ArticleMaternal and child health journal2019
Determinants of Severe Maternal Morbidity and Its Racial/Ethnic Disparities in New York City, 2008-2012.
Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Addressing the U.S. maternal health crisis: a systematic review of healthcare access barriers, disparate outcomes, and effective interventions.Frontiers in public health · 2026Pooled it
- Structural racism and adverse maternal health outcomes: A systematic review.Health & place · 2022Pooled it
- The association between obstetric comorbidity index and delivery hospitalization associated cost: a nationwide population study in Taiwan.BMC health services research · 2026Article
- Racial and Ethnic Differences in Labor Duration and Cesarean Indications Among Low-Risk Nulliparous Term Singleton Vertex Births: A Retrospective Analysis.Journal of clinical medicine · 2026Article
- Maternal levels of care and association with severe maternal morbidity during birth hospitalizations.PloS one · 2026Observational
- Obstetric complications and socio-demographic characteristics associated with severe maternal morbidity at Mbeya Zonal Referral Hospital, Tanzania: a case-control study.Frontiers in global women's health · 2026Article
- Neighbourhood Socioeconomic Disadvantage and Severe Maternal Morbidity: Secondary Analysis of a Prospective Cohort.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Ethnic Disparities in Severe Maternal Morbidity and the Contribution of Deprivation: A Population-Based Causal Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- New Yorkers Speak Up: Community Perspectives on Improving Healthcare Experiences in New York City.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Comorbidities and Pregnancy-Related Risk Factors in Patients with Severe Maternal Morbidity: Application of a Validated Obstetrical Comorbidity Scoring System to a Surveillance-Identified Population.Healthcare (Basel, Switzerland) · 2025Article
- Severe Maternal Morbidity by Race and Ethnicity and Birth Mode Among Individuals With a Prior Cesarean Birth.JAMA network open · 2025Article
- Maternal Vulnerability Index and Severe Maternal Morbidity.JAMA network open · 2025Article
- MOMs Chat & Care Study: Rationale and design of a pragmatic randomized clinical trial to prevent severe maternal morbidity among Black birthing people.Contemporary clinical trials · 2025Article
- "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.Birth (Berkeley, Calif.) · 2025Article
- Impacts of Vehicle Emission Regulations and Local Congestion Policies on Birth Outcomes Associated with Traffic Air Pollution.Research report (Health Effects Institute) · 2025Article
- Changes in traffic-related air pollution exposures and associations with adverse birth outcomes over 20 years in Texas.International journal of epidemiology · 2024Article
- Determinants of potential life-threatening maternal conditions (PLTCs) in Tigray, northern Ethiopia: a case‒control study.Scientific reports · 2024Article
- Neighborhood-level fatal police violence and severe maternal morbidity in California.American journal of epidemiology · 2024Article
- Protective Assets Reinforced With Integrated Care and Technology (PARITY): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Predictors and a scoring model for maternal near-miss and maternal death in Southern Thailand: a case-control study.Archives of gynecology and obstetrics · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives Severe maternal morbidity (SMM) is an important indicator for identifying and monitoring efforts to improve maternal health. Studies have identified independent risk factors, including race/ethnicity; however, there has been limited investigation of the modifying effect of socioeconomic factors. Study aims were to quantify SMM risk factors and to determine if socioeconomic status modifies the effect of race/ethnicity on SMM risk. Methods We used 2008-2012 NYC birth certificates matched with hospital discharge records for maternal deliveries. SMM was defined using an algorithm developed by the Centers for Disease Control and Prevention. Mixed-effects logistic regression models estimated SMM risk by demographic, socioeconomic, and health characteristics. The final model was stratified by Medicaid status (as a proxy for income), education, and neighborhood poverty. Results Of 588,232 matched hospital deliveries, 13,505 (229.6 per 10,000) had SMM. SMM rates varied by maternal age, birthplace, education, income, pre-existing chronic conditions, pre-pregnancy weight status, trimester of prenatal care entry, plurality, and parity. Race/ethnicity was consistently and significantly associated with SMM. While racial differences in SMM risk persisted across all socioeconomic groupings, the risk was exacerbated among Latinas and Asian-Pacific Islanders with lower income when compared to white non-Latinas. Similarly, living in the poorest neighborhoods exacerbated SMM risk among both black non-Latinas and Latinas. Conclusions for Practice SMM determinants in NYC mirror national trends, including racial/ethnic disparities. However, these disparities persisted even in the highest income and educational groups suggesting other pathways are needed to explain racial/ethnic differences.
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