Evidence map›Paper›PMID 24921060›Full record

ArticleJournal of racial and ethnic health disparities2014

Maternal differences and birth outcome disparities: Diversity within a high risk prenatal clinic.

Melanie Thomas, Anna Spielvogel, Frances Cohen, Susan Fisher-Owens, Naomi Stotland, Betsy Wolfe, Martha Shumway

Open access · bronzeAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Shared Decision Making in Perinatal Care.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2024
    Article
  4. Computerized Cardiotocography Analysis: Comparison among Several Parental Ethnic Origins.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
    Article
  5. Article
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

7 authors at 2 institutions in 2 countries.

Melanie ThomasUCSF Department of Psychiatry.
Anna SpielvogelUCSF Department of Psychiatry.
Frances CohenUCSF Department of Psychiatry.
Susan Fisher-OwensUCSF Department of Pediatrics.
Naomi StotlandUCSF Department of Obstetrics and Gynecology.
Betsy WolfeUCSF Department of Psychiatry.
Martha ShumwayUCSF Department of Psychiatry.
Universidad Católica de Santa Fe · ARUniversity of California, San Francisco · US

Funding

TRAINING THE NEXT GENERATION OF MENTAL HEALTH RESEARCHERSR25MH060482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DANIEL H MATHALON, Susan M. Voglmaier · 2000 to 2026
$5.2M
Psychology & Medicine: Translational Research on Stress, Behavior and DiseaseT32MH019391 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, EPEL, ELISSA S. · 1991 to 2022
$4.4M
NIMH NIH HHS R25 MH060482NIMH NIH HHS T32 MH019391
6 · The paper itself

Abstract

backgroundWe examined the influence of race/ethnicity on appointment attendance, maternal psychiatric and medical diagnoses, and birth outcomes within a diverse, low income, high risk pregnant population to determine whether birth outcome disparities would be lessened in a sample with high biopsychosocial risk across all groups.

methodsData were retrospectively obtained on all women scheduled for appointments in the San Francisco Genera Hospital (SFGH) High-Risk Obstetrics (HROB) clinic during a three-month period. General linear model and logistic regression procedures were used to examine the associations of race/ethnicity with maternal characteristics, clinic attendance, and birth outcomes.

resultsOur sample included 202 maternal-infant pairs (Hispanic 57%, Black 16%, Asian 15%, White 12%). Racial/ethnic differences were seen in language (p < .001), gravidity (p < .001), parity (p = .005), appointment attendance (p < .001), diabetes (p = .005), psychiatric diagnosis (p = .02), illicit drug use (p < .001), smoking (p < .001). These maternal characteristics, including rate of attendance at specialized prenatal appointments, did not predict birth outcomes with the exception of an association between diabetes and earlier gestational age (p = .03). In contrast, Black maternal race/ethnicity was associated with earlier gestational age at birth (p = .004) and lower birth weight (p < .001) compared to Whites.

conclusionsWithin a diverse maternal population of high biopsychosocial risk, racial/ethnic disparities in birth outcomes persist. These disparities have implications for infant health trajectory throughout the lifecourse and for intervention implementation in high risk groups.

Indexed as

birth outcomesmaternal healthmental healthpregnancyracial/ethnic disparities

Identifiers

PMID24921060
PMCPMC4048725
OpenAlexW2093661929

What OpenQuestion holds

Textmetadata
LicenceTDM
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.