Obstetrician-Gynecologists' Knowledge of Health Disparities and Barriers among American Indian/Alaska Native Women in Washington State

Background : Health disparities between American Indian/Alaska Native (AI/AN) women and other races/ethnicities have long been noted. Obstetrician-Gynecologists (Ob-Gyns) play a significant role in well-woman care and are often the first and most frequent point of medical contact for women, particularly among minority and low-income women. Objective : This study aimed to assess Ob-Gyns’ knowledge, beliefs, and practices related to health disparities among AI/AN women. Method : A self-administered questionnaire, consisting of questions about knowledge, beliefs, and practices regarding health disparities among AI/AN women, was mailed to 722 members of The American College of Obstetricians and Gynecologists (ACOG) practicing in the state of Washington in September 2013-February 2014. Results : The majority of respondents were knowledgeable about numerous health care disparities among non-pregnant AI/AN women, while slightly fewer were aware of disparities among pregnant AI/AN patients. Ob-Gyns reported low confidence in their training and knowledge of AI/AN culture and health disparities, but high confidence in their ability to treat AI/AN patients. Participants reported dissatisfaction with their AI/AN patients’ breastfeeding rates. Conclusion : Ob-Gyn knowledge of health disparities among AI/AN women is adequate. In spite of this, barriers to quality care are still present, and increased identification and implementation of effective resources is needed.