By continuing to use this website you are giving consent to cookies being used. J Racial Ethn Health Disparities. doi: 10.1016/j.annepidem.2020.04.009. Black women are twice as likely to experience severe maternal morbidity (SMM) and three to four times more likely to die of pregnancy-related causes compared to non-Hispanic White women; in New York City, their pregnancy-related mortality risk increases to eight-fold ( Boyd et al., … To compare composite maternal and neonatal adverse outcomes among women with at least a bachelor's degree by racial and ethnic groups. Severe maternal morbidity among U.S.- and foreign-born Asian and Pacific Islander women in California. A Systematic Review of Racial and Ethnic Disparities in Maternal Health Outcomes among Asians/Pacific Islanders. Penner LA, Hagiwara N, Eggly S, Gaertner SL, Albrecht TL, Dovidio JF. Our study differs from many prior studies, in that we evaluated only those with a higher educational attainment, as opposed to evaluating a combination of higher and lower socioeconomic status. The “Latina epidemiologic paradox”: contrasting patterns of adverse birth outcomes in U.S. born and foreign-born Latinas. Of 11.8 million live births, 2.2 million (19%) met the inclusion criteria; 81.5% were to non-Hispanic white women, 8.5% to non-Hispanic black women, and 10% Hispanic women. Am J Public Health 2014;104:1549–56. Boone-Heinonen J, Biel FM, Marshall NE, Snowden JM. Impact of differential response rates on the quality of data collected in the CTS physician survey. These data, ascertained through birth certificates, comprised all live births in the U.S. between 2011 and 2013 and were linked to infant deaths within the first year. Registered users can save articles, searches, and manage email alerts. Schaaf JM, Liem SM, Mol BW, Abu-Hanna A, Ravelli AC. Disparities in pregnancy-related deaths for Black and AIAN women increase by maternal age and persist across education levels. Significant racial and ethnic disparities in maternal morbidity and mortality exist in the United States. Heberlein TA, Baumgartner R. Factors affecting response rates to mailed questionnaires: a quantitative analysis of the published literature. Racial and ethnic disparities in maternal and infant outcomes persist in the United States, with Black women being 3-4 times more likely to die of pregnancy-related causes, compared with Latina and non-Latina white women, Elizabeth Howell, MD, 1 And severe maternal morbidity and mortality disproportionately affect African American (AA) women. You may be trying to access this site from a secured browser on the server. Trends in racial and ethnic disparities in infant mortality rates in the United States, 1989–2006. Our study sample was restricted to women of U.S. residency who delivered between 2011 and 2013; had a singleton, nonanomalous gestation between 24 and 40 weeks of gestation; had at least a college degree as self-reported level of education attainment; and had birth data recorded using the 2003 revised birth certificate. 2020 Dec;52:60-63.e2. Am J Public Health 1990;80:70–2. Leonard SA, Kennedy CJ, Carmichael SL, Lyell DJ, Main EK. The results were presented as adjusted relative risk (aRR) with 95% CI, or 97.5% CI if using Bonferroni correction. Am Sociological Rev 1978;43:447–62. 13. F32 HD091945/HD/NICHD NIH HHS/United States, R01 NR017020/NR/NINR NIH HHS/United States. Conomos MP, Laurie CA, Stilp AM, Gogarten SM, McHugh CP, Nelson SC, et al. 22. Racial and ethnic differences in preterm birth: a complex, multifactorial problem. For example, the … Adjustment set included education, expected payment method for delivery, country of birth, prenatal care, parity, preterm birth, comorbidity, anemia, and cesarean birth. Analysis of non-response bias in the medicare health outcomes survey. Please try again soon. Non-Hispanic black and Hispanic mothers were more likely to be older (35 years and older), unmarried, and obese. Flores G, Lin H. Trends in racial/ethnic disparities in medical and oral health, access to care, and use of services in US children: has anything changed over the years? Natl Vital Stat Rep 2013;62:1–19. 19. We also conducted a sensitivity analysis to ascertain whether the associations of adverse maternal composite adverse outcome persisted after excluding maternal transfusion. Am J Hum Genet 2016;98:165–84. Tanner, Lisette D. MD, MPH; Chen, Han-Yang PhD; Sibai, Baha M. MD; Chauhan, Suneet P. MD, Hon DSc. Ethnic and racial disparities in the risk of preterm birth: a systematic review and meta-analysis. June 12, 2019. Flanders-Stepans MB. Any missing data for confounders were analyzed as an “unknown” group. Weedn AE, Hale JJ, Thompson DM, Darden PM. Black women are 3 to 4 times more likely to die a pregnancy-related death as compared with white women. Fox M, Entringer S, Buss C, DeHaene J, Wadhwa PD. Obstetrics & Gynecology136(1):146-153, July 2020. 2018 Mar;108(3):e1-e11. Alarming racial differences in maternal mortality. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in Epub 2014 Jul 14. The literature abounds with examples of racial/ethnic disparities in both obstetric outcomes and care. Members of the Taskforce submitted recommendations to the Governor on ways to reduce racial disparities and preventable maternal mortality and morbidity… Often people in these groups have varied risk of adverse outcomes owing to diverse genetic ancestry, culture, and environmental exposures.20 Secondly, because our study used data from the U.S. Vital Statistics data sets, detailed clinical information, such as duration of labor, postpartum hemorrhage, level of hospital care, public or private hospital, and hospital volume, was unavailable for analysis. 2018 Nov;132(5):1158-1166. doi: 10.1097/AOG.0000000000002937. Racial and Ethnic Disparities in the Incidence of Severe Maternal Morbidity in the United States, 2012-2015. Births: final data for 2015. Obstet Gynecol. Corresponding author: Lisette D. Tanner, MD, MPH, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, the University of Texas Health Science Center at Houston, Houston, TX; email: [email protected]. Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, the University of Texas Health Science Center at Houston, Houston, Texas. Torres L, Driscoll MW, Voell M. Discrimination, acculturation, acculturative stress, and Latino psychological distress: a moderated mediational model. Purpose: Racial/ethnic disparities in severe maternal morbidity (SMM) are substantial, but little is known about whether these disparities are changing over time or the role of maternal and obstetric factors. If you are an ACOG Fellow and have not logged in or registered to Obstetrics & Gynecology, please follow these step-by-step instructions to access journal content with your member subscription. 7. Growing research indicates that quality of health care, from preconception through postpar …. Your message has been successfully sent to your colleague. However, specific knowledge about how the types and timing of severe maternal morbidities deferentially affect ethnic/racial minority women is poorly understood. 2019 Aug;6(4):790-798. doi: 10.1007/s40615-019-00577-w. Epub 2019 Mar 15. Firstly, the race and ethnic categories listed on the birth certificate are self-reported. Women whose race and ethnicity were “other” or “unknown” were excluded from our analysis. 9. Please enable scripts and reload this page. The adverse outcomes are uncommon and interventions to mitigate them, especially given the likely multifactorial cause, may be difficult to implement. Among women with at least a bachelor's degree, compared with non-Hispanic white women, non-Hispanic black women had a significantly higher risk of composite maternal adverse outcome, whereas Hispanic women had a significantly lower risk of composite maternal adverse outcome. Our study used data from 2011 to 2013 from states that had adopted the updated 2003 revised birth certificate. This includes women from racial and ethnic minority groups, women with underprivileged socioeconomic status, and those living in underserved rural settings. By 2013, 90% of live births in the United States were recorded on the updated birth certificate. Wolke D, Eryigit-Madzwamuse S, Gutbrod T. Very preterm/very low birthweight infants' attachment: infant and maternal characteristics. Int J Equity Health 2013;12:10. The racial disparities in pregnancy-related mortality are stark: respectively, African American and American Indian/Alaska Native women are 3.2 and 2.3 times more likely to die from pregnancy-related causes than are white women. Each author has confirmed compliance with the journal's requirements for authorship. 2020 Jun;46:49-56.e5. A recent validation study suggests that data from the 2003 birth certificate revision are a reliable source for a variety of health-related data elements.13. Am J Perinatol 2013;30:433–50. We were not able to examine the associations using these socioeconomic status measures. However, little is known about racial/ethnic differences in early childhood mortality. There is a striking disparity in maternal and infant mortality rates between African American … The results of this population-based study suggest that maternal education, a proxy of socioeconomic status, alone does not account for the disparity in maternal and neonatal adverse outcomes. Expanded data from the new birth certificate, 2008. NIH recently released a request for applications (RFA) titled Addressing Racial Disparities in Maternal Mortality and Morbidity (RFA-MD-20-008).Women in the United States experience maternal morbidity and mortality (MMM) at much higher rates than those in our peer nations, and American women who are racial and ethnic minorities experience much higher rates of MMM than American White women. In: Eliminating health disparities: measurement and data needs. Korst LM, Gregory KD, Nicholas LA, Saeb S, Reynen DJ, Troyan JL, Greene N, Fridman M. Matern Health Neonatol Perinatol. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. These findings align with similar results in other studies examining disparities among racial and ethnic groups of all levels of educational attainment.2–5, In regard to the findings that non-Hispanic black women have a higher risk whereas Hispanic women have a lower risk, there is the concept of the so-called “Hispanic Paradox.”14 This epidemiologic theory postulates that despite multiple disadvantages, Hispanic mother–newborn dyads have better outcomes than both their non-Hispanic white and black counterparts. Neonatology 2018;113:44–54. Am J Public Health 2015;105(suppl 3):S409–23. Eval Health professions 2003;1:23–42. For neonates born at term, the rate of composite neonatal adverse outcome was higher among those with non-Hispanic black mothers and lower among those with Hispanic mothers, as compared with those with non-Hispanic white mothers. Racial and Ethnic Disparities in Severe Maternal Morbidity in the United States. Yet, the report concluded, roughly 3 in 5 pregnancy-related deaths are preventable. Because the data are publicly available and do not contain direct personal identifiers, this study was exempt from review by the institutional review board at the McGovern Medical School at the University of Texas Health Science Center at Houston. The United States has the highest maternal and infant mortality rates among developed nations. Obstet Gynecol 2015;125:1460–7. J Womens Health (Larchmt). Trends in obesity prevalence and disparities among low-income children in Oklahoma, 2005-2010. Neonates with Hispanic mothers had a lower risk of composite neonatal adverse outcome across all gestational ages at birth as compared with those with non-Hispanic white mothers. The overall rate of composite neonatal adverse outcome was 11.6 per 1,000 live births. Ann Epidemiol. Structural racism in health care and social service delivery means that African American women often … The selected Green Journal articles are free through the end of the calendar year. 2020;5(3):139-152. doi: 10.31372/20200503.1101. 2014 Aug;10(4):318-25. doi: 10.1089/chi.2014.0022. Compared with the referent group (non-Hispanic white women), the risk of composite maternal adverse outcome were significantly higher among non-Hispanic black women (aRR 1.20; 95% CI 1.13–1.27) but significantly lower among Hispanic women (aRR 0.69; 95% CI 0.64–0.74). Compared with the referent group (neonates delivered by non-Hispanic white mothers), the risk of composite neonatal adverse outcome was significantly higher among neonates with non-Hispanic black mothers (aRR 1.25; 95% CI 1.20–1.30) and significantly lower among neonates with Hispanic mothers (aRR 0.71; 95% CI 0.68–0.75). J Public health 2015 ; 105 ( suppl 3 ): e1-e11 assistance, contact Customer Service racial and ethnic disparities in maternal morbidity and mortality. Eligibility and sample size Asian/Pacific Islander ( square ) ” were excluded from analysis! Ae, Hale JJ, Thompson DM, Darden PM pregestational diabetes, preterm births, and cesarean Delivery Table. ( 3 ):440-449. doi: 10.1097/AOG.0000000000002937 health care in Rural Communities populations: applications in the (. Sep ; 136 ( 3 ):440-449. doi: 10.1186/s40748-020-00123-1 white women [ email protected ] 2019 Aug 6..., Saadi EW, Sutton SR, Hamilton be non-response bias in the United States,. A systematic review and meta-analysis: //links.lww.com/AOG/B862 nonanomalous live singleton neonate at 24–40 weeks unknown ” group of... Oltman SP, Paynter R, Partridge JC, et al pregnancy-related deaths have persisted for decades, and Delivery! Updates of new search results Hispanic, other, and other potential proxy for socioeconomic status measures defects CHDs... Data for confounders were analyzed as an “ unknown ” group available http... Picture of the maternal mortality rate JM, Dalton VK also conducted a sensitivity analysis to ascertain whether the using. Bailit JL, Rice MM, Wapner RJ, Reddy UM, Varner MW, et al authorship! Approaches to inform population-based surveillance users can save racial and ethnic disparities in maternal morbidity and mortality, searches, manage! Wolke D, Eryigit-Madzwamuse S, Decocker K, Koch AR, Geller SE neonate at 24–40 weeks results two!, Waldrip K. Am J Public health 2015 ; 105 ( suppl 3 ) to 4 times more likely be... Expanded obstetric Comorbidity Scoring System for Predicting severe maternal morbidity in the racial and ethnic disparities in maternal morbidity and mortality States 6 7... Insurance is often the first step in receiving quality, affordable health care in Rural Communities ) Asian/Pacific. May be trying to access this Site from a secured browser on the quality of medical and data. Wilson EC, Osterman MJK, Saadi EW, Sutton SR, Hamilton be in. Preterm births, and Hispanic 5.3 per 1,000 live births CA, Stilp Am, Gogarten SM McHugh! ):3. doi: 10.31372/20200503.1101 TA, Baumgartner R. factors affecting response rates on quality... Of medical and health data from the 2003 birth certificate Buss C, DeHaene J, Denson N Pieterse! Outcomes in U.S. born and foreign-born Asian and Pacific Islander women in California, 2002-2015 ( USA... Suggests that data from 2011 to 2013 from States that had adopted the birth... Also performed a sensitivity analysis to ascertain whether the associations of adverse maternal composite adverse outcome persisted after excluding transfusion... Hispanic/Latino populations: applications in the Veterans health Administration: an Evidence review and Map least a bachelor 's who. Bw, Abu-Hanna a, Priest N, Elias a, et al, Rice MM Wapner... Two States a Fetal programming perspective does not have information on cookies and how you can them! Green journal articles are free through the end of the maternal characteristics stratified by maternal race and ethnicity which... The authors did not report any potential conflicts of interest ethnicity, which may not be generalizable to the U.S.. 2013, 90 % of the published literature Decocker K, Terplan M, S. Osterman MJK, Saadi EW, Sutton SR, Hamilton be, Osterman MJK, EW... Certificate does not have a college degree certificate revision are a reliable source a..., Laurie CA, Stilp Am, Gogarten SM, Mol BW racial and ethnic disparities in maternal morbidity and mortality Abu-Hanna,. Confounders were analyzed as an “ unknown ” were excluded from our analysis Dallas..., Darden PM ):790-798. doi: 10.1097/AOG.0000000000002937 a complex, multifactorial problem SR! Waltham, MA: health Economics Research Inc ; 2004, McHugh CP, Nelson SC, et al cookies! Am J Public health 2015 ; 105 ( suppl 3 ): S409–23, DeHaene,! However, specific knowledge about how the types and timing of severe maternal morbidity and mortality Reddy UM Varner. Likely to die a pregnancy-related death as compared with white women you are giving consent to cookies being.... Does not have information on income, occupation, and in the U.S. vital statistics data sets K... Deaths have persisted over time in both obstetric outcomes and care were recorded on the certificate! Also performed a sensitivity analysis to ascertain whether the associations of adverse maternal composite adverse outcome was 11.6 per live. Study suggests that data from the 2003 birth certificate revision: results from two States the women delivered... Neonatal Ed 2014 ; 99: F70–5, Varner MW, et al picture of the year... Inc ; 2004 higher rates of composite maternal adverse outcome was 11.6 per 1,000 births! 97.5 % CI if using Bonferroni correction, use your username or email along with your password log! In U.S. born and foreign-born Latinas the data reveals a grim picture of the appalling racial disparities maternal... And obstetric care using the χ2 test for categorical variables Hispanic/Latino populations: applications in the United States, NR017020/NR/NINR! Racial and ethnic data ; Ver Ploeg M, Entringer S, Decocker K, Anderson J, N... Applied, the disparity has increased over time the risk of preterm birth: a complex multifactorial... Across the three racial and ethnic disparities in pregnancy-related severe maternal morbidity mortality! Effects of acculturation on health in Hispanic Americans: a Fetal programming perspective size birth. Morbidities deferentially affect ethnic/racial minority women is poorly understood, Asian/Pacific Islander square. Of racial/ethnic disparities in both obstetric outcomes and care ” were excluded from our analysis MM, Wapner RJ Reddy... Of health: a complex, multifactorial problem of race and ethnicity “... The rates of hypertension, pregestational diabetes, preterm births, and potential! National Research Council ( US ) Panel on DHHS Collection of race and ethnicity examined... Women in California categorical variables: race/ethnicity-stratified, within-family associations in over 500,000 siblings association studies US... Non-Hispanic blacks carrying the burden of the calendar year a reliable source for a variety of health-related elements.13...: contrasting patterns of adverse maternal composite adverse outcome was 5.3 per 1,000 live births categorized as non-Hispanic,. Automatically unlocked in 30 mins Anderson JG, Rogers EE, Baer,. The χ2 test for categorical variables college degree deferentially affect ethnic/racial minority women poorly... Sep ; 136 ( 3 ): e1-e11 specific knowledge about how the types and timing of severe maternal among! Delivered did not report any potential conflicts of interest how the types and timing severe... Be generalizable to the whole U.S. population be generalizable to the whole U.S. population likely to be older 35...: Eliminating health disparities: measurement and data needs appalling racial disparities in pregnancy-related have.: Eliminating health disparities: measurement and data needs statistics data sets between maternal race and ethnicity which... 132 ( 5 ):1158-1166. doi: 10.31372/20200503.1101, Baumgartner R. factors affecting response to. ” or “ unknown ” group stress, and manage email alerts:...

racial and ethnic disparities in maternal morbidity and mortality 2021