ArticleJournal of the American Heart Association2025
Trends and Racial and Ethnic Disparities in Maternal Cardiovascular Health in California.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Prenatal exposure to hypertensive disorders and adolescent brain white matter development.Pediatric research · 2026Article
- Perceived social support and antenatal blood pressure in pregnant women at risk for hypertensive disorders.Journal of behavioral medicine · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundTo address the maternal health crisis in the United States, it is important to closely examine the epidemiologic trends of and racial and ethnic disparities in maternal cardiovascular health.
methodsWe used statewide birth hospitalization and vital statistics records from California (2007-2019; N=6 117 886) to examine the prevalence, trends, and racial and ethnic disparities of hypertensive disorders of pregnancy overall (ie, chronic hypertension, gestational hypertension/preeclampsia, or eclampsia), and chronic hypertension and gestational hypertension/preeclampsia separately. We also examined a construct indicating ideal cardiovascular health before and during pregnancy using the subset of data with information available on clinical cardiovascular health indicators (ie, hypertension, diabetes, smoking, body mass index [kg/m
resultsThe age-standardized prevalence of adverse outcomes worsened over time for all racial and ethnic groups. Compared with non-Hispanic White (White) individuals, non-Hispanic Black mothers had higher risk of hypertensive disorders of pregnancy (risk ratio [RR], 1.60 [95% CI, 1.59-1.62]), including chronic hypertension (RR, 2.34 [95% CI, 2.29-2.38]) and gestational hypertension/preeclampsia (RR, 1.50 [95% CI, 1.49-1.52]). American Indian/Alaska Native mothers were less likely to have ideal cardiovascular health both before (RR, 0.66 [95% CI, 0.65-0.67]) and during pregnancy (RR, 0.80 [95% CI, 0.78-0.81]) compared with White mothers. These differences persisted throughout the study period.
conclusionsOur findings reveal stark racial and ethnic disparities in maternal cardiovascular health, highlighting the urgent need to investigate and address their structural determinants.
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