2010
DOI: 10.1016/j.ajog.2009.10.871
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Social disparity and the use of intrapartum epidural analgesia in a publicly funded health care system

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Cited by 38 publications
(32 citation statements)
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“…Using education level as an indicator of socioeconomic status, we can infer that low socioeconomic status may be associated with lower odds of epidural use. These findings are consistent with a previous study reporting that women from the poorest quintile had a lower likelihood of epidural use than those from the richest quintile (OR = 0.59, 95% CI 0.58, 0.61) [3, 4]. The mechanism for this association is unknown, but may be related to cultural practices or reduced access to resources.…”
Section: Discussionsupporting
confidence: 91%
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“…Using education level as an indicator of socioeconomic status, we can infer that low socioeconomic status may be associated with lower odds of epidural use. These findings are consistent with a previous study reporting that women from the poorest quintile had a lower likelihood of epidural use than those from the richest quintile (OR = 0.59, 95% CI 0.58, 0.61) [3, 4]. The mechanism for this association is unknown, but may be related to cultural practices or reduced access to resources.…”
Section: Discussionsupporting
confidence: 91%
“…intravenous opioids) [1-3]. Despite these potential risks, rates of epidural use in the United States and other industrialized countries have increased dramatically in recent years [4-6]. Currently, in the United States, approximately 60% of parturients (delivering women) receive epidurals for intrapartum pain relief [3].…”
Section: Introductionmentioning
confidence: 99%
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“…There also seems to be an increased incidence of preeclampsia in minority women [59,60]. One retrospective cohort study evaluated racial/ethnic differences in pregnancy outcomes for 32,193 singleton births to parturients with gestational diabetes mellitus in California [59]. In that cohort, the prevalence of preeclampsia was higher for Hispanic and African American women than for non-Hispanic White women.…”
Section: Obstetric Disparitiesmentioning
confidence: 99%
“…In developing countries, prob lems include cost, cultural and socioeconomic influences, small hospital size, language barri ers, disinterested healthcare policies and lack of skilled staff [83]. In developed countries, labor analgesia is less likely to be accessed by those of low educational achievement, in poverty, part of an ethnic minority, of indigenous status, uninsured or with poor social support [84][85][86]. By improving diversity and service competence within health systems, access to and the quality of labor analgesia can be enhanced.…”
Section: Access and Equity In Labor Analgesiamentioning
confidence: 99%