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2009 National Healthcare Quality & Disparities Reports

Table 6_2_3.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, 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   153.1 0.8 162.4 1.0 108.2 2.2 203.3 2.9 130.2 1.7
Age 10–14 202.3 15.4 220.2 34.1 222.4 23.4 DSU DSU 162.1 27.0
15–17 132.2 3.0 134.9 5.1 124.8 6.2 188.9 24.1 132.8 5.1
18–24 126.3 1.2 134.5 1.6 96.9 2.9 175.4 6.9 120.3 2.3
25–34 185.7 1.2 196.0 1.6 111.8 4.3 238.2 4.0 144.4 2.9
35–54 119.2 2.0 124.6 2.5 78.5 7.6 146.2 6.1 85.5 5.1
Median income of patient's ZIP code First quartile (lowest income) 133.8 1.5 146.6 2.2 101.4 3.2 219.6 8.1 125.7 2.7
Second quartile 147.3 1.6 159.0 2.1 107.4 4.6 183.2 7.4 127.6 3.2
Third quartile 154.9 1.5 161.6 1.9 113.6 5.3 197.7 5.8 129.9 3.5
Fourth quartile (highest income) 178.9 1.6 178.2 2.0 132.2 6.7 208.8 4.4 149.7 4.7
Location of patient residence Large central metropolitan 147.3 1.3 162.3 2.2 120.1 3.5 172.6 3.9 126.7 2.4
Large fringe metropolitan 166.4 1.6 173.3 2.1 109.6 4.6 238.4 6.4 138.7 4.3
Medium metropolitan 159.6 1.7 166.6 2.2 101.6 5.4 257.1 7.1 135.7 3.6
Small metropolitan 150.0 2.6 156.9 3.1 100.2 8.4 241.1 16.8 127.9 6.5
Micropolitan (nonmetro) 139.8 2.4 150.8 2.8 84.8 8.0 155.2 18.6 113.5 6.4
Noncore (nonmetro) 140.2 3.0 146.2 3.4 75.9 10.0 378.2 46.5 146.3 9.0
Expected payment source Private insurance 176.8 1.0 181.3 1.3 125.7 3.8 213.8 3.5 136.9 3.3
Medicare 115.3 12.6 117.9 16.7 DSU DSU DSU DSU 138.3 28.4
Medicaid 122.0 1.2 121.9 1.9 98.5 2.9 177.0 6.3 124.9 2.1
Other insurance 151.6 4.8 168.2 6.1 102.8 13.4 182.5 21.5 115.8 12.9
Uninsured/self-pay/no charge 152.7 4.2 134.9 7.5 115.8 14.8 171.3 14.3 158.6 6.3
Region of inpatient treatment Northeast 169.2 2.0 171.3 2.6 123.0 6.5 227.8 7.6 150.8 5.8
Midwest 169.4 1.7 172.7 1.9 123.8 4.8 288.2 10.5 132.6 6.8
South 145.7 1.2 155.1 1.7 100.0 2.9 216.5 6.5 137.8 2.8
West 142.7 1.4 153.7 2.2 104.7 7.3 180.2 3.9 121.4 2.3
Ownership/control of hospital Private, not for profit 157.8 0.9 166.1 1.2 110.1 2.7 218.3 3.5 129.5 2.2
Private, for profit 130.6 1.8 147.3 2.7 93.8 5.4 140.4 8.0 112.1 3.3
Public 157.8 2.1 157.4 3.1 116.4 6.0 190.7 7.5 160.3 4.0
Teaching status Teaching 172.0 1.4 183.1 2.0 121.5 3.5 226.9 4.7 153.2 3.1
Nonteaching 145.1 0.9 155.2 1.2 98.9 2.9 188.2 3.8 121.0 2.0
Location of hospital Large central metropolitan 149.3 1.3 166.7 2.0 114.7 3.5 174.4 3.9 127.2 2.3
Large fringe metropolitan 165.5 1.7 169.4 2.2 116.7 4.7 240.9 6.8 142.6 4.9
Medium metropolitan 159.4 1.6 165.7 2.1 100.5 5.2 257.8 7.1 136.9 3.6
Small metropolitan 151.1 2.5 157.8 3.0 100.6 8.1 236.2 17.0 128.8 6.4
Micropolitan (nonmetro) 136.1 2.3 148.8 2.7 86.7 7.5 152.2 19.1 105.9 6.2
Noncore (nonmetro) 140.9 4.1 143.4 4.7 75.5 14.7 546.8 67.0 158.2 12.2
Bed size of hospital Less than 100 134.6 2.1 144.4 2.4 77.8 8.5 158.7 12.5 102.9 5.0
100–299 150.3 1.2 160.6 1.6 100.1 3.7 188.1 4.1 129.5 2.6
300–499 152.3 1.4 165.5 2.0 111.8 3.8 216.2 5.9 121.4 3.1
500 or more 174.9 1.8 180.8 2.5 125.3 4.7 243.9 7.0 164.1 4.0

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.