Evidence map›Paper›PMID 35014858›Full record

ArticleJournal of the American Heart Association2022

Trends in the Incidence of New-Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019.

Natalie A Cameron, Ian Everitt, Laura E Seegmiller, Lynn M Yee, William A Grobman, Sadiya S Khan

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
19.8field-weighted citation impact, top 1% of its field
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

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Hypertensive disorders of pregnancy and women's health throughout the life course: an update review 2025-2026.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  7. Article
  8. Observational
  9. Food desert residence and prenatal diet quality.Pregnancy (Hoboken, N.J.) · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Heterogeneity in Prepregnancy Hypertension Among Hispanic Origin Groups.Journal of the American Heart Association · 2025
    Article
  19. Localization and quantification of placentalPhysiological genomics · 2025
    Article
  20. Article

20 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 at 1 institution in 1 country.

Natalie A CameronDepartment of Internal Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0002-0613-7580
Ian EverittDepartment of Internal Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0002-9941-438X
Laura E SeegmillerDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Lynn M YeeDepartment of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0002-6274-0544
William A GrobmanDepartment of Obstetrics and Gynecology Division of Maternal-Fetal Medicine Northwestern University Feinberg School of Medicine Chicago IL.
Sadiya S KhanDepartment of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.ORCID 0000-0003-0643-1859
Northwestern University · US

Funding

The Claude D. Pepper Older Americans Independence Center (OAIC) at Northwestern UniversityP30AG059988 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LINDER, JEFFREY A., WOLF, MICHAEL S · 2020 to 2024
$7.1M
A self-regulation approach to diabetes adherence into emerging adulthoodR01DK092939 · NIDDK · UNIVERSITY OF UTAH · PI BERG, CYNTHIA A, WIEBE, DEBORAH J · 2011 to 2015
$2.7M
NIA NIH HHS P30 AG059988NIDDK NIH HHS R01 DK092939
6 · The paper itself

Abstract

Background Hypertensive disorders of pregnancy are growing public health problems that contribute to maternal morbidity, mortality, and future risk of cardiovascular disease. Given established rural-urban differences in maternal cardiovascular health, we described contemporary trends in new-onset hypertensive disorders of pregnancy in the United States. Methods and Results We conducted a serial, cross-sectional analysis of 51 685 525 live births to individuals aged 15 to 44 years from 2007 to 2019 using the Centers for Disease Control and Prevention Natality Database. We included gestational hypertension and preeclampsia/eclampsia in individuals without chronic hypertension and calculated the age-adjusted incidence (95% CI) per 1000 live births overall and by urbanization status (rural or urban). We used Joinpoint software to identify inflection points and calculate rate of change. We quantified rate ratios to compare the relative incidence in rural compared with urban areas. Incidence (95% CI) of new-onset hypertensive disorders of pregnancy increased from 2007 to 2019 in both rural (48.6 [48.0-49.2] to 83.9 [83.1-84.7]) and urban (37.0 [36.8-37.2] to 77.2 [76.8-77.6]) areas. The rate of annual increase in new-onset hypertensive disorders of pregnancy was more rapid after 2014 with greater acceleration in urban compared with rural areas. Rate ratios (95% CI) comparing incidence of new-onset hypertensive disorders of pregnancy in rural and urban areas decreased from 1.31 (1.30-1.33) in 2007 to 1.09 (1.08-1.10) in 2019. Conclusions Incidence of new-onset hypertensive disorders of pregnancy doubled from 2007 to 2019 with persistent rural-urban differences highlighting the need for targeted interventions to improve the health of pregnant individuals and their offspring.

Indexed as

EclampsiaHypertension, Pregnancy-InducedPre-EclampsiaAdolescentAdultCross-Sectional StudiesFemaleHumansIncidencePregnancyUnited StatesYoung Adultgestational hypertensionhypertensive disorders of pregnancypreeclampsiaruralurban

Identifiers

PMID35014858
PMCPMC9238536
OpenAlexW4206036861

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.