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Trends and Racial/Ethnic Disparities in the Rates of Pre-eclampsia by HIV Status in the US
- Source :
- Journal of Racial and Ethnic Health Disparities. 8:670-677
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Preeclampsia and HIV account for a significant proportion of the global burden of disease and pose severe maternal–fetal risks. There is a dearth of literature regarding racial/ethnic disparities in preeclampsia associated with HIV/AIDS in the US. We retrospectively analyzed data from the National Inpatient Sample (NIS) database from 2002 to 2015 on a cohort of hospitalized pregnant women with or without preeclampsia and HIV. Joinpoint regression models were used to identify trends in the rates of preeclampsia among pregnant women living with or without HIV, stratified by race/ethnicity over the study period. We also assessed the association between preeclampsia and various socio-demographic factors. We analyzed over 60 million pregnancy-related hospitalizations, of which 3665 had diagnoses of preeclampsia and HIV, corresponding to a rate of 0.61 per 10,000. There was an increasing trend in the diagnosis of preeclampsia among hospitalized, pregnant women without HIV across each racial/ethnic category. The highest prevalence of preeclampsia was among non-Hispanic (NH) Blacks, regardless of HIV status. The increase in rates of pre-eclampsia between 2002 and 2015 was mostly noted among pregnant women without HIV. Regardless of HIV status, NH-Blacks experienced the highest discharge prevalence of preeclampsia.
- Subjects :
- Adult
medicine.medical_specialty
Health (social science)
Adolescent
Databases, Factual
Sociology and Political Science
Ethnic group
HIV Infections
Preeclampsia
Young Adult
03 medical and health sciences
0302 clinical medicine
Pre-Eclampsia
Acquired immunodeficiency syndrome (AIDS)
Pregnancy
Epidemiology
Ethnicity
medicine
Humans
030212 general & internal medicine
Pregnancy Complications, Infectious
reproductive and urinary physiology
Retrospective Studies
030505 public health
Eclampsia
business.industry
Health Policy
Racial Groups
Public Health, Environmental and Occupational Health
Health Status Disparities
Middle Aged
medicine.disease
United States
female genital diseases and pregnancy complications
Anthropology
embryonic structures
Cohort
Female
Hiv status
0305 other medical science
business
Demography
Subjects
Details
- ISSN :
- 21968837 and 21973792
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Racial and Ethnic Health Disparities
- Accession number :
- edsair.doi.dedup.....429f7ec37337eaebc2571c2f4b81c05b