studies. Researchers should address these limitations to improve pregnancy and perinatal outcomes among Pacific Islanders, who comprise the second fastest growing ethnic minority in the U.S.

Suggested Citation

  • Rachel Suss & Madison Mahoney & Kendall J Arslanian & Kate Nyhan & Nicola L Hawley, 2022. "Pregnancy health and perinatal outcomes among Pacific Islander women in the United States and US Affiliated Pacific Islands: Protocol for a scoping review," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-26, January.
    • Handle: RePEc:plo:pone00:0262010
    DOI: 10.1371/journal.pone.0262010
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    1. Hirai, A.H. & Hayes, D.K. & Taualii, M.M. & Singh, G.K. & Fuddy, L.J., 2013. "Excess infant mortality among Native Hawaiians: Identifying determinants for preventive action," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 88-95.
    2. McElfishms, P.A. & Hallgren, E. & Yamada, S., 2015. "Effect of US health policies on health care access for Marshallese migrants," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 637-643.
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