Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates
<p>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 demogr...
| Main Authors: | , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
SAGE Publications
2023
|
| _version_ | 1826311997746053120 |
|---|---|
| author | Masters, RK Tilstra, AM Simon, DH Coleman-Minahan, K |
| author_facet | Masters, RK Tilstra, AM Simon, DH Coleman-Minahan, K |
| author_sort | Masters, RK |
| collection | OXFORD |
| description | <p>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’ <em>White</em> 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.</p> |
| first_indexed | 2024-03-07T08:21:02Z |
| format | Journal article |
| id | oxford-uuid:036f8c7c-7330-45ce-ac04-17927d13362f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T08:21:02Z |
| publishDate | 2023 |
| publisher | SAGE Publications |
| record_format | dspace |
| spelling | oxford-uuid:036f8c7c-7330-45ce-ac04-17927d13362f2024-02-02T09:31:22ZDifferences in determinants: racialized obstetric care and increases in U.S. state labor induction ratesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:036f8c7c-7330-45ce-ac04-17927d13362fEnglishSymplectic ElementsSAGE Publications2023Masters, RKTilstra, AMSimon, DHColeman-Minahan, K<p>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’ <em>White</em> 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.</p> |
| spellingShingle | Masters, RK Tilstra, AM Simon, DH Coleman-Minahan, K Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title | Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title_full | Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title_fullStr | Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title_full_unstemmed | Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title_short | Differences in determinants: racialized obstetric care and increases in U.S. state labor induction rates |
| title_sort | differences in determinants racialized obstetric care and increases in u s state labor induction rates |
| work_keys_str_mv | AT mastersrk differencesindeterminantsracializedobstetriccareandincreasesinusstatelaborinductionrates AT tilstraam differencesindeterminantsracializedobstetriccareandincreasesinusstatelaborinductionrates AT simondh differencesindeterminantsracializedobstetriccareandincreasesinusstatelaborinductionrates AT colemanminahank differencesindeterminantsracializedobstetriccareandincreasesinusstatelaborinductionrates |