ArticleJournal of the American Medical Informatics Association : JAMIA2022
Neighborhood deprivation increases the risk of Post-induction cesarean delivery.
Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2025Article
- Association of Community Characteristics as Measured by Social Deprivation Index Score with Prenatal Care and Obstetrical Outcomes.American journal of perinatology · 2025Article
- Integrating Social Determinants of Health in a Multi-Modal Deep Clustering Survival Model for Injury-Risk in Alzheimer's and Related Dementia Patients.Proceedings of machine learning research · 2025Article
- Socioeconomic disadvantage and racial/ethnic disparities in low-risk cesarean birth in California.American journal of epidemiology · 2025Article
- Associations between individual and structural level discrimination and psychological and physiological stress indicators during pregnancy.npj women's health · 2025Article
- Enrichment of a Data Lake to Support Population Health Outcomes Studies Using Social Determinants Linked EHR Data.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023Article
- Association between Gentrification and Health and Healthcare Utilization.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Informatics for sex- and gender-related health: understanding the problems, developing new methods, and designing new solutions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to measure the association between neighborhood deprivation and cesarean delivery following labor induction among people delivering at term (≥37 weeks of gestation). MATERIALS AND
methodsWe conducted a retrospective cohort study of people ≥37 weeks of gestation, with a live, singleton gestation, who underwent labor induction from 2010 to 2017 at Penn Medicine. We excluded people with a prior cesarean delivery and those with missing geocoding information. Our primary exposure was a nationally validated Area Deprivation Index with scores ranging from 1 to 100 (least to most deprived). We used a generalized linear mixed model to calculate the odds of postinduction cesarean delivery among people in 4 equally-spaced levels of neighborhood deprivation. We also conducted a sensitivity analysis with residential mobility.
resultsOur cohort contained 8672 people receiving an induction at Penn Medicine. After adjustment for confounders, we found that people living in the most deprived neighborhoods were at a 29% increased risk of post-induction cesarean delivery (adjusted odds ratio = 1.29, 95% confidence interval, 1.05-1.57) compared to the least deprived. In a sensitivity analysis, including residential mobility seemed to magnify the effect sizes of the association between neighborhood deprivation and postinduction cesarean delivery, but this information was only available for a subset of people.
conclusionsPeople living in neighborhoods with higher deprivation had higher odds of postinduction cesarean delivery compared to people living in less deprived neighborhoods. This work represents an important first step in understanding the impact of disadvantaged neighborhoods on adverse delivery outcomes.
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