ArticleAmerican journal of epidemiology2025
Socioeconomic disadvantage and racial/ethnic disparities in low-risk cesarean birth in California.
Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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Who cites it
5 citing papers in PubMed.
- Outcomes of Congenital Heart Disease Deliveries at a Freestanding Children's Hospital.Pediatric cardiology · 2026Article
- Examining Racial and Ethnic Disparities in Low-Risk Cesarean Section Deliveries in the Colorado Healthy Start Study.Journal of racial and ethnic health disparities · 2026Article
- Temporal Trends in Pregnancy Rate, Live Birth Rates, and Rates of Gestational Outcomes, 2012-2023.O&G open · 2026Article
- The impact of neighborhood-level racial and economic segregation on low-risk cesarean delivery among Black, White, and Biracial (Black/White) individuals.BMC pregnancy and childbirth · 2025Article
- The Impact of Neighborhood-level Racial and Economic Segregation on Low-Risk Cesarean Delivery among Black, White, and Biracial (Black/White) Individuals.Research square · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Our objective was to assess the relationship of socioeconomic disadvantage and race/ethnicity with low-risk cesarean birth. We examined birth certificates (2007-2018) linked with maternal hospitalization data from California; the outcome was cesarean birth among low-risk deliveries (ie, nulliparous, term, singleton, vertex [NTSV]). We used generalized estimation equation Poisson regression with an interaction term for race/ethnicity (n = 7 groups) and a measure of socioeconomic disadvantage (census tract-level neighborhood deprivation index, education, or insurance). Among 1 815 933 NTSV births, 26.6% were by cesarean section. When assessing the joint effect of race/ethnicity and socioeconomic disadvantage among low-risk births, risk of cesarean birth increased with socioeconomic disadvantage for most racial/ethnic groups, and disadvantaged Black individuals had the highest risks. For example, Black individuals with a high school education or less had a risk ratio of 1.49 (95% CI, 1.45-1.53) relative to White individuals with a college degree. The disparity in risk of cesarean birth between Black and White individuals was observed across all strata of socioeconomic disadvantage. Asian American and Hispanic individuals had higher risks than White individuals at lower socioeconomic disadvantage; this disparity was not observed at higher levels of disadvantage. Black individuals have a persistent, elevated risk of cesarean birth relative to White individuals, regardless of socioeconomic disadvantage.
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Registered trials
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