Paradox lost on the U.S.-Mexico border: U.S. Latinas and cesarean rates

Morris, Theresa; Gomez, Amanda; Naiman-Sessions, Miriam; Morton, Christine H.

doi:10.1186/s12884-018-1701-9

Cited by 6 publications

(3 citation statements)

References 19 publications

(14 reference statements)

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“…Black women are more likely to report pressure to have an induction, and to have epidural analgesia, than white women in hospitals in the United States . Hispanic women are more likely than non‐Hispanic women to report pressure to have a cesarean, especially when they give birth in United States hospitals in the United States‐Mexico border region …”

Section: Introductionmentioning

confidence: 99%

Bearing witness: United States and Canadian maternity support workers’ observations of disrespectful care in childbirth

Morton

Henley

Seacrist

et al. 2018

Birth

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Doulas and nurses frequently said that they witnessed verbal abuse in the form of threats to the baby's life unless the woman agreed to a procedure, and failure to provide informed consent. Reports of witnessing some types of disrespectful care in childbirth were relatively uncommon among respondents, but witnessing disrespectful care was associated with an increased likelihood to leave maternity support work within three years, raising implications for the sustainability of doula practice, nursing work force shortages, and quality of maternity care overall.

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Section: Introductionmentioning

confidence: 99%

Bearing witness: United States and Canadian maternity support workers’ observations of disrespectful care in childbirth

Morton

Henley

Seacrist

et al. 2018

Birth

Self Cite

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“…Demographic Data. Based on a review of the literature, prepregnancy BMI, parity, marital status, insurance type, and birth facility were included as potentially important factors in birth mode (Andrikopoulou et al, 2021;McDonald et al, 2020;Mischkot et al, 2022;Morris et al, 2018;Ruiz et al, 2015;Souter et al, 2019). These were assessed as either mediators or moderators to the relationship between acculturation and birth mode.…”

Section: Methodsmentioning

confidence: 99%

Acculturation, Acculturative Stress, Experience of Discrimination, and Cesarean Birth in Mexican American Women

Spurlock

Pickler

Ruiz

et al. 2023

Hisp Health Care Int

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Introduction: There is evidence that Mexican Americans are more likely to have cesarean birth than non-Hispanic White Americans. The purpose of this study was to identify factors related to acculturation along with psychological and sociodemographic factors associated with birth mode in a prospective cohort of Mexican American women in Texas. Methods: This secondary analysis included 244 Mexican American pregnant women. Women with a prior cesarean birth were excluded. Variable selection was guided by Berry's Theoretical Framework of Acculturation. Correlations and logistic regression were used to examine relationships and predict risk of cesarean birth. Mediators and moderators were also considered. Results: Eighty women birthed by cesarean. Analytic and parent samples were similar in all demographics. After controlling for parity in logistic regression, greater Spanish language-related acculturative stress (adjusted odds ratio [AOR], 1.06, 95% confidence interval [CI] [1.01, 1.11], p = .028) and experience of discrimination (AOR, 1.18, 95% CI [1.00, 1.38], p = .044) increased the odds of cesarean birth. The relationship between acculturative stress and birth mode was moderated by birth facility. Conclusion: Acculturative stress and discrimination may play a role in birth mode for Mexican American women birthing in Texas. Birth facility and acculturative stress may be interacting in ways that have clinical significance but are yet unexplored.

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“…2,3 Ultimately, whatever the cause, the persistence of the phenomenon has been widely described for mortality in conditions ranging from cardiovascular disease 7 and end-stage renal disease 8 to outcomes of laparoscopic/open cholecystectomy, 9 kidney transplantation, 10 operations for non-small cell lung cancer, 11 and need for cesarean section at birth. 12,13 It has been reported in a single-year assessment of trauma registry data from the 2010 US National Trauma Data Bank 14 and in longer-term outcomes of emergency general surgery (EGS) patients assessed from the standpoint of NHW patient health. 15,16 The objective of this study is to build on that work, using longitudinal data from three geographically and ethnically diverse US states with large Hispanic populations (California, New York, and Florida) to specifically determine whether the Hispanic Paradox exists in emergency situations requiring operative EGS care.…”

Section: Introductionmentioning

confidence: 99%

The “Hispanic Paradox” Exists in Emergent Conditions: Better or Equivalent Surgical Outcomes Among US Hispanic Emergency General Surgery Patients

Ordóñez¹,

Haider²,

Zogg³

et al. 2015

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Objective: In the United States, Hispanic patients tend to present with similar risk profiles to non-Hispanic black (NHB) patients but experience better outcomes for chronic conditions and elective operations, similar to those of non-Hispanic white (NHW) patients-a phenomenon known as the "Hispanic Paradox. " The finding is thought to be the result of selective migration among foreign-born Hispanic patients, making it theoretically less likely to occur when care is urgent. The objective of this study is to determine whether the "Hispanic Paradox" exists in emergency situations requiring operative emergency general surgery (EGS) care. Methods: Age-specific differences (pediatric/adult/older adult) in mortality, major morbidity, and unplanned readmission at ≤30, 90, 180, and 365 days among NHW, NHB, and Hispanic patients from three US states with large Hispanic populations were assessed using survival analysis. Data were abstracted from state inpatient claims from 2007 to 2015. Models accounted for clustering of patients within hospitals and states and potential confounding associated with operation type, diagnosis, patient demographics (age, admission year, gender, Charlson Comorbidity Index, income, and insurance), and hospital-level factors (operative volume, rurality, teaching status, and registered nurses (RNs)/bed). Results: Relative to Hispanic patients, adult NHB and NHW EGS patients fared significantly worse (e.g., ≤365-day mortality hazard ratios (HR) [95%

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Paradox lost on the U.S.-Mexico border: U.S. Latinas and cesarean rates

Cited by 6 publications

References 19 publications

Bearing witness: United States and Canadian maternity support workers’ observations of disrespectful care in childbirth

Bearing witness: United States and Canadian maternity support workers’ observations of disrespectful care in childbirth

Acculturation, Acculturative Stress, Experience of Discrimination, and Cesarean Birth in Mexican American Women

The “Hispanic Paradox” Exists in Emergent Conditions: Better or Equivalent Surgical Outcomes Among US Hispanic Emergency General Surgery Patients

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