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Racial and Ethnic Disparities in Maternal Outcomes and the Disadvantage of Peripartum Black Women: A Multistate Analysis, 2007–2014
| Content Provider | Scilit |
|---|---|
| Author | Tangel, Virginia White, Robert S. Nachamie, Anna S. Pick, Jeremy S. |
| Copyright Year | 2018 |
| Description | Objective Racial and ethnic disparities in obstetric care and delivery outcomes have shown that black women experience high rates of pregnancy-related mortality and morbidity, along with high rates of cesarean delivery, compared with other racial and ethnic groups. We aimed to quantify these disparities and test the effects of race/ethnicity in stratified statistical models by insurance payer and socioeconomic status, adjusting for comorbidities specific to an obstetric population. Study Design We analyzed maternal outcomes in a sample of 6,872,588 delivery records from California, Florida, Kentucky, Maryland, and New York from 2007 to 2014 from the State Inpatient Databases, Healthcare Cost and Utilization Project. We compared present-on-admission characteristics of parturients by race/ethnicity, and estimated logistic regression and generalized linear models to assess outcomes of in-hospital mortality, cesarean delivery, and length of stay. Results Compared with white women, black women were more likely to die in-hospital (odds ratio [OR]: 1.90, 95% confidence interval [CI]: 1.47–2.45) and have a longer average length of stay (incidence rate ratio: 1.10, 95% CI: 1.09–1.10). Black women also were more likely to have a cesarean delivery (OR: 1.12, 95% CI 1.12–1.13) than white women. These results largely held in stratified analyses. Conclusion In most insurance payers and socioeconomic strata, race/ethnicity alone is a factor that predicts parturient outcomes. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1675207.pdf |
| Ending Page | 848 |
| Page Count | 14 |
| Starting Page | 835 |
| ISSN | 07351631 |
| e-ISSN | 10988785 |
| DOI | 10.1055/s-0038-1675207 |
| Journal | American Journal of Perinatology |
| Issue Number | 08 |
| Volume Number | 36 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2018-11-05 |
| Access Restriction | Open |
| Subject Keyword | Journal: American Journal of Perinatology Obstetrics and Gynecology Racial/ethnic Disparities In-hospital Maternal Mortality Cesarean Delivery Administrative Database Outcomes Research Maternal Length of Stay |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
