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Racial disparity in pregnancy-related mortality following a live birth outcome
- Source :
- Annals of Epidemiology. 14:274-279
- Publication Year :
- 2004
- Publisher :
- Elsevier BV, 2004.
-
Abstract
- Purpose African-American women have a 2- to 4-fold increased risk of pregnancy-related death compared with Caucasian women. We conducted this study to determine if differences in a combination of socioeconomic and medical risk factors may explain this racial disparity in pregnancy-related death. Methods Pregnancy-related deaths of African-American (N = 60) and Caucasian (N = 47) women were identified from review of pregnancy-associated deaths (N = 400) ascertained through cause of death on death certificates, electronic linkage of birth and death files, and review of the hospital discharge database for the State of North Carolina, during the period between 1992 and 1998. Controls (N = 3404) were randomly selected from all live births for the same 7-year period. Logistic regression was used to model the association between race and pregnancy-related death. Results The unadjusted odds ratio (OR) for pregnancy-related death for African-Americans compared with Caucasians was 3.07 (95% confidence interval [CI], 2.08, 4.54). After controlling for gestational age at delivery, maternal age, income, hypertension, and receipt of prenatal care, African-American race remained a significant predictor variable (OR 2.65 [95% CI 1.73, 4.07]). Conclusions Our analysis confirms that there is a strong association between race and pregnancy-related death, even after adjusting for potential predictors and confounders.
- Subjects :
- Adult
medicine.medical_specialty
Epidemiology
Prenatal care
Logistic regression
Death Certificates
White People
Pregnancy
Risk Factors
Cause of Death
North Carolina
medicine
Humans
Cause of death
Gynecology
business.industry
Gestational age
Odds ratio
medicine.disease
Confidence interval
Black or African American
Pregnancy Complications
Logistic Models
Maternal Mortality
Socioeconomic Factors
Hypertension
Female
Medical Record Linkage
Live birth
business
Demography
Subjects
Details
- ISSN :
- 10472797
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Annals of Epidemiology
- Accession number :
- edsair.doi.dedup.....ae7bd6dc944de92779163fe7541a7ff8