Evidence map›Paper›PMID 30635596›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Racial disparities in intrapartum group B Streptococcus colonization: a higher incidence of conversion in African American women.

Melissa H Spiel, Michele R Hacker, Miriam J Haviland, Bethany Mulla, Elizabeth Roberts, Laura E Dodge, Brett C Young

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Preparing for Group BHuman vaccines & immunotherapeutics · 2023
    Article
  4. Review
  5. Changes in Group BPathogens (Basel, Switzerland) · 2022
    Article
  6. Review
  7. Epidemiological Trends of Racial Differences in Early- and Late-onset Group B Streptococcus Disease in Tennessee.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  8. Article
  9. Article
  10. 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.

Melissa H SpielDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Michele R HackerDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Miriam J HavilandDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Bethany MullaDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Elizabeth RobertsDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Laura E DodgeDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Brett C YoungDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA. bcyoung@bidmc.harvard.edu.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
NCATS NIH HHS UL1 TR001102
6 · The paper itself

Abstract

objectiveTo compare the incidence of group B Streptococcus (GBS) conversion from a negative antepartum to a positive intrapartum culture among women who self-identify as non-Hispanic black, Hispanic, or non-Hispanic white. STUDY

designThis was a prospective cohort study of women with a negative rectovaginal GBS culture obtained within 35 days of enrollment. An intrapartum rectovaginal swab was collected and cultured for GBS. Data were compared with chi-square, Fisher's exact, or Wilcoxon rank-sum test. Modified Poisson regression was used.

resultsWe enrolled 737 women; 75.4% were non-Hispanic white, 17.6% were non-Hispanic black, and 6.9% were Hispanic. Non-Hispanic black women were more likely to convert to GBS positive than non-Hispanic white women, 9.2% as compared to 5.3% (RR: 2.0; 95% CI: 1.02-3.8).

conclusionThe increased incidence of positive intrapartum GBS cultures among non-Hispanic black women suggests that non-Hispanic black race is a risk factor for GBS conversion in the late third trimester.

Indexed as

Health Status DisparitiesAdultBlack or African AmericanBostonFemaleHispanic or LatinoHumansIncidencePregnancyPregnancy Complications, InfectiousPregnancy Trimester, ThirdProspective StudiesRisk FactorsStreptococcal InfectionsStreptococcus agalactiaeVagina

Identifiers

PMID30635596
PMCPMC6391200

What OpenQuestion holds

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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.