ArticleAmerican journal of preventive medicine2024
Neighborhood Deprivation and Severe Maternal Morbidity in a Medicaid Population.
Article in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Neighborhood Socioeconomic Status and Diverse Health-related Outcomes among American Indian and Alaska Native Peoples during the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Neighbourhood Socioeconomic Disadvantage and Severe Maternal Morbidity: Secondary Analysis of a Prospective Cohort.BJOG : an international journal of obstetrics and gynaecology · 2025Observational
- Article
- Severe maternal morbidity in Louisiana by race, rurality, poverty, and availability of care.Public health · 2025Article
- Maternal Vulnerability Index and Severe Maternal Morbidity.JAMA network open · 2025Article
- Neighborhood deprivation and racial disparities in severe maternal morbidity before and during the COVID-19 pandemic.Annals of epidemiology · 2025Article
- Neighborhood Disinvestment and Racial and Ethnic Disparities in Peripartum Cardiomyopathy in California, From 2004 to 2019.Journal of the American Heart Association · 2025Observational
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
introductionFew studies have examined whether neighborhood deprivation is associated with severe maternal morbidity (SMM) in already socioeconomically disadvantaged populations. Little is known about to what extent neighborhood deprivation accounts for Black-White disparities in SMM. This study investigated these questions among a statewide Medicaid-insured population, a low-income population with heightened risk of SMM.
methodsData were from Michigan statewide linked birth records and Medicaid claims between 01/01/2016 and 12/31/2019, and were analyzed between 2022 and 2023. Neighborhood deprivation was measured with the Area Deprivation Index at census block group and categorized as low, medium, or high deprivation. Multilevel logistic models were used to examine the association between neighborhood deprivation and SMM. Fairlie nonlinear decomposition was conducted to quantify the contribution of neighborhood deprivation to SMM racial disparity.
resultsPeople in the most deprived neighborhoods had higher odds of SMM than those in the least deprived neighborhoods (aOR [95% CI]: 1.27 [1.15, 1.40]). Such association was observed in Black (aOR [95% CI]: 1.34 [1.07, 1.67]) and White (aOR [95% CI]: 1.26 [1.12, 1.42]) racial subgroups. Decomposition showed that of 57.5 (cases per 10,000) explained disparity in SMM, neighborhood deprivation accounted for 23.1 (cases per 10,000; 95% CI: 16.3, 30.0) or two-fifths (40.2%) of the Black-White disparity. Analysis on SMM excluding blood transfusion showed consistent but weaker results.
conclusionsNeighborhood deprivation may be used as an effective tool to identify at-risk individuals within a low-income population. Community-engaged interventions aiming at improving neighborhood conditions may be helpful to reduce both SMM prevalence and racial inequity in SMM.
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