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2009 National Healthcare Quality & Disparities Reports

Table 6_2_2.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, by race/ethnicity, United States, 2006
        Non-Hispanic    
    Total White Black API Hispanic, all races
Population group Ratea SE Ratea SE Ratea SE Ratea SE Ratea SE
Total   35.9 0.1 39.1 0.2 26.1 0.3 57.4 0.6 30.1 0.2
Age 10–14 66.4 4.1 90.2 9.0 59.5 6.5 145.5 38.1 58.5 6.8
15–17 49.6 0.7 52.0 1.3 46.4 1.5 88.8 5.4 47.0 1.2
18–24 35.0 0.2 37.3 0.3 28.6 0.5 54.8 1.3 33.2 0.4
25–34 38.3 0.2 42.5 0.2 22.0 0.5 62.8 0.8 28.0 0.4
35–54 25.5 0.3 27.4 0.4 17.7 1.0 37.7 1.1 18.4 0.7
Median income of patient's ZIP code First quartile (lowest income) 31.0 0.2 35.7 0.4 24.8 0.5 51.4 1.5 28.3 0.4
Second quartile 33.3 0.3 35.4 0.3 26.0 0.7 54.7 1.4 29.5 0.5
Third quartile 38.4 0.2 40.5 0.3 26.7 0.8 57.3 1.2 32.6 0.5
Fourth quartile (highest income) 43.0 0.3 43.4 0.3 31.9 1.0 60.8 0.9 32.6 0.7
Location of patient residence Large central metropolitan 36.1 0.2 42.9 0.4 25.9 0.5 53.0 0.8 31.0 0.4
Large fringe metropolitan 38.2 0.3 41.7 0.3 25.7 0.7 59.5 1.3 30.9 0.6
Medium metropolitan 35.7 0.3 37.2 0.4 24.9 0.8 73.0 1.3 29.2 0.5
Small metropolitan 35.2 0.4 37.8 0.5 30.5 1.3 43.3 3.1 26.7 1.0
Micropolitan (nonmetro) 33.0 0.4 34.6 0.5 29.0 1.4 40.7 2.6 26.4 1.1
Noncore (nonmetro) 32.6 0.5 34.0 0.6 24.7 1.8 DSU DSU 29.7 1.6
Expected payment source Private insurance 43.1 0.2 44.6 0.2 30.4 0.6 61.3 0.7 33.1 0.5
Medicare 32.8 2.0 37.8 2.7 14.1 4.2 DSU DSU 40.3 4.8
Medicaid 28.7 0.2 29.2 0.3 23.9 0.4 49.2 1.1 28.6 0.3
Other insurance 34.6 0.8 35.4 1.0 26.8 2.3 55.8 4.5 30.2 2.0
Uninsured/self-pay/no charge 33.0 0.6 30.3 1.1 27.5 1.8 48.5 3.1 33.2 0.9
Region of inpatient treatment Northeast 34.5 0.3 35.8 0.4 24.0 0.8 60.5 1.4 29.5 0.7
Midwest 38.6 0.3 41.9 0.3 25.6 0.7 56.2 1.8 28.8 1.0
South 36.4 0.2 39.8 0.3 26.9 0.4 61.1 1.4 33.4 0.4
West 34.0 0.2 36.5 0.4 27.1 1.1 55.3 0.8 27.6 0.4
Ownership/control of hospital Private, not for profit 37.0 0.1 40.0 0.2 26.5 0.4 58.5 0.7 29.8 0.3
Private, for profit 32.1 0.3 35.0 0.5 26.2 0.9 44.1 1.9 28.1 0.6
Public 34.3 0.3 37.3 0.5 24.3 0.8 60.5 1.6 32.5 0.5
Teaching status Teaching 38.6 0.2 41.7 0.3 26.7 0.5 66.3 0.9 34.2 0.4
Nonteaching 34.7 0.2 38.1 0.2 25.6 0.4 50.6 0.8 27.9 0.3
Location of hospital Large central metropolitan 36.5 0.2 42.6 0.3 25.8 0.5 52.9 0.8 31.4 0.3
Large fringe metropolitan 38.0 0.3 41.8 0.4 26.0 0.7 61.5 1.4 29.9 0.7
Medium metropolitan 35.7 0.3 37.2 0.3 25.2 0.8 71.3 1.3 29.2 0.5
Small metropolitan 35.7 0.4 38.6 0.5 31.3 1.3 44.4 3.2 25.3 1.0
Micropolitan (nonmetro) 32.1 0.4 33.2 0.5 29.4 1.4 40.3 2.6 27.3 1.1
Noncore (nonmetro) 29.3 0.8 32.0 0.9 14.2 2.6 DSU DSU 25.3 2.3
Bed size of hospital Less than 100 31.8 0.4 33.3 0.4 23.9 1.5 42.0 2.5 25.8 0.9
100–299 35.8 0.2 38.7 0.3 26.0 0.6 58.8 0.8 28.6 0.4
300–499 35.1 0.2 39.9 0.3 25.1 0.5 54.0 1.2 29.0 0.5
500 or more 39.4 0.3 43.4 0.4 27.8 0.6 62.0 1.4 35.2 0.5

a Rates are adjusted by age and comorbidities. When reporting is by age, the adjustment is by comorbidities only.

DSU - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2006, and AHRQ Quality Indicators, version 3.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 25 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, UT, VA , VT, and WI.