Evidence map›Paper›PMID 23504133›Full record

ArticleMaternal and child health journal2014

Disparities in cesarean delivery by ethnicity and nativity in New York city.

T Janevic, E Loftfield, D A Savitz, E Bradley, J Illuzzi, H Lipkind

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Regional differences in autism and intellectual disability risk associated with cesarean section delivery.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  6. Observational
  7. Higher Rates of Cesarean Sections Found in Somali Immigrant Women in Minnesota.Journal of racial and ethnic health disparities · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Risk Factors for Shoulder Dystocia: the Impact of Mother's Race and Ethnicity.Journal of racial and ethnic health disparities · 2018
    Observational
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

T JanevicDepartment of Epidemiology, UMDNJ School of Public Health, 683 Hoes Lane West, Room 209, PO Box 9, Piscataway, NJ, 08854, USA. janevite@umdnj.edu.
E LoftfieldSchool of Public Health, Yale University, New Haven, CT, USA.
D A SavitzDepartments of Epidemiology and Obstetrics and Gynecology, Brown University, Providence, RI, USA.
E BradleySchool of Public Health, Yale University, New Haven, CT, USA.
J IlluzziDepartment of Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
H LipkindDepartment of Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
Yale University · USBrown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our objective was to examine differences in risk of cesarean delivery among diverse ethnic groups in New York City. Using cross-sectional New York City birth and hospitalization data from 1995 to 2003 (n = 961,381) we estimated risk ratios for ethnic groups relative to non-Hispanic whites and immigrant women relative to US-born women. Adjusting for insurance, pre-pregnancy weight, maternal age, education, parity, birthweight, gestational age, year, medical complications, and pregnancy complications, all ethnic groups except East Asian women were at an increased risk of cesarean delivery, with the highest risk among Hispanic Caribbean women [adjusted risk ratio (aRR) = 1.27, 95 % CI (confidence interval) = 1.24, 1.30] and African American women (aRR = 1.20, 95 % CI = 1.17, 1.23). Among Hispanic groups, immigrant status further increased adjusted risk of cesarean delivery; adjusted risk ratios for foreign-born women compared to US-born women of the same ethnic group were 1.27 for Mexican women (95 % CI = 1.05, 1.53), 1.23 for Hispanic Caribbean women (95 % CI = 1.20, 1.27), and 1.12 for Central/South American women (95 % CI = 1.04, 1.21). Similar patterns were found in subgroup analyses of low-risk women (term delivery and no pregnancy or medical complications) and primiparous women. We found evidence of disparities by ethnicity and nativity in cesarean delivery rates after adjusting for multiple risk factors. Efforts to reduce rates of cesarean delivery should address these disparities. Future research should explore potential explanations including hospital environment, provider bias, and patient preference.

Indexed as

Birth CertificatesBody Mass IndexCesarean SectionEmigrants and ImmigrantsFemaleHealthcare DisparitiesHumansMaternal AgeMedical Record LinkageMinority HealthNew York CityPregnancyPregnancy ComplicationsPregnancy OutcomeRisk FactorsSocioeconomic Factors

Identifiers

PMID23504133
OpenAlexW1976150412

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.