Socioeconomic Status, Preeclampsia Risk and Gestational Length in Black and White Women

Journal of Racial and Ethnic Health Disparities
Kharah M RossLaura L Jelliffe-Pawlowski

Abstract

Higher socioeconomic status (SES) has less impact on cardio-metabolic disease and preterm birth risk among Black women compared to White women, an effect called "diminishing returns." No studies have tested whether this also occurs for pregnancy cardio-metabolic disease, specifically preeclampsia, or whether preeclampsia risk could account for race-by-SES disparities in birth timing. A sample of 718,604 Black and White women was drawn from a population-based California cohort of singleton births. Education, public health insurance status, gestational length, and preeclampsia diagnosis were extracted from a State-maintained birth cohort database. Age, prenatal care, diabetes diagnosis, smoking during pregnancy, and pre-pregnancy body mass index were covariates. In logistic regression models predicting preeclampsia risk, the race-by-SES interaction (for both education and insurance status) was significant. White women were at lower risk for preeclampsia, and higher SES further reduced risk. Black women were at higher risk for preeclampsia, and SES did not attenuate risk. In pathway analyses predicting gestational length, an indirect effect of the race-by-SES interaction was observed. Among White women, higher SES predicted lower ...Continue Reading

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Citations

May 10, 2020·Journal of Racial and Ethnic Health Disparities·Kirsten A RigganMegan A Allyse
May 8, 2020·Journal of Racial and Ethnic Health Disparities·Talia N Shirazi, Asher Y Rosinger
Nov 24, 2020·The Journal of Applied Laboratory Medicine·Henrietta O FasanyaStacy G Beal
Feb 4, 2021·The American Journal of Bioethics : AJOB·Bree L Andrews, Lainie Friedman Ross
May 7, 2021·Paediatric and Perinatal Epidemiology·Piper BraseClaire E Margerison
Oct 27, 2021·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Mitali RayMandy J Schmella
Oct 31, 2020·Journal of the American College of Cardiology·Ella MagunJennifer Haythe

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