Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates.

IF 6.3 1区 医学 Q1 PSYCHOLOGY, SOCIAL
Journal of Health and Social Behavior Pub Date : 2023-06-01 Epub Date: 2023-04-26 DOI:10.1177/00221465231165284
Ryan K Masters, Andrea M Tilstra, Daniel H Simon, Kate Coleman-Minahan
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引用次数: 0

Abstract

Induction of labor (IOL) rates in the United States have nearly tripled since 1990. We examine official U.S. birth records to document increases in states' IOL rates among pregnancies to Black, Latina, and White women. We test if the increases are associated with changes in demographic characteristics and risk factors among states' racial-ethnic childbearing populations. Among pregnancies to White women, increases in state IOL rates are strongly associated with changes in risk factors among White childbearing populations. However, the rising IOL rates among pregnancies to Black and Latina women are not due to changing factors in their own populations but are instead driven by changing factors among states' White childbearing populations. The results suggest systemic racism may be shaping U.S. obstetric care whereby care is not "centered at the margins" but is instead responsive to characteristics in states' White populations.

决定因素的差异:种族化产科护理与美国各州引产率的增长。
自 1990 年以来,美国的引产率几乎增加了两倍。我们研究了美国的官方出生记录,记录了各州黑人、拉丁裔和白人妇女的引产率上升情况。我们检验了这些增长是否与各州种族生育人口的人口特征和风险因素的变化有关。在白人妇女的妊娠中,各州 IOL 比率的上升与白人育龄人口中风险因素的变化密切相关。然而,黑人和拉丁裔女性孕妇的 IOL 率上升并不是因为她们自身人口中的因素发生了变化,而是受到了各州白人育龄人口中的因素变化的驱动。研究结果表明,系统性的种族主义可能正在影响美国的产科护理,产科护理不是 "以边缘人群为中心",而是顺应各州白人人口的特点。
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
CiteScore
6.50
自引率
4.00%
发文量
36
期刊介绍: Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.
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