Determinants of Severe Maternal Morbidity and Its Racial/Ethnic Disparities in New York City, 2008–2012

Howland, Renata E.; Angley, Meghan; Won, Sang Hee; Wilcox, Wendy; Searing, H; Liu, Sze Yan; Johansson, Emily White

doi:10.1007/s10995-018-2682-z

Cited by 58 publications

(56 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the factors mentioned above, the differences between the MMRs of the two cities were also related to the socio-economic situation, population structure, etc. [87,88].…”

Section: Discussionmentioning

confidence: 99%

Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Zhou

Wang

et al. 2021

IJERPH

View full text Add to dashboard Cite

This study aimed to analyze the changes in the 10 major categories of women’s healthcare services (WHSs) in Shanghai (SH) and New York City (NYC) from 1978 to 2017, and examine the relationship between these changes and maternal mortality ratio (MMR). Content analysis of available public policy documents concerning women’s health was conducted. Two indicators were designed to represent the delivery of WHSs: The essential women’s healthcare service coverage rate (ESCR) and the assessable essential healthcare service coverage rate (AESCR). Spearman correlation was used to analyze the relationship between the two indicators and MMR. In SH, the ESCR increased from 10% to 90%, AESCR increased from 0% to 90%, and MMR decreased from 24.0/100,000 to 1.01/100,000. In NYC, the ESCR increased from 0% to 80%, the AESCR increased from 0% to 60%, and the MMR decreased from 24.7/100,000 to 21.4/100,000. The MMR significantly decreased as both indicators increased (p < 0.01). Major advances have been made in women’s healthcare in both cities, with SH having a better improvement effect. A common shortcoming for both was the lack of menopausal health service provision. The promotion of women’s health still needs to receive continuous attention from governments of SH and NYC. The experiences of the two cities showed that placing WHSs among policy priorities is effective in improving service status.

show abstract

“…In addition to the factors mentioned above, the differences between the MMRs of the two cities were also related to the socio-economic situation, population structure, etc. [87,88].…”

Section: Discussionmentioning

confidence: 99%

Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Zhou

Wang

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…shows that Black-White disparities in adverse perinatal outcomes persist even as socio-economic status (SES) levels increase. 1,10 Ultimately, the findings from PMOMS will contribute to the overall understanding of how stress and racial discrimination play a role during pregnancy and postpartum among higher-SES Black birthing people.…”

Section: Limitations Of the Datamentioning

confidence: 99%

“…Considerable racial disparities in perinatal outcomes exist in the United States. Black birthing people have a disproportionate burden of adverse pregnancy-related health outcomes [1][2][3] as well as a threefold increase in mortality and higher risk of later life diabetes and hypertension. 4,5 It is important to highlight our use of genderneutral terms throughout this work, such as "birthing people,"…”

Section: Introductionmentioning

confidence: 99%

“…9 Many prior studies that have focused on factors at the individual level, such as behavioural or life style factors, have not explained the racial disparities in these outcomes. 1,[10][11][12] Current interest among researchers has produced an emerging body of work that specifically investigates the contextual, institutional, and structural factors 11,[13][14][15] contributing to the racial disparities in perinatal health. 12,16 Some studies have focused on Black birthing people's disproportionate exposure to stressors, such as racism and sexism, as major factors that partially explain racial disparities in perinatal outcomes.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ecological momentary assessment of stress, racism and other forms of discrimination during pregnancy using smartphone technology

Méndez

Sanders

Lai

et al. 2020

Paediatric Perinatal Epid

View full text Add to dashboard Cite

Background In the United States, there are considerable racial inequities in adverse perinatal outcomes. Exposure to racism, sexism, and other forms of oppression may help explain these inequities. Objectives To describe the application of real‐time data collection using ecological momentary assessment (EMA) and smartphone technology to assess exposure to stress, racism, sexism, microaggressions, and other forms of oppression. Methods The Postpartum Mothers Mobile Study (PMOMS) is an ongoing longitudinal cohort study that began recruitment in December 2017. Participants delivering at a hospital in Pittsburgh, PA are recruited by 29 weeks' gestation. Using smartphones and smart scales, participants complete daily surveys related to psychosocial, behavioural, and contextual factors and weigh themselves weekly for approximately 15 months. We provide a preliminary descriptive analysis of EMA self‐reported measures of stress, racism, sexism, and microaggressions; and non‐EMA measures of stress and major discrimination. Results The sample (n = 230) is 63.5% White, 24.8% Black/African American, and 7% Hispanic origin. The most commonly reported item from the Major Discrimination Scale is being unfairly fired (18.1% of the sample). Of those, 31.7% and 17.1% attribute unfair firing to their gender and race, respectively. From the random EMA measures, on average, participants report experiences of racism and sexism at least once daily, in an average 12‐hour day over the 4‐week period. Black participants indicate about two experiences per day of racism, and White participants indicate more than 1 per day of sexism. Mean stress levels from the EMA measures were similar to the stress measures collected at baseline. Conclusions The methods applied in PMOMS provide real‐time data regarding how participants' daily experiences of stress and discrimination influence their lives. Future work will include understanding if and how these EMA measures may relate to already established measures of racism, sexism, and stress; and ultimately understanding associations with perinatal inequities.

show abstract

“…By the end of the spring semester, that founding father of perinatal QI selected me to be the Co-Director (in name only, unsurprisingly) of a statewide birth equity QI initiative. Against the backdrop of Black women experiencing the highest number of pregnancy-related deaths and near deaths compared to women from other racial and ethnic groups (Bridges 2020;Harper et al 2004;Holdt Somer, Sinkey, and Bryant 2017;Howland et al 2019), very few, if any, perinatal QI safety bundles or standards of best practices acknowledged, adopted, or amplified Black women's authentic self-determination, scholarship, and political activism. Clearly, the professionalization and standardization of perinatal QI and implementation research sustained a disciplinary and demographic hierarchy of leadership succession and knowledge valuation, generation, and dissemination.…”

mentioning

confidence: 99%

The Rise of Black Feminist Intellectual Thought and Political Activism in Perinatal Quality Improvement: A Righteous Rage about Racism, Resistance, Resilience, and Rigor

Scott

2021

Feminist Anthropology

View full text Add to dashboard Cite

In this description of her work in perinatal quality improvement, obstetrician and crunk public health scholar Dr. Karen A. Scott describes the ways in which perinatal quality improvement has typically prioritized the deaths or near deaths of Black women at the exclusion of the lived experiences of Black women and people as patient, community, and content experts. Drawn into the work to apply a Black women-centered and liberatory analytic, Dr. Scott turned to Black feminist anthropology to transform perinatal quality improvement ethics and theories of change. The work of Leith Mullings, particularly her excursus on the Sojourner Syndrome, was at the center of Dr. Scott's approach to abating Black perinatal death and redesigning perinatal quality improvement.

show abstract

Determinants of Severe Maternal Morbidity and Its Racial/Ethnic Disparities in New York City, 2008–2012

Cited by 58 publications

References 15 publications

Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Ecological momentary assessment of stress, racism and other forms of discrimination during pregnancy using smartphone technology

The Rise of Black Feminist Intellectual Thought and Political Activism in Perinatal Quality Improvement: A Righteous Rage about Racism, Resistance, Resilience, and Rigor

Contact Info

Product

Resources

About