Factors associated with increased cesarean risk among African American women: evidence from California, 2010

American Journal of Public Health
Marco D Huesch, Jason N Doctor

Abstract

We studied if both observed and unobserved maternal health in African American women in hospitals or communities were associated with cesarean delivery of infants. We examined the relationship between African American race and cesarean delivery among 493 433 women discharged from 255 Californian hospitals in 2010 using administrative data; we adjusted for patient comorbidities and maternal, fetal, and placental risk factors, as well as clustering of patients within hospitals. Cesarean rates were significantly higher overall for African American women than other women (unadjusted rate 36.8% vs 32.7%), as were both elective and emergency primary cesarean rates. Elevated risks persisted after risk adjustment (odds ratio generally > 1.27), but the prevalence of particular risk factors varied. Although African American women were clustered in some hospitals, the proportion of African Americans among all women delivering in a hospital was not related to its overall cesarean rate. To address the higher likelihood of elective cesarean delivery, attention needs to be given to currently unmeasured patient-level health factors, to the quality of provider-physician interactions, as well as to patient preferences.

References

Jan 1, 1990·Epidemiology·K J Rothman
May 1, 1995·American Journal of Public Health·P BravemanM Verdon
Oct 1, 1996·Obstetrics and Gynecology·D E IrwinK A St André
Nov 23, 2000·Lancet·M Wagner
Jan 5, 2002·Journal of Health Economics·A I Balsa, T G McGuire
Aug 3, 2002·Journal of the National Medical Association·Alan Nelson
Dec 14, 2002·Health Services Research·Kimberly D GregoryLawrence D Platt
Mar 7, 2003·The New England Journal of Medicine·Howard Minkoff, Frank A Chervenak
Jun 26, 2003·American Journal of Obstetrics and Gynecology·Kimberly D Gregory, Lisa M Korst
Jul 2, 2004·Obstetrics and Gynecology·Jeffrey B GouldDavid K Stevenson
Jan 25, 2005·Health Services Research·Ana I BalsaLisa S Meredith
Apr 2, 2005·Obstetrics and Gynecology·Azad A KabirM Mahmud Khan
Apr 2, 2005·Obstetrics and Gynecology·Susan F MeikleWilliam L Lawrence
Aug 10, 2006·Health Affairs·Katherine BaickerAmitabh Chandra
Dec 2, 2006·Obstetrics and Gynecology·Ginger L GossmanKoray Tanfer
Jan 31, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·R GrayP Brocklehurst
Feb 3, 2007·Obstetrics and Gynecology·Robyn KennareAnnabelle Chan
Feb 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Apr 9, 2008·American Journal of Obstetrics and Gynecology·Kimberly D GregoryLinda Burnes Bolton
Jan 20, 2009·Health Affairs·Gail R Wilensky, David Satcher
Mar 24, 2009·Obstetrics and Gynecology·Bryan T OshiroUNKNOWN Women and Newborn Clinical Integration Program
Aug 20, 2009·Paediatric and Perinatal Epidemiology·Allison S BryantAaron B Caughey
Oct 1, 2009·American Journal of Obstetrics and Gynecology·Darios GetahunSteven J Jacobsen
Jun 23, 2010·Obstetrics and Gynecology·Deborah B EhrenthalDonna M Strobino
Aug 25, 2010·Obstetrics and Gynecology·Vanitha Janakiraman, Jeffrey Ecker
Sep 15, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·J Christopher Glantz
Jun 8, 2011·Obstetrics and Gynecology·Emma L BarberJessica L Illuzzi
Oct 24, 2012·Obstetrics and Gynecology·Elliott K MainJeffrey B Gould
Mar 19, 2013·Maternal and Child Health Journal·T JanevicH Lipkind
May 3, 2013·Obstetrics and Gynecology·Daniel GreenPatrick H Conway
May 3, 2013·Obstetrics and Gynecology·Emily S MillerUNKNOWN Society for Maternal-Fetal Medicine Health Policy Committee
May 9, 2013·JAMA : the Journal of the American Medical Association·Jeffrey Ecker
Jul 3, 2013·Obstetrics and Gynecology·Elizabeth A HowellNatalia Egorova
Sep 5, 2013·JAMA : the Journal of the American Medical Association·Marco D Huesch, Jason N Doctor
Dec 10, 2013·American Journal of Obstetrics and Gynecology·Marco D HueschJason N Doctor

❮ Previous
Next ❯

Citations

Apr 19, 2018·Medical Care·Teresa JanevicElizabeth A Howell
Jan 23, 2018·Journal of Midwifery & Women's Health·Patrick Thornton
Aug 28, 2020·Trends in psychiatry and psychotherapy·John P Connolly, Cheryl Anderson
Jun 12, 2019·Reproductive Health·Saraswathi VedamUNKNOWN GVtM-US Steering Council
Nov 7, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R Vieth
Jul 18, 2020·Health Services Research·Jonathan M SnowdenKaty Backes Kozhimannil
Nov 7, 2019·Journal of Racial and Ethnic Health Disparities·Jill A McDonaldCharlotte C Gard
Dec 24, 2017·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Katy B KozhimannilJonathan M Snowden

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.