Severe maternal morbidity among U.S.- and foreign-born Asian and Pacific Islander women in California
The purpose of the study was to examine the risk of severe maternal morbidity (SMM)—a composite of serious, potentially life-threatening conditions related to childbirth—among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. This study used linked hospital discharge and...
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Published in | Annals of epidemiology Vol. 52; pp. 60 - 63.e2 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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01.12.2020
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Abstract | The purpose of the study was to examine the risk of severe maternal morbidity (SMM)—a composite of serious, potentially life-threatening conditions related to childbirth—among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity.
This study used linked hospital discharge and vital record data California to identify nulliparous Asian and Pacific Islander women from 1997 to 2012 (n = 453,525). We examined the risk of SMM for 15 Asian and Pacific Islander subgroups and compared the risk between U.S.- and foreign-born women.
The risk of SMM was higher among Pacific Islander women than that among Asian women (148 and 127 cases per 10,000 births, respectively). Among Asian women, the risk of SMM ranged from 94 (Korean) to 165 (Filipina) cases per 10,000 births, and among Pacific Islander women, the risk ranged from 125 (Hawaiian) to 162 (Other). With the exception of Korean and Filipina women, relative risks of SMM for U.S.- versus foreign-born Asian and Pacific Islander women were similar.
Differences in the risk of SMM exist between subgroups of the Asian and Pacific Islander community. These differences should be considered when conducting research on racial and ethnic differences of SMM and when counseling Asian and Pacific Islander women regarding their risk of SMM. |
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AbstractList | The purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity.
This study used linked hospital discharge and vital record data California to identify nulliparous Asian and Pacific Islander women from 1997 to 2012 (n = 453,525). We examined the risk of SMM for 15 Asian and Pacific Islander subgroups and compared the risk between U.S.- and foreign-born women.
The risk of SMM was higher among Pacific Islander women than that among Asian women (148 and 127 cases per 10,000 births, respectively). Among Asian women, the risk of SMM ranged from 94 (Korean) to 165 (Filipina) cases per 10,000 births, and among Pacific Islander women, the risk ranged from 125 (Hawaiian) to 162 (Other). With the exception of Korean and Filipina women, relative risks of SMM for U.S.- versus foreign-born Asian and Pacific Islander women were similar.
Differences in the risk of SMM exist between subgroups of the Asian and Pacific Islander community. These differences should be considered when conducting research on racial and ethnic differences of SMM and when counseling Asian and Pacific Islander women regarding their risk of SMM. PURPOSEThe purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. METHODSThis study used linked hospital discharge and vital record data California to identify nulliparous Asian and Pacific Islander women from 1997 to 2012 (n = 453,525). We examined the risk of SMM for 15 Asian and Pacific Islander subgroups and compared the risk between U.S.- and foreign-born women. RESULTSThe risk of SMM was higher among Pacific Islander women than that among Asian women (148 and 127 cases per 10,000 births, respectively). Among Asian women, the risk of SMM ranged from 94 (Korean) to 165 (Filipina) cases per 10,000 births, and among Pacific Islander women, the risk ranged from 125 (Hawaiian) to 162 (Other). With the exception of Korean and Filipina women, relative risks of SMM for U.S.- versus foreign-born Asian and Pacific Islander women were similar. CONCLUSIONSDifferences in the risk of SMM exist between subgroups of the Asian and Pacific Islander community. These differences should be considered when conducting research on racial and ethnic differences of SMM and when counseling Asian and Pacific Islander women regarding their risk of SMM. |
Author | Carmichael, Suzan L. Wall-Wieler, Elizabeth Lee, Henry C. Bane, Shalmali |
AuthorAffiliation | b Department of Epidemiology and Population Health, Stanford University, Stanford, California, USA c Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA a Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA |
AuthorAffiliation_xml | – name: c Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA – name: b Department of Epidemiology and Population Health, Stanford University, Stanford, California, USA – name: a Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA |
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Cites_doi | 10.2105/AJPH.2009.177345 10.1097/AOG.0000000000002937 10.1007/s10995-016-2241-4 10.1016/j.ajog.2016.07.050 10.1016/j.annepidem.2019.02.007 10.1016/j.ajog.2013.11.039 10.1111/ppe.12555 10.1016/j.ajog.2015.11.004 10.1016/j.ajog.2006.06.079 10.1097/AOG.0000000000001642 10.1097/AOG.0000000000003370 10.1093/epirev/mxp009 10.1007/s10995-015-1897-5 10.1016/j.jogn.2018.03.004 10.1038/sj.jp.7211668 10.1007/s10903-008-9215-6 10.1016/j.annepidem.2012.04.001 10.1016/j.ajog.2008.06.073 |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Ms. Bane interpreted the data, and drafted the manuscript. Dr. Wall-Wieler conceptualized and designed the study, drafted the manuscript, and carried out the analyses. Author Statement Dr. Lee reviewed the initial findings of this study, and revised the manuscript for important intellectual content. Dr. Carmichael conceptualized and designed the study, and provided critical feedback. |
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SubjectTerms | Adult Asian Asian Americans - statistics & numerical data California - epidemiology Chronic Disease - ethnology Cohort Studies Diabetes Mellitus, Type 2 - ethnology Female Humans Hypertension - ethnology Maternal Health - ethnology Maternal Mortality - ethnology Oceanic Ancestry Group Pacific Islander Pregnancy Severe maternal morbidity Young Adult |
Title | Severe maternal morbidity among U.S.- and foreign-born Asian and Pacific Islander women in California |
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