دورية أكاديمية
Severe maternal morbidity and Black-white differences in Washington State.
| العنوان: | Severe maternal morbidity and Black-white differences in Washington State. |
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| المؤلفون: | Garg B; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA., Hersh A; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA., Caughey AB; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA., Pilliod RA; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA. |
| المصدر: | 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 Matern Fetal Neonatal Med] 2022 Dec; Vol. 35 (25), pp. 5949-5956. Date of Electronic Publication: 2021 Mar 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 101136916 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-4954 (Electronic) Linking ISSN: 14764954 NLM ISO Abbreviation: J Matern Fetal Neonatal Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Boca Raton : Parthenon Pub. Group, c2002- |
| مواضيع طبية MeSH: | White People* , Black or African American*, Female ; Pregnancy ; Humans ; Retrospective Studies ; Washington/epidemiology ; Black People ; Morbidity |
| مستخلص: | Objective: Rates of severe maternal morbidity (SMM) are significantly higher among Black women and some data suggests further worsening of these rates among hospitals with the highest proportion of Black deliveries. In this study, we sought to examine whether Black women have higher SMM in Washington State and whether this varied by hospital. Methods: We conducted a retrospective cohort study using linked birth-hospital discharge data from Washington State. We compared Non-Hispanic Black women with Non-Hispanic white women and excluded observations with missing hospital information. SMM was defined using an already published algorithm. We ranked hospitals into low-, medium- and high Black-serving hospitals by using proportions of deliveries to Black women among all deliveries. Multivariable logistic regression models were used to examine the association of Black women with SMM adjusted for demographics, co-morbidities and clustering within hospital. Results: In the cohort of 407,808 women, 4556 (1.12%) had SMM. High Black-serving hospitals had the highest rate of SMM (1.94%) as compared to medium Black-serving hospitals (1.16%) and low Black-serving hospitals (1.06%) ( p < .01). Odds of SMM was higher in Black women (OR = 1.58, 95% CI: 1.39-1.78) and remained elevated after adjusting for demographics and the level of Black-serving hospital (aOR= 1.29, 95% CI: 1.11-1.49). Conclusion: We found that the risk of SMM was higher among Black women. Hospital level performance and health outcomes stratified by maternal race and ethnicity in hospitals and hospital systems should be addressed to further reduce disparities and optimize outcomes. |
| فهرسة مساهمة: | Keywords: Severe maternal morbidity; health disparities; maternal health outcomes; obstetrics |
| تواريخ الأحداث: | Date Created: 20210329 Date Completed: 20221123 Latest Revision: 20221207 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1080/14767058.2021.1903423 |
| PMID: | 33775201 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1476-4954 |
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| DOI: | 10.1080/14767058.2021.1903423 |