Journal article
Racial Disparity in Pregnancy-related Mortality Associated with Livebirth: Can Established Risk Factors Explain It?
American journal of epidemiology, Vol.152(5), pp.413-419
09/01/2000
DOI: 10.1093/aje/152.5.413
PMID: 10981453
Abstract
The authors conducted a nested case-control study to determine whether the fourfold increased risk of pregnancy-related mortality for US Black women compared with White women can be explained by racial differences in sociodemographic and reproductive factors. Cases were derived from a national surveillance database of pregnancy-related deaths and were restricted to White women (n = 840) and Black women (n = 448) whose pregnancies resulted in a livebirth and who died of a pregnancy-related cause between 1979 and 1986. Controls were derived from national natality data and were randomly selected White women and Black women who delivered live infants and did not die from a pregnancy-related cause (n = 5,437). Simultaneous adjustment for risk factors by using logistic regression did not explain the racial gap in pregnancy-related mortality. The largest racial disparity occurred among women with the lowest risk of pregnancy-related death: those of low to moderate parity who delivered normal-birth-weight babies (adjusted odds ratio = 3.53, 95% confidence interval: 2.9, 4.4). In contrast, no racial disparity was found among women with the highest risk of pregnancy-related death: high-parity women who delivered low-birth-weight babies. These findings indicate that reproductive health care professionals need to develop strategies to reduce pregnancy-related deaths among both high- and low-risk Black women. Am J Epidemiol 2000; 152:413–19.
Details
- Title: Subtitle
- Racial Disparity in Pregnancy-related Mortality Associated with Livebirth: Can Established Risk Factors Explain It?
- Creators
- Audrey F. Saftlas - Yale UniversityLisa M. Koonin - National Center for Chronic Disease Prevention and Health PromotionHani K. Atrash - National Center for Chronic Disease Prevention and Health Promotion
- Resource Type
- Journal article
- Publication Details
- American journal of epidemiology, Vol.152(5), pp.413-419
- Publisher
- Oxford University Press
- DOI
- 10.1093/aje/152.5.413
- PMID
- 10981453
- ISSN
- 0002-9262
- eISSN
- 1476-6256
- Language
- English
- Date published
- 09/01/2000
- Academic Unit
- Epidemiology
- Record Identifier
- 9984363575302771
Metrics
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