Health disparities in risk for cervical insufficiency
| Autor: | Emmanuel A. Anum, Jerome F. Strauss, Haywood L. Brown |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Abortion Habitual medicine.medical_specialty Cervical insufficiency Ethnic group pregnancy termination Abortion White People 03 medical and health sciences 0302 clinical medicine 5. Gender equality Pregnancy Risk Factors Epidemiology medicine Humans 030212 general & internal medicine Healthcare Disparities cervical insufficiency race Cervix 030219 obstetrics & reproductive medicine Reproductive Epidemiology business.industry Obstetrics Rehabilitation Obstetrics and Gynecology Original Articles medicine.disease United States Health equity 3. Good health Black or African American Parity medicine.anatomical_structure Reproductive Medicine Premature birth ethnicity Premature Birth Marital status Female Uterine Cervical Incompetence business |
| Zdroj: | Human Reproduction (Oxford, England) |
| ISSN: | 1460-2350 0268-1161 |
| DOI: | 10.1093/humrep/deq177 |
| Popis: | BACKGROUND The purpose of the study was to examine racial/ethnic differences in cervical insufficiency risk. METHODS We used the US 2005 Natality data file. Analysis was limited to singleton births. The prevalence of cervical insufficiency was examined by the maternal characteristic for each racial group. Unconditional logistic regression modeling was used to assess the association between race and cervical insufficiency while controlling for confounders. RESULTS Cervical insufficiency risk for Black women was more than twice that for their White counterparts [odds ratio (OR) (95% confidence interval (CI)) of 2.45 (2.22–2.71)]. Prior pregnancy termination showed a dose–response relationship with cervical insufficiency. Compared with women with no history of prior pregnancy termination, primiparous women who have had one pregnancy termination had an OR (95% CI) of 2.49 (2.23–2.77). The OR for two, three and four or more terminations were 4.66 (4.07–5.33), 8.07 (6.77–9.61) and 12.36 (10.19–15.00), respectively. Other predictors of cervical insufficiency included previous preterm birth, parity, marital status, renal disease, history of diabetes, polyhydramnios and anemia. CONCLUSIONS There were significant racial/ethnic disparities with Black women having increased cervical insufficiency risk, independent of other studied factors. Prior pregnancy termination is also a major risk factor for cervical insufficiency. The White/Black disparity is evident in both primiparous and multiparous women. |
| Databáze: | OpenAIRE |
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