Evidence map›Paper›PMID 34036540›Full record

ArticleJournal of racial and ethnic health disparities2022

Racial and Ethnic Diversity of Family Physicians Delivering Maternity Care.

Aimee R Eden, Melina K Taylor, Zachary J Morgan, Tyler Barreto

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Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aimee R EdenAmerican Board of Family Medicine, 1648 McGrathiana Pkwy, Ste 550, Lexington, KY, 40511, USA. aeden@theabfm.org.ORCID 0000-0001-9564-5124
Melina K TaylorAmerican Board of Family Medicine, 1648 McGrathiana Pkwy, Ste 550, Lexington, KY, 40511, USA.
Zachary J MorganAmerican Board of Family Medicine, 1648 McGrathiana Pkwy, Ste 550, Lexington, KY, 40511, USA.
Tyler BarretoSea Mar Marysville Family Medicine Residency, 9710 State Ave, Marysville, WA, 98270, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal and birth outcomes represent some of the most profound racial and ethnic disparities in health in the USA, and are, in part, attributed to a lack of diversity in the maternity care workforce. Family physicians are an often-overlooked part of the maternity care workforce, yet frequently provide care to underserved populations. This study aims to characterize the family physician workforce providing obstetric care in terms of race/ethnicity.

methodsIn this cross-sectional study, we used data collected via the American Board of Family Medicine Exam Registration Questionnaire from 2017 to 2019. Respondents included family physicians seeking to continue their certification in those years. We conducted bivariate tests and an adjusted analysis using logistic regression to examine associations with providing obstetric deliveries. Variables included race, ethnicity, age, gender, degree type, international medical graduate status, practice site, and rurality.

resultsOf 20,820 family physicians in our sample, those identifying as Black/African American (OR 0.55, CI 0.41 to 0.74) and Asian (OR 0.40, CI 0.31 to 0.51) had significantly lower odds of including obstetrics in their practice than those identifying as White. We found no significant difference in practicing obstetrics between Hispanic and non-Hispanic family physicians (OR 0.94, CI 0.73 to 1.20). Asian (OR 0.40, CI 0.31 to 0.51) and Black/African American (OR 0.55, CI 0.41 to 0.74) physicians still have significantly lower odds of providing obstetric care than White physicians after controlling for rurality.

conclusionsFamily physicians who identified as Black/African American or Asian are less likely to include obstetrics in their practice. A diverse and racially/ethnically representative maternity care workforce, including family physicians, may help to ameliorate disparities in maternal and birth outcomes. Enhanced efforts to diversify the family physician maternity care workforce should be implemented.

Indexed as

EthnicityMaternal Health ServicesCross-Sectional StudiesFemaleHispanic or LatinoHumansPhysicians, FamilyPregnancyUnited StatesDiversity race/ethnicityMaternity careObstetric carePatient-physician concordanceWorkforce

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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.