PDF(Pubmed)
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.
摘要：
本范围审查审查了美国（美国）和美国附属太平洋岛屿的太平洋岛民妇女怀孕和围产期结局的文献。我们的目的是确定将太平洋岛民与其他人口群体分开的研究。我们对MEDLINE(Ovid)进行了系统的搜索，Embase(Ovid),CINAHL(EBSCO)，和PsycINFO(Ovid)数据库以及手动搜索灰色文献。包括2010年1月至2020年6月发表的48篇文章。大多数研究在夏威夷进行，并利用临床记录数据。婴儿结局比产妇结局更常见。我们强调了现有文献的一些局限性，包括太平洋岛民与亚裔美国人和其他种族群体的聚集；太平洋岛民亚组之间的比较有限；太平洋岛民群体的国籍和种族组成定义不足；缺乏假设驱动的主要数据收集和临床试验；以及太平洋岛民在基于人群的研究中代表性不足。研究人员应该解决这些限制，以改善太平洋岛民的怀孕和围产期结局，他们是美国增长第二快的少数民族
