ArticleEthnicity & disease2022
Relationship Between Neighborhood Socioeconomic Disadvantage and Severe Maternal Morbidity and Maternal Mortality.
Article in Ethnicity & disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Area-Level Socioeconomic Disadvantage and Health Care Spending: A Systematic Review.JAMA network open · 2024Pooled it
- Participatory systems science modeling with coalitions identifies common dynamics that drive health trends and disparities in seven communities across the United States.BMC public health · 2026Article
- Examining the Role of Racial and Neighborhood Context in Hypertensive Disorders of Pregnancy: A Multilevel Analysis.Journal of racial and ethnic health disparities · 2026Article
- Risk factors for the recurrence of severe maternal morbidity in first and second births in California, 1997 to 2020.American journal of obstetrics and gynecology · 2026Article
- Unraveling the Interplay of Race and Geography on Maternal Mortality in the United States.Journal of racial and ethnic health disparities · 2026Article
- Rurality, socioeconomic status, and psychosocial health outcomes during pregnancy.BMC pregnancy and childbirth · 2025Article
- The Relationship Between Provider and Patient Racial Concordance and Receipt of Postpartum Care.Journal of racial and ethnic health disparities · 2025Article
- Neighbourhood Socioeconomic Disadvantage and Severe Maternal Morbidity: Secondary Analysis of a Prospective Cohort.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Severe maternal morbidity in Louisiana by race, rurality, poverty, and availability of care.Public health · 2025Article
- Perinatal Socioeconomic Disadvantage and Cardiovascular Comorbidities: National and State-Level Results of a Novel Cardio-Obstetrics Program.Journal of cardiovascular development and disease · 2025Article
- Does choice of neighborhood disadvantage index matter? An application with preterm birth disparities in North Carolina.Annals of epidemiology · 2025Article
- Maternal Vulnerability Index and Severe Maternal Morbidity.JAMA network open · 2025Article
- Health insurance, race, and receipt of a postpartum visit among patients giving birth in a referral hospital in the US South.Social science & medicine (1982) · 2025Article
- Neighborhood deprivation and racial disparities in severe maternal morbidity before and during the COVID-19 pandemic.Annals of epidemiology · 2025Article
- Exploring Caregiver Support as a Potential Mediator of Neighborhood Socioeconomic Disadvantage and Reduced Likelihood of Liver Transplant Waitlisting.Transplantation direct · 2025Article
- Neighborhood Disinvestment and Racial and Ethnic Disparities in Peripartum Cardiomyopathy in California, From 2004 to 2019.Journal of the American Heart Association · 2025Observational
- Neighborhood Deprivation and Severe Maternal Morbidity in a Medicaid Population.American journal of preventive medicine · 2024Article
- Breastfeeding Practices in Patients with Heart Disease Stratified by Area Deprivation Index.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024Article
- Association between neighborhood disadvantage and children's oral health outcomes in urban families in the Chicago area.Frontiers in public health · 2023Article
- Pregnancy-related maternal mortality in the state of Georgia: Timing and causes of death.Women's health (London, England)Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
Background: Rates of severe maternal morbidity and maternal mortality (SMM/MM) in the United States are rising. Disparities in SMM/MM persist by race, ethnicity and geography, and could partially be attributed to social determinants of health. Purpose: Utilizing data from the largest, statewide referral hospital in Alabama, we investigated the relationship between residence in disadvantaged neighborhoods and SMM/MM. Methods: Data on all pregnancies between 2010 and 2020 were included; SMM/MM cases were identified using CDC definitions. Area deprivation index (ADI) available at the census-block group was geographically linked to individual records and categorized using quintile cutoffs; higher ADI score indicated higher socioeconomic disadvantage. Generalized estimating equation models were used to adjust for spatial autocorrelation and ORs were computed to evaluate the relationship between ADI and SMM/MM, adjusted for covariates including age, race, insurance, residence in medically underserved areas/population (MUAP), and urban/rural residence. Results: Overall, 32,909 live-birth deliveries were identified, with a prevalence of 9.8% deliveries with SMM/MM with blood transfusion and 5.3% without blood transfusion, respectively. Increased levels of ADI were associated with increased odds of SMM/MM. Compared to women in the lowest quintile, the adjusted OR for SMM/MM among women in highest quintile was 1.78 (95%CI, 1.22-2.59, P=.0027); increasing age, non-Hispanic Black, government insurance and residence in MUAP were also significantly associated with increased odds of SMM/MM. Conclusion: Our results suggest that residence within disadvantaged neighborhoods may contribute to SMM/MM even after adjusting for patient-level factors. Measures such as ADI can help identify the most vulnerable populations and provide points to intervene.
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Registered trials
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.