ArticleBMC pregnancy and childbirth2018
Paradox lost on the U.S.-Mexico border: U.S. Latinas and cesarean rates.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed.
- Assessing Racial/Ethnic Variation and Trends in Vaginal Birth after Cesarean in California: A Retrospective Cohort Study Using Linked Birth Certificate and Hospital Discharge Records.American journal of perinatology · 2026Article
- Birth Outcomes in the Hispanic Population in the United States: Trends, Variation, and Determinants (2011-2021).International journal of environmental research and public health · 2025Article
- Acculturation, Acculturative Stress, Experience of Discrimination, and Cesarean Birth in Mexican American Women.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023Article
- Multi-level Drivers of Disparities in Hispanic Cesarean Delivery Rates in US-Mexico Border States.Journal of racial and ethnic health disparities · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundWe apply Intersectional Theory to examine how compounded disadvantage affects the odds of women having a cesarean in U.S.-Mexico border hospitals and in non-border hospitals. We define U.S. Latinas with compounded disadvantage as those who have neither a college education nor private health insurance.
resultsAnalyzing quantitative and qualitative data from Childbirth Connection's Listening to Mothers III Survey, we find that, consistent with the notion of the Latinx Health Paradox, compounded disadvantage serves as a protective buffer and decreases the odds of cesarean among women in non-border hospitals. However, the Latinx Health Paradox is absent on the border.
conclusionOur data show that women with compounded disadvantage who give birth on the border have significantly higher odds of a cesarean compared to women without such disadvantage. Further, women with compounded disadvantage who give birth in border hospitals report receiving insufficient prenatal, pregnancy, and postpartum information, providing a direction for future research to explain the border disparity in cesareans.
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