Evidence map›Paper›PMID 36166238›Full record

ArticleAnnals of the New York Academy of Sciences2022

Racial/ethnic disparities in severe maternal morbidity: An intersectional lifecourse approach.

Elleni M Hailu, Suzan L Carmichael, Rachel L Berkowitz, Jonathan M Snowden, Audrey Lyndon, Elliott Main, Mahasin S Mujahid

Open access · greenAbstract read
In one paragraph

Article in Annals of the New York Academy of Sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Assessing the relationship between census tract rurality and severe maternal morbidity in California (1997-2018).The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Article
  8. Article
  9. Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review.International journal of environmental research and public health · 2022
    Article
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

7 authors at 5 institutions in 1 country.

Elleni M HailuDivision of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, California, USA.ORCID 0000-0002-0879-6176
Suzan L CarmichaelDivision of Neonatal & Developmental Medicine, Department of Pediatrics, and Division of Maternal-Fetal Medicine and Obstetrics, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, California, USA.
Rachel L BerkowitzDepartment of Public Health and Recreation, College of Health and Human Sciences, San Jose State University, San Jose, California, USA.
Jonathan M SnowdenSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, Oregon, USA.
Audrey LyndonRory Meyers College of Nursing, New York University, New York, New York, USA.
Elliott MainDivision of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, California, USA.
Mahasin S MujahidDivision of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, California, USA.
Berkeley Public Health Division · USStanford University · USNew York University · USPortland State University · USSan Jose State University · US

Funding

Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal WeightR01NR017020 · NINR · STANFORD UNIVERSITY · PI SUZAN L CARMICHAEL · 2018 to 2026
$5.2M
NINR NIH HHS R01 NR017020
6 · The paper itself

Abstract

Despite long-existing calls to address alarming racial/ethnic gaps in severe maternal morbidity (SMM), research that considers the impact of intersecting social inequities on SMM risk remains scarce. Invoking intersectionality theory, we sought to assess SMM risk at the nexus of racial/ethnic marginalization, weathering, and neighborhood/individual socioeconomic disadvantage. We used birth hospitalization records from California across 20 years (1997-2017, N = 9,806,406) on all live births ≥20 weeks gestation. We estimated adjusted average predicted probabilities of SMM at the combination of levels of race/ethnicity, age, and neighborhood deprivation or individual socioeconomic status (SES). The highest risk of SMM was observed among Black birthing people aged ≥35 years who either resided in the most deprived neighborhoods or had the lowest SES. Black birthing people conceptualized to be better off due to their social standing (aged 20-34 years and living in the least deprived neighborhoods or college graduates) had comparable and at times worse risk than White birthing people conceptualized to be worse off (aged ≥35 years and living in the most deprived neighborhoods or had a high-school degree or less). Our findings highlight the need to explicitly address structural racism as the driver of racial/ethnic health inequities and the imperative to incorporate intersectional approaches.

Indexed as

Black or African AmericanIntersectional FrameworkEthnicityFemaleHumansPregnancySocial ClassWhite Peopleintersectionalitymaternal health inequitiesracial marginalizationsevere maternal morbiditysocioeconomic deprivationweathering

Identifiers

PMID36166238
PMCPMC11019852
OpenAlexW4297257305

What OpenQuestion holds

Textmetadata
LicenceTDM
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.