ArticleJACC. Advances2026
Association of Hypertension With Health Care Access and Utilization Following Childbirth: Differences by Race and Ethnicity.
Article in JACC. Advances, 2026. 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.
- Advances in Women's Cardiovascular Health: Progress, Gaps, and the Road Ahead.JACC. Advances · 2026Article
- Lost in Transition: Postpartum Care Discontinuity and Cardiovascular Risk After Hypertensive Pregnancy.JACC. Advances · 2026Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundHypertensive disorders of pregnancy raise long-term cardiovascular risk, but little is known about health care access and preventive utilization in the years postpartum.
objectivesThe objective of the study was to examine health care access and utilization in the 5 years following childbirth by hypertension status and race and ethnicity.
methodsWe conducted a cross-sectional analysis of 2021 and 2023 Behavioral Risk Factor Surveillance System data. We included women with 1 child under age 5. Exposure categories were no hypertension, pregnancy-only hypertension, and hypertension. Outcomes were having a personal health care provider, foregoing care due to affordability in the past year, past-year checkup, and past-year cholesterol test. We used multivariable logistic regression, adding interaction terms to assess variation by race and ethnicity.
resultsThe analytic sample represented a weighted population of 3,175,662. Compared with no hypertension, individuals with hypertension had a 9.0 percentage-point (pp) higher predicted probability of having a personal doctor (95% CI: 2.9-15.2 pp) and a 19.8 pp higher probability of a past-year cholesterol check (95% CI: 9.8-29.8 pp). Pregnancy-only hypertension did not differ from no hypertension for any outcome. In models with interaction terms, hypertension (vs no hypertension) was associated with a higher probability of having a personal doctor and past-year cholesterol for White and Black respondents but not for Hispanic respondents. Hypertension was associated with higher probability of past-year checkup among White women only.
conclusionsPregnancy-only hypertension was not linked to increased preventive care utilization, indicating missed opportunities to connect people with hypertensive disorders of pregnancy history to sustained cardiovascular disease prevention.
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