ArticleAnnals of epidemiology2023
Assessing racial residential segregation as a risk factor for severe maternal morbidity.
Article in Annals of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interpersonal, Community/Environmental, and Societal Risk and Protective Factors for Gestational Diabetes and Hypertensive Disorders of Pregnancy Among Black Women in the United States: A Systematic Review.Maternal and child health journal · 2026Pooled it
- Associations of racialized economic segregation with the prevalence of unhealthy behaviors and poor mental health in the United States.Preventive medicine reports · 2026Article
- Neighbourhood Poverty Histories and Severe Maternal Morbidity Across California Census Tracts.Paediatric and perinatal epidemiology · 2026Article
- Postpartum severe maternal morbidity: A longitudinal analysis of the association with economic segregation and neighborhood deprivation in Georgia, USA 2016-2022.Social science & medicine (1982) · 2026Article
- Postpartum care receipt among parents of infants admitted to a freestanding children's hospital neonatal intensive care unit (NICU).Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Area deprivation, social vulnerability, and post-pregnancy blood pressure.medRxiv : the preprint server for health sciences · 2026Article
- Comparative Measurements: Ethnic Enclaves and Severe Maternal Morbidity in Asian, Black, and Hispanic Neighborhoods in California.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Neighborhood Deprivation and Severe Maternal Morbidity in a Medicaid Population.American journal of preventive medicine · 2024Article
- Neighborhood racial composition and experiences of racial discrimination: Associations with cytokines during pregnancy among African American women.Brain, behavior, & immunity - health · 2024Article
- State-Level Indicators of Structural Racism and Severe Adverse Maternal Outcomes During Childbirth.Maternal and child health journal · 2024Article
- Associations of neighborhood social vulnerability with emergency department visits and readmissions among infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeTo measure associations of area-level racial and economic residential segregation with severe maternal morbidity (SMM).
methodsWe conducted a retrospective cohort study of births at two Philadelphia hospitals between 2018 and 2020 to analyze associations of segregation, quantified using the Index of Concentration at the Extremes (ICE), with SMM. We used stratified multivariable, multilevel, logistic regression models to determine whether associations of ICE with SMM varied by self-identified race or hospital catchment.
resultsOf the 25,979 patients (44.1% Black, 35.8% White), 1381 (5.3%) had SMM (Black [6.1%], White [4.4%]). SMM was higher among patients residing outside (6.3%), than inside (5.0%) Philadelphia (P < .001). Overall, ICE was not associated with SMM. However, ICE
conclusionsOverall, ICE was not associated with SMM. However, higher ICE
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