Chorioamnionitis, Cesarean Deliveries, and Racial Disparities in the USA.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-02-01 Epub Date: 2023-12-04 DOI:10.1007/s40615-023-01884-z

Injy El-Dib, Mohsen A A Farghaly, Firas Saker, Jalal M Abu-Shaweesh, Sarah Alzayyat, Mohamed A Mohamed, Hany Aly

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引用次数: 0

Abstract

Background: Studies showed disparities in management and outcomes of African American when compared to Caucasian population. The presence of chorioamnionitis may affect the decision to have a cesarean delivery (CD); however, it is not known if such a decision is affected by the mothers' race/ethnicity.

Objective: To assess the interaction between African American race/ethnicity and CD in women with chorioamnionitis.

Methods: Utilizing the National Inpatient Sample dataset, we examined the association of CD with chorioamnionitis in the overall population and within Caucasian and African American. Logistic regression models were used to control for confounders.

Results: The study included 6,648,883 women who delivered 6,925,920 infants. The prevalence of chorioamnionitis was 0.78 and 1.1 in Caucasian and African American, respectively. CD with and without chorioamnionitis was 41.2% and 32.4%, respectively (aOR 1.46 (1.43-1.49), p < 0.001), in Caucasian population and 45.0% and 36.6% in African American population aOR 1.42 (1.37-1.47), p < 0.001. African American population had significantly higher CD after controlling for chorioamnionitis and other confounding variables (aOR of 1.18 (1.17-1.18), p < 0.001).

Conclusion: Chorioamnionitis is associated with increased rate of CD. Ethnic disparities exist in CD rates regardless of the chorioamnionitis status. Such findings warrant further investigation to explore factors associated with this discrepancy.

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美国的绒毛膜羊膜炎、剖宫产和种族差异。

背景:研究显示非裔美国人与白种人相比在治疗和预后方面存在差异。绒毛膜羊膜炎的存在可能会影响剖宫产的决定;然而，尚不清楚这种决定是否受到母亲种族/民族的影响。目的:评估非裔美国人种族/民族与绒毛膜羊膜炎妇女乳糜泻的相互作用。方法:利用全国住院患者样本数据集，研究了总体人群、高加索人和非洲裔美国人中CD与绒毛膜羊膜炎的关系。采用逻辑回归模型控制混杂因素。结果:该研究包括6,648,883名分娩6,925,920名婴儿的妇女。白种人和非裔美国人的绒毛膜羊膜炎患病率分别为0.78和1.1。伴有和不伴有绒毛膜羊膜炎的CD在高加索人群中分别为41.2%和32.4% (aOR为1.46 (1.43 ~ 1.49)，p < 0.001)，在非裔美国人群中分别为45.0%和36.6% (aOR为1.42 (1.37 ~ 1.47)，p < 0.001)。在控制绒毛膜羊膜炎和其他混杂变量后，非洲裔美国人的CD明显较高(aOR为1.18 (1.17-1.18)，p < 0.001)。结论:绒毛膜羊膜炎与乳糜泻发生率升高有关。无论绒毛膜羊膜炎状况如何，乳糜泻发生率存在种族差异。这些发现值得进一步调查，以探索与这种差异相关的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.