Evidence map›Paper›PMID 25790391›Full record

ArticleAmerican journal of public health2015

Factors associated with increased cesarean risk among African American women: evidence from California, 2010.

Marco Huesch, Jason N Doctor

Abstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Racial and Ethnic Trends in Cesarean Delivery on Maternal Request.Journal of racial and ethnic health disparities · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Weaker bones and white skin as adaptions to improve anthropological "fitness" for northern environments.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  20. 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

2 authors.

Marco HueschMarco Huesch is with the Sol Price School of Public Policy and the Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California (USC), Los Angeles. At the time of the study, he was also with the Department of Community and Family Medicine, Duke University School of Medicine, and the Duke University Fuqua School of Business, Durham, NC. Jason N. Doctor is with the School of Pharmacy and the Leonard D. Schaeffer Center for Health Policy and Economics, USC.
Jason N Doctor

Funding

Building the Science of Public Reporting - Activating Consumer InterestR21HS021868 · AHRQ · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HUESCH, MARCO · 2012 to 2013
$655k
AHRQ HHS R21 HS021868AHRQ HHS R21 HS21868
6 · The paper itself

Abstract

objectivesWe studied if both observed and unobserved maternal health in African American women in hospitals or communities were associated with cesarean delivery of infants.

methodsWe examined the relationship between African American race and cesarean delivery among 493 433 women discharged from 255 Californian hospitals in 2010 using administrative data; we adjusted for patient comorbidities and maternal, fetal, and placental risk factors, as well as clustering of patients within hospitals.

resultsCesarean rates were significantly higher overall for African American women than other women (unadjusted rate 36.8% vs 32.7%), as were both elective and emergency primary cesarean rates. Elevated risks persisted after risk adjustment (odds ratio generally > 1.27), but the prevalence of particular risk factors varied. Although African American women were clustered in some hospitals, the proportion of African Americans among all women delivering in a hospital was not related to its overall cesarean rate.

conclusionsTo address the higher likelihood of elective cesarean delivery, attention needs to be given to currently unmeasured patient-level health factors, to the quality of provider-physician interactions, as well as to patient preferences.

Indexed as

Black or African AmericanCaliforniaCesarean SectionFemaleHumansInsurance CoverageObstetric Labor ComplicationsPregnancyRisk Factors

Identifiers

PMID25790391
PMCPMC4386542

What OpenQuestion holds

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Registered trials

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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.