Journal article
Disparities in Reproductive Health-Related Visits to the Emergency Department in Maryland by Age and Race, 1999-2005
Journal of women's health (Larchmont, N.Y. 2002), Vol.20(12), pp.1833-1838
12/01/2011
DOI: 10.1089/jwh.2010.2554
PMID: 22074208
Abstract
Objective: To describe reproductive health-related visits to Maryland emergency departments (EDs) among women aged 15-44 years from 1999 to 2005.
Methods: We obtained data from the Healthcare Cost and Utilization Project State Emergency Department Database and State Inpatient Database. ICD-9-CM diagnosis codes were used to classify reproductive health-related visits. We calculated the annual rate of reproductive health visits to Maryland EDs from 1999 to 2005 for women aged 15-44 years and tested time trends using linear regression. Admission rates were defined as the percentage of ED visits that resulted in inpatient admission. We calculated age-specific and race-specific rate ratios for diagnoses using Poisson regression and admission rate ratios using Cochran-Mantel-Haenszel statistics.
Results: From 1999 to 2005, the rate of ED visits in Maryland increased 50%, from 28.0 to 42.1 visits per 1000 women. Lower genital tract infections were the most common diagnosis (21.4%). The rates were higher for women aged 15-24 than for women aged 25-44 (rate ratio 1.18, 95% confidence interval [CI] 1.17-1.18) and nearly three times higher for black women than white women (rate ratio 2.94, 95% CI 2.92-2.96). Admission rates were lower for women aged 15-24 than for women aged 25-44 (rate ratio 0.34, 95% CI 0.33-0.35) and were higher among black than white women (rate ratio 1.16, 95% CI 1.14-1.18).
Conclusions: Disparities by age and race are evident for reproductive health-related ED visits in Maryland, and many of these ED visits are for conditions that are amenable to preventive measures.
Details
- Title: Subtitle
- Disparities in Reproductive Health-Related Visits to the Emergency Department in Maryland by Age and Race, 1999-2005
- Creators
- Shanna Cox - Centers for Disease Control and PreventionTeresa Dean - National Center for Chronic Disease Prevention and Health PromotionSamuel F. Posner - National Center for Chronic Disease Prevention and Health PromotionDenise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionKathryn M. Curtis - Centers for Disease Control and PreventionChristopher H. Johnson - Centers for Disease Control and PreventionSusan Meikle - Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Resource Type
- Journal article
- Publication Details
- Journal of women's health (Larchmont, N.Y. 2002), Vol.20(12), pp.1833-1838
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/jwh.2010.2554
- PMID
- 22074208
- ISSN
- 1540-9996
- eISSN
- 1931-843X
- Number of pages
- 6
- Language
- English
- Date published
- 12/01/2011
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446406402771
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