Skip Navigation U.S. Department of Health and Human Services www.hhs.gov/
Agency for Healthcare Research Quality www.ahrq.gov
www.ahrq.gov/
2009 National Healthcare Quality & Disparities Reports

Table 6_2_4.2a
Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean 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   3.67 0.15 3.96 0.18 3.68 0.28 4.48 0.59 2.88 0.19
Age 10–14 DSU DSU DSU DSU DSU DSU DSU DSU DSU DSU
15–17 2.16 0.45 DSU DSU DSU DSU DSU DSU DSU DSU
18–24 2.56 0.20 2.74 0.26 2.58 0.36 DSU DSU 2.11 0.25
25–34 3.83 0.17 4.00 0.21 4.51 0.41 4.05 0.57 3.10 0.25
35–54 4.97 0.27 5.29 0.35 4.46 0.64 5.51 1.02 3.93 0.44
Median income of patient's ZIP code First quartile (lowest income) 3.23 0.21 3.13 0.28 3.87 0.40 DSU DSU 2.74 0.30
Second quartile 3.52 0.24 3.91 0.34 3.74 0.50 DSU DSU 2.70 0.27
Third quartile 3.83 0.20 4.22 0.26 2.91 0.49 5.30 1.14 2.94 0.33
Fourth quartile (highest income) 4.18 0.24 4.31 0.29 4.02 0.63 4.67 0.70 3.51 0.47
Location of patient residence Large central metropolitan 3.57 0.25 4.09 0.39 3.98 0.43 2.95 0.48 2.85 0.27
Large fringe metropolitan 3.73 0.22 3.97 0.27 3.22 0.40 6.03 1.14 3.08 0.43
Medium metropolitan 3.91 0.32 4.09 0.34 4.20 0.81 7.77 1.46 2.83 0.38
Small metropolitan 4.08 0.66 4.33 0.70 DSU DSU DSU DSU 3.65 0.95
Micropolitan (nonmetro) 3.25 0.31 3.44 0.37 DSU DSU DSU DSU 2.34 0.61
Noncore (nonmetro) 3.30 0.39 3.51 0.47 DSU DSU DSU DSU DSU DSU
Expected payment source Private insurance 4.07 0.18 4.25 0.20 3.85 0.38 4.61 0.68 3.27 0.30
Medicare DSU DSU DSU DSU DSU DSU DSU DSU DSU DSU
Medicaid 3.18 0.18 3.36 0.26 3.55 0.35 4.25 0.89 2.66 0.21
Other insurance 3.54 0.63 3.44 0.66 DSU DSU DSU DSU DSU DSU
Uninsured/self-pay/no charge 3.04 0.57 2.54 0.73 DSU DSU DSU DSU 3.48 0.78
Region of inpatient treatment Northeast 4.43 0.44 4.43 0.46 4.23 0.77 4.42 1.02 4.39 0.87
Midwest 4.49 0.47 4.31 0.43 4.88 0.94 DSU DSU 5.36 1.28
South 3.23 0.18 3.66 0.24 3.24 0.31 3.94 0.88 2.27 0.25
West 3.25 0.23 3.54 0.33 2.87 0.62 4.56 0.94 2.79 0.23
Ownership/control of hospital Private, not for profit 3.97 0.19 4.21 0.22 4.00 0.38 4.93 0.74 3.08 0.25
Private, for profit 2.53 0.21 2.94 0.29 2.78 0.45 2.36 0.70 1.78 0.29
Public 3.47 0.32 3.51 0.47 3.16 0.56 4.22 1.26 3.48 0.43
Teaching status Teaching 4.88 0.35 5.09 0.42 4.52 0.53 6.87 1.15 4.28 0.44
Nonteaching 3.10 0.14 3.48 0.19 3.05 0.28 2.97 0.47 2.27 0.18
Location of hospital Large central metropolitan 3.71 0.26 4.18 0.38 4.09 0.45 3.39 0.52 2.96 0.27
Large fringe metropolitan 3.49 0.24 3.73 0.27 3.03 0.46 5.35 1.16 2.87 0.47
Medium metropolitan 4.08 0.35 4.41 0.38 4.25 0.82 8.16 1.66 2.71 0.38
Small metropolitan 3.89 0.80 4.00 0.85 DSU DSU DSU DSU 3.53 0.95
Micropolitan (nonmetro) 2.93 0.31 3.19 0.37 DSU DSU DSU DSU 2.04 0.61
Noncore (nonmetro) 3.07 0.56 3.22 0.66 DSU DSU DSU DSU DSU DSU
Bed size of hospital Less than 100 2.66 0.23 2.89 0.30 DSU DSU DSU DSU 2.19 0.44
100–299 3.19 0.18 3.41 0.23 3.38 0.40 4.10 0.94 2.22 0.21
300–499 3.77 0.22 4.02 0.26 3.78 0.45 5.57 1.15 2.94 0.36
500 or more 4.84 0.50 5.58 0.62 4.24 0.73 4.90 1.13 4.12 0.57

a Rates are observed rates and are not adjusted for age or severity.

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.