Evidence map›Paper›PMID 35602812›Full record

ArticleCureus2022

Interaction of Maternal Race/Ethnicity, Insurance, and Education Level on Pregnancy Outcomes: A Retrospective Analysis of the United States Vital Statistics Records.

Oluwasegun A Akinyemi, Stella Adetokunbo, Kindha Elleissy Nasef, Olufemi Ayeni, Bolarinwa Akinwumi, Mary O Fakorede

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Obstetric penicillin allergy evaluations.The journal of allergy and clinical immunology. Global · 2025
    Article
  4. Ancillary and Advanced Techniques for the Postmortem Examination.Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    Review
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 3 institutions in 1 country.

Oluwasegun A AkinyemiSurgery, Howard University, Washington, USA.
Stella AdetokunboCommunity Medicine, Federal Teaching Hospital, Ido-Ekiti, NGA.
Kindha Elleissy NasefObstetrics and Gynecology, Howard University College of Medicine, Washington, USA.
Olufemi AyeniObstetrics and Gynecology, Howard University College of Medicine, Washington, USA.
Bolarinwa AkinwumiHealth Sciences and Social Work, Western Illinois University, Macomb, USA.
Mary O FakoredeFamily Medicine, Howard University College of Medicine, Washington, USA.
Howard University · USCommunity Hospital · USWestern Illinois University · US

Funding

Sleep Disorders in Adults with Sickle Cell Disease: Frequency, Associations with Cardiovascular and Pain Indicators, and Responses to TreatmentU54MD007597 · NIMHD · HOWARD UNIVERSITY · PI Tatiana V.D. Sanses · 2019 to 2026
$37.7M
NIMHD NIH HHS U54 MD007597
6 · The paper itself

Abstract

objectiveThe objective is to determine the association between maternal race/ethnicity, insurance, education level, and pregnancy outcomes.

methodsWe queried the U.S. vital statistics records from 2015 to 2019 to analyze all deliveries. Using a multivariate analysis model, we determined the interaction between maternal race, insurance, education, and pregnancy outcomes. The outcome measures were the 5-min Apgar score, neonatal unit admission, neonates receiving assisted ventilation > 6 hours, mothers requiring blood transfusion, and the intensive care unit admission.

resultThere were 13,213,732 deliveries that met our inclusion criteria. In the study population, 52.7% were white, 14.1% blacks, 22.9% Hispanics, and 10.4% belonged to other races. 37.5% of the women had a high school education, 49.1% had a college education, and 12.3% had advanced degrees. Black mothers with high school education were more likely to require blood transfusion following delivery than Whites at the same education level, OR=1.08 (95% CI 1.05-1.11, p < 0.05). They were also more likely to be admitted into intensive care. The difference only disappeared among blacks with advanced education (OR=1.0; 95% CI 0.89-1.12, p > 0.05). Across all races/ethnicities, private insurance and advanced education were associated with better pregnancy outcomes.

conclusionIn the U.S., women with high socioeconomic status have better pregnancy outcomes across all races/ethnicities.

Indexed as

associationinsurancematernal educationpregnancy outcomerace/ethnicity

Identifiers

PMID35602812
PMCPMC9116147
OpenAlexW4224076919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.