Differences in Determinants: Racialized Obstetric Care and Increases in U.S. State Labor Induction Rates-Reference-Cited by-同舟云学术

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

Published:2023-04-26 Issue:2 Volume:64 Page:174-191
ISSN:0022-1465
Container-title:Journal of Health and Social Behavior
language:en
Short-container-title:J Health Soc Behav

Author:

Masters Ryan K.¹²^ORCID,Tilstra Andrea M.²³^ORCID,Simon Daniel H.¹²^ORCID,Coleman-Minahan Kate²⁴

Affiliation:

1. University of Colorado Boulder, Boulder, CO, USA

2. University of Colorado Population Center, Boulder, CO, USA

3. Oxford University, Oxford, UK

4. University of Colorado Anschutz Medical Campus, Aurora, CO, USA

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.

Funder

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Social Psychology

Link

http://journals.sagepub.com/doi/pdf/10.1177/00221465231165284

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