(PL12) Withdrawn: DATA VISUALIZATION OF PLACE: CARE ACCESS FOR PREGNANT PEOPLE IN INDIAN COUNTRY

Background:
Pregnant people diagnosed with syphilis face serious neonatal consequences if not treated before delivery. Primary and secondary syphilis diagnoses among women and subsequent congenital syphilis (CS) cases have drastically increased among American Indian and Alaska Native (AI/AN) people, surpassing all other race/ethnicities in 2021. These inequities stem from historical trauma, medical mistrust, limited care access, structural racism, and the disenfranchisement of Indigenous communities. The intersection of substance use, barriers to accessing care, and other social determinants of health must be considered when understanding the rise in syphilis and CS rates among AI/AN people and neonates. Data visualizations can transform data into compelling narratives, uplifting Indigenous perspectives and contextualizing health outcomes.

Methods:
This session demonstrates the value of mapping technologies in highlighting opportunities to address historical, systemic, structural, and institutional issues impacting the health and well-being of pregnant people in Indian Country. By leveraging existing public-facing data sources within a geospatial context, we explore how socio-economic factors and geography impact AI/AN reproductive health outcomes.

Results:
We highlight data from nationwide datasets where AI/AN population data is often suppressed due to small sample sizes. By examining state-level data in instances where county-level AI/AN populations are too small for reporting, we ensure data are not omitted. We map over 10 Pregnancy Risk Assessment Monitoring Survey (PRAMS) indicators, 5 policy indicators, syphilis rates, provider locations, harm reduction locations, and other social determinants of health indicators.

Conclusion:
Our mapping tool demonstrates the need for and impact of policy changes by visually representing the complexities surrounding access to care for pregnant people. It highlights challenges faced by those affected by substance use disorder and syphilis, depicting where interventions are most needed. By presenting data accessibly and compellingly, the mapping tool helps policymakers, healthcare providers, and community advocates understand geographical and socio-economic barriers to care.