ArticleMaternal and child health journal2006
Racial and ethnic disparities in potentially avoidable delivery complications among pregnant Medicaid beneficiaries in South Carolina.
Article in Maternal and child health journal, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed.
- North Carolina Trends in Prenatal Care: The Need for Greater Equity in Prenatal Care Access for Women of Color.Journal of racial and ethnic health disparities · 2026Article
- A cluster randomized stepped wedge implementation trial of scale-up approaches to ending pregnancy-related and -associated morbidity and mortality disparities in 12 Michigan counties: rationale and study protocol.Implementation science communications · 2025Article
- An Exploratory Spatiotemporal Analysis of Socio-Environmental Patterns in Severe Maternal Morbidity.Maternal and child health journal · 2022Article
- Characterizing Hypertensive Disorders of Pregnancy Among Medicaid Recipients in a Nonexpansion State.Journal of women's health (2002) · 2022Article
- Precision of provider licensure data for mapping member accessibility to Medicaid managed care provider networks.BMC health services research · 2018Observational
- Anatomy of Good Prenatal Care: Perspectives of Low Income African-American Women on Barriers and Facilitators to Prenatal Care.Journal of racial and ethnic health disparities · 2017Article
- Maternal care and birth outcomes among ethnic minority women in Finland.BMC public health · 2009Article
- Prejudice in medicine: Our role in creating health care disparities.Canadian family physician Medecin de famille canadien · 2008Article
- Self-reported reproductive outcomes among male and female 1991 Gulf War era US military veterans.Maternal and child health journal · 2006Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine race and ethnicity differences in accessibility and effectiveness of health care during pregnancy.
methodsData were 26,866 year 2000 Medicaid-insured deliveries from the South Carolina Office of Research and Statistics, and Area Resource File. The access indicator was Potentially Avoidable Maternity Complications (PAMCs). PAMC risks can be reduced through prenatal care, such as infection screening and treatment, and healthy behaviors it promotes. We compared PAMC risks of Blacks, Hispanics, and Whites. Analyses included PAMC rates, Chi-square, t-tests, multilevel logistic regression. Risks were estimated for ages 10-17, and 18+.
resultsAt ages 10-17 (n=2,691), Blacks and Hispanics had notably higher unadjusted and adjusted PAMC risks (adjusted odds ratios, ORs, 2.26, p < .001; 3.29, p < .05, respectively). At ages 18+, adjusted odds for Hispanics were about half those of Whites (p < .05). Adjusted odds for adult Blacks and Whites did not differ. This may be due to controlling for many risk factors that are more prevalent among Blacks: Single, disabled, poverty, diabetes, hypertension, rurality; however, unadjusted PAMC prevalence also did not differ greatly (3.9 for Blacks, 3.4 for Whites, p < .1). Adjusted risks were high for adults with diabetes (OR 2.40, p < .001) and all rural women (teen OR 4.02, p < .05; adult OR 1.83, p < .001).
conclusionsYoung Blacks and Hispanics have notably higher risks of delivery outcomes indicating less access to prenatal care of reasonable quality. Policies to reduce PAMCs in Medicaid should address needs of young Blacks and Hispanics; enhance diabetes treatment for adult women; and address rural access barriers for all women.
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