Evidence map›Paper›PMID 32364858›Full record

ArticleHealth affairs (Project Hope)2020

Neighborhood Racial And Economic Polarization, Hospital Of Delivery, And Severe Maternal Morbidity.

Teresa Janevic, Jennifer Zeitlin, Natalia Egorova, Paul L Hebert, Amy Balbierz, Elizabeth A Howell

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
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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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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2 more citing papers are in PubMed but not listed here.

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

6 authors.

Teresa JanevicTeresa Janevic ( teresa. janevic@mountsinai. org ) is an assistant professor at the Blavatnik Family Women's Health Research Institute, Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, in New York City.
Jennifer ZeitlinJennifer Zeitlin is a senior research scientist in the Center for Epidemiology and Biostatistics, Inserm UMR 1153, Obstetrical, Perinatal, and Pediatric Epidemiology Research Team (Epopé), Paris Descartes University, in France.
Natalia EgorovaNatalia Egorova is an associate professor in the Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai.
Paul L HebertPaul L. Hebert is an investigator in the Veterans Affairs (VA) Health Services Research and Development Center for Veteran-Centered, Value-Driven Health, VA Puget Sound Health Care System, and a research associate professor in the Department of Health Services, School of Public Health, University of Washington, both in Seattle.
Amy BalbierzAmy Balbierz is a research coordinator at the Blavatnik Family Women's Health Research Institute, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai.
Elizabeth A HowellElizabeth A. Howell is a professor at the Blavatnik Family Women's Health Research Institute, Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai.

Funding

Hospital Quality and Racial/Ethnic Disparities in Severe Maternal MorbidityR01MD007651 · NIMHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2014 to 2018
$2.1M
NIMHD NIH HHS R01 MD007651
6 · The paper itself

Abstract

Recent national and state legislation has called attention to stark racial/ethnic disparities in maternal mortality and severe maternal morbidity (SMM), the latter of which is defined as having a life-threatening condition or life-saving procedure during childbirth. Using linked New York City birth and hospitalization data for 2012-14, we examined whether racial and economic spatial polarization is associated with SMM rates, and whether the delivery hospital partially explains the association. Women in ZIP codes with the highest concentration of poor blacks relative to wealthy whites experienced 4.0 cases of SMM per 100 deliveries, compared with 1.7 cases per 100 deliveries among women in the neighborhoods with the lowest concentration (risk difference = 2.4 cases per 100). Thirty-five percent of this difference was attributable to the delivery hospital. Women in highly polarized neighborhoods were most likely to deliver in hospitals located in similarly polarized neighborhoods. Housing policy that targets racial and economic spatial polarization may address a root cause of SMM, while hospital quality improvement may mitigate the impact of such polarization.

Indexed as

Black or African AmericanWhite PeopleFemaleHospitalsHumansMorbidityNew York CityPregnancyRacial GroupsDiseasesDisparities in accessDisparities in qualityHealth conditionsHealth disparitiesHealth policyHospital qualityHousingLow incomeMaternal healthMortalityQuality of careSevere maternal morbidity

Identifiers

PMID32364858
PMCPMC9808814

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.