Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities
| Autor: | Paul L. Hebert, Natalia N. Egorova, Elizabeth A. Howell, Amy Balbierz, Teresa Janevic, Michael Brodman, Jennifer Zeitlin |
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| Přispěvatelé: | Icahn School of Medicine at Mount Sinai [New York] (MSSM), Equipe 1 : EPOPé - Épidémiologie Obstétricale, Périnatale et Pédiatrique (CRESS - U1153), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Department of Epidemiology [Seattle, WA, USA] (School of Public Health), University of Washington [Seattle], PHILIBERT, Marianne, Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Adolescent Cross-sectional study [SDV]Life Sciences [q-bio] Ethnic group Birth certificate Logistic regression White People Article Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Medicine 030212 general & internal medicine Young adult health care economics and organizations Insurance Health 030219 obstetrics & reproductive medicine Medicaid business.industry Obstetrics and Gynecology Hispanic or Latino Odds ratio Middle Aged Delivery Obstetric medicine.disease Hospitals Patient Discharge United States 3. Good health Black or African American Pregnancy Complications [SDV] Life Sciences [q-bio] Cross-Sectional Studies Logistic Models Female New York City Morbidity business Demography |
| Zdroj: | Clinical and experimental obstetrics & gynecology Clinical and experimental obstetrics & gynecology, Irog Canada Inc., 2020, 135 (2), pp.285-293. ⟨10.1097/AOG.0000000000003667⟩ Clinical and experimental obstetrics & gynecology, 2020, 135 (2), pp.285-293. ⟨10.1097/AOG.0000000000003667⟩ Obstet Gynecol |
| ISSN: | 0390-6663 |
| DOI: | 10.1097/AOG.0000000000003667⟩ |
| Popis: | International audience; Objective: To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance.Methods: We conducted a population-based, cross-sectional study using linked 2010-2014 New York City discharge and birth certificate data sets (N=591,455 deliveries) to examine within-hospital black-white, Latina-white, and Medicaid-commercially insured differences in severe maternal morbidity. We used logistic regression to produce risk-adjusted rates of severe maternal morbidity for patients with commercial and Medicaid insurance and for black, Latina, and white patients within each hospital. We compared these within-hospital adjusted rates using paired t-tests and conditional logit models.Results: Severe maternal morbidity was higher among black and Latina women than white women (4.2% and 2.9% vs 1.5%, respectively, P |
| Databáze: | OpenAIRE |
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