Minority Health Archive

Racial Disparity in Hypertensive Disorders of Pregnancy in New York State: A 10-Year Longitudinal Population-Based Study

Tanaka, Masako and Jaamaa, Gundegmaa and Kaiser, Michelle and Hills, Elaine and Soim, Aida and Zhu, Motao and Shcherbatykh, Ivan Y. and Samelson, Renee and Bell, Erin and Zdeb, Michael and McNutt, Louise-Anne (2007) Racial Disparity in Hypertensive Disorders of Pregnancy in New York State: A 10-Year Longitudinal Population-Based Study. American Journal of Public Health, 97 (1). pp. 163-170. ISSN 0090-0036

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Objectives. We studied trends of hypertensive disorders of pregnancy by residential socioeconomic status (SES) and racial/ethnic subgroups in New York State over a 10-year period. Methods. We merged New York State discharge data for 2.5 million women hospitalized with delivery from 1993 through 2002 with 2000 US Census data. Results. Rates of diagnoses for all hypertensive disorders combined and for preeclampsia individually were highest among Black women across all regions and neighborhood poverty levels. Although hospitalization rates for preeclampsia decreased over time for most groups, differences in rates between White and Black women increased over the 10-year period. The proportion of women living in poor areas remained relatively constant over the same period. Black and Hispanic women were more likely than White women to have a form of diabetes and were at higher risk of preeclampsia; preeclampsia rates were higher in these groups both with and without diabetes than in corresponding groups of White women. Conclusions. An increasing trend of racial/ethnic disparity in maternal hypertension rates occurred in New York State during the past decade. This trend was persistent after stratification according to SES and other risk factors. Additional research is needed to understand the factors contributing to this growing disparity.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: hypertensive disorders of pregnancy; socioeconomic status; racial/ethnic subgroups; hypertensive disorders; Black women; Hispanic women; diabetes; racial/ethnic disparity; maternal hypertension
Subjects: Health > Health Equity
Health > Disparities
Health > Prenatal & Pediatric Health
Health > Public Health > Chronic Illness & Diseases > Hypertension
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Depositing User: Users 141 not found.
Date Deposited: 13 Mar 2008
Last Modified: 30 Jun 2011 09:47
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/960

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