Racial and Ethnic Disparities Among Pregnancies with Substance Use Disorder: Impact on Perinatal Outcomes.
| Autor: | Ragsdale, Alexandra S., Al-Hammadi, Noor, Bass, Sabel, Chavan, Niraj R. |
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| Předmět: |
SUBSTANCE abuse
RISK assessment CROSS-sectional method HEALTH services accessibility RESEARCH funding AFRICAN Americans MULTIPLE regression analysis HISPANIC Americans PREGNANT women DESCRIPTIVE statistics WHITE people RACE DISEASES ODDS ratio HEALTH equity PREGNANCY complications CONFIDENCE intervals DISEASE risk factors DISEASE complications |
| Zdroj: | Journal of Women's Health (15409996); Sep2024, Vol. 33 Issue 9, p1166-1174, 9p |
| Abstrakt: | Objective: To examine racial/ethnic disparities in severe maternal morbidity (SMM) and adverse pregnancy outcomes (APOs) among pregnant patients with substance use disorder (SUD) compared to individuals without SUD. Materials and Methods: We conducted a cross-sectional analysis of inpatient hospitalizations of pregnant people from the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) from 2016 to 2019. ICD-10 codes were used to identify the frequency of SMM and/or APO between those with and without SUD by race/ethnicity. Multilevel logistic regression analyses were performed to identify the effect of race/ethnicity as an independent predictor and as an effect modifier of SMM and APO in patients with SUD. Results: From 2,508,259 hospitalizations, SUD was identified in 6.7% admissions with the highest rate in White patients (8.2%) followed by Black (7.7%) and Hispanic (2.2%) patients. Rate of SMM and APO were increased in patients with SUD in all racial/ethnic groups compared to those without SUD, increasing by 1% and 10%, respectively. Among all patients, Black race was an independent predictor of SMM (adjusted odds ratio [aOR] 2.09; 95% confidence interval [CI]: 2.05–2.13) and APO (aOR 1.58; 95% CI: 1.56–1.59). Hispanic ethnicity was also an independent risk factor for predicting SMM (aOR 1.40; 95% CI: 1.37–1.43). Among Hispanic patients, SUD was associated with an ∼90% increased likelihood of SMM and APO. Conclusion: Although higher rates of SMM and APO are seen among hospitalizations of pregnant people with SUD, racial/ethnic disparities also exist among this population. This warrants further attention and presents an opportunity for intervention and for addressing the root causes of racial and ethnic disparities. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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