Economics at your fingertips  

Factors associated with increased cesarean risk among African American women: Evidence from California, 2010

M. Huesch and Jason Doctor

American Journal of Public Health, 2015, vol. 105, issue 5, 956-962

Abstract: Objectives: We studied if both observed and unobserved maternal health in African American women in hospitals or communities were associated with cesarean delivery of infants. Methods: We examined the relationship between African American race and cesarean delivery among 493 433 women discharged from 255 Californian hospitals in 2010 using administrative data; we adjusted for patient comorbidities and maternal, fetal, and placental risk factors, as well as clustering of patients within hospitals. Results: Cesarean rates were significantly higher overall for African American women than other women (unadjusted rate 36.8% vs 32.7%), as were both elective and emergency primary cesarean rates. Elevated risks persisted after risk adjustment (odds ratio generally >1.27), but the prevalence of particular risk factors varied. Although African American women were clustered in some hospitals, the proportion of African Americans among all women delivering in a hospital was not related to its overall cesarean rate. Conclusions: To address the higher likelihood of elective cesarean delivery, attention needs to be given to currently unmeasured patient-level health factors, to the quality of provider-physician interactions, as well as to patient preferences.

Keywords: African American; cesarean section; female; human; insurance; Obstetric Labor Complications; pregnancy; risk factor; statistics and numerical data; United States, African Americans; California; Cesarean Section; Female; Humans; Insurance Coverage; Obstetric Labor Complications; Pregnancy; Risk Factors (search for similar items in EconPapers)
Date: 2015
References: Add references at CitEc
Citations: Track citations by RSS feed

Downloads: (external link)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link:

DOI: 10.2105/AJPH.2014.302381

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().

Page updated 2023-12-19
Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302381_1