National Healthcare Quality and Disparities Report
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Topics
- Access to Care (2)
- Anxiety (1)
- Children/Adolescents (1)
- COVID-19 (1)
- Cultural Competence (2)
- Decision Making (2)
- Depression (1)
- Diabetes (3)
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- Medicaid (4)
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- Obesity: Weight Management (1)
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- (-) Pregnancy (27)
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- Public Health (1)
- (-) Racial and Ethnic Minorities (27)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 27 Research Studies DisplayedMehra R, Alspaugh A, Dunn JT
"'Oh gosh, why go?' Cause they are going to look at me and not hire": intersectional experiences of Black women navigating employment during pregnancy and parenting.
This study was an analysis of the lived experience of pregnancy among Black pregnant women in New Haven, Connecticut. Twenty-four women participated in semi-structured interviews from January 2017 through August 2018. Interview transcripts were analyzed to describe common experiences. The following three themes were identified: 1) Difficulty seeking employment during pregnant; 2) Experiences on the job and navigating leave and accommodations while pregnant and parenting; and 3) The stressors of experiencing pregnancy discrimination and bias, which influenced financial burden and stress.
AHRQ-funded; HS017589.
Citation: Mehra R, Alspaugh A, Dunn JT .
"'Oh gosh, why go?' Cause they are going to look at me and not hire": intersectional experiences of Black women navigating employment during pregnancy and parenting.
BMC Pregnancy Childbirth 2023 Jan 10; 23(1):17. doi: 10.1186/s12884-022-05268-9..
Keywords: Pregnancy, Women, Racial and Ethnic Minorities
Blebu BE, Kuppermann M, Coleman-Phox K
A qualitative exploration of experiences accessing community and social services among pregnant low-income people of color during the COVID-19 pandemic.
The COVID-19 pandemic has led to heightened social and economic stressors for expectant individuals. Although community and social services exist to alleviate stressors during pregnancy (e.g., food insecurity and financial difficulties) and decrease the likelihood of negative maternal outcomes, it remains uncertain how the pandemic influenced access to these resources, especially among low-income communities of color. The purpose of this study was to explore the experiences of low-income pregnant individuals of color in accessing community and social service resources during the COVID-19 pandemic. This qualitative study on COVID-related factors recruited participants from two sources—a prospective comparative effectiveness study comparing two enhanced prenatal care models and the California Black Infant Health Program between August and November 2020. The researchers conducted 62 interviews with Medicaid-eligible participants in California's Central Valley, asking them to describe their pregnancy-related experiences and the perceived impact of the pandemic on these experiences. The study identified two overarching themes: obstacles in accessing community and social service resources during the pandemic and potential avenues for enhancing access to these resources. Sub-themes regarding challenges encountered encompassed issues with remote access, complex registration procedures for community and social services, and concerns specific to COVID-19 resources (e.g., testing). Sub-themes associated with opportunities for improved access included capitalizing on instrumental support from perinatal staff and informational (e.g., practical) support from other community programs and pregnant peers. Participants suggested improved client experiences could be achieved through increased transparency and enhanced patient-provider communication.
AHRQ-funded; HS026407
Citation: Blebu BE, Kuppermann M, Coleman-Phox K .
A qualitative exploration of experiences accessing community and social services among pregnant low-income people of color during the COVID-19 pandemic.
Womens Health 2023 Jan-Dec;19:17455057231156792. doi: 10.1177/17455057231156792.
Keywords: COVID-19, Racial and Ethnic Minorities, Low-Income, Women, Pregnancy, Public Health
Interrante JD, Tuttle MS, Admon LK
Severe maternal morbidity and mortality risk at the intersection of rurality, race and ethnicity, and Medicaid.
Using maternal discharge records from childbirth hospitalizations in the HCUP National Inpatient Sample, 2007-15, researchers examined differences in rates of severe maternal morbidity and mortality by rural or urban geography, race and ethnicity, and clinical factors among Medicaid-funded births and privately insured hospital births. The highest rate of severe maternal morbidity and mortality occurred among rural Indigenous Medicaid-funded births; births among Black rural and urban residents and among Hispanic urban residents also experienced elevated rates. The researchers concluded that heightened rates of severe maternal morbidity and mortality among Medicaid-funded births indicate an opportunity for state and federal policy responses to address the maternal health challenges faced by Medicaid beneficiaries, including Black, Indigenous, and rural residents
AHRQ-funded; HS027640.
Citation: Interrante JD, Tuttle MS, Admon LK .
Severe maternal morbidity and mortality risk at the intersection of rurality, race and ethnicity, and Medicaid.
Womens Health Issues 2022 Nov-Dec;32(6):540-49. doi: 10.1016/j.whi.2022.05.003..
Keywords: Healthcare Cost and Utilization Project (HCUP), Maternal Care, Women, Pregnancy, Mortality, Risk, Racial and Ethnic Minorities, Medicaid
Hunte R, Klawetter S, Paul S
"Black nurses in the home is working": advocacy, naming, and processing racism to improve Black maternal and infant health.
The purpose of this qualitative study was to examine how Black women’s health, pregnancy and parenting are impacted by racism, and how the relationship between Black women’s health, pregnancy and parenting and racism-related stress are affected by a culturally-specific perinatal care program. The researchers conducted focus groups and utilized a Black Feminist approach to center the perspectives and lived experiences of Black women. Four themes surfaced in the analysis, including: 1) The widespread reach of structural racism, 2) Trust and healing facilitated through shared identities, 3) Racism directly impacts mental health, and 4) Advocacy at all levels is a vital service. The researchers concluded that structural racism has chronic and toxic effects on Black women’s physical and mental health, and Black perinatal care should include: culturally-specific approaches, advocacy, mental health support with specific attention to racism-related stress, and examination of implicit biases.
AHRQ-funded; HS026370.
Citation: Hunte R, Klawetter S, Paul S .
"Black nurses in the home is working": advocacy, naming, and processing racism to improve Black maternal and infant health.
Matern Child Health J 2022 Apr;26(4):933-40. doi: 10.1007/s10995-021-03283-4..
Keywords: Racial and Ethnic Minorities, Women, Maternal Care, Pregnancy, Newborns/Infants, Cultural Competence
Steenland MW, Wilson IB, Matteson KA
Association of Medicaid expansion in Arkansas with postpartum coverage, outpatient care, and racial disparities.
This study’s objective was to measure the association of Medicaid expansion in Arkansas with postpartum coverage, outpatient care, and racial disparities. A total of 60,990 childbirths were reviewed from January 1, 2014 on with a total of 72.3% paid for by Medicaid and 27.7% paid for by a commercial payer. The mean age of the birthing person was 27; with 67% White, 22% Black, and 7% Hispanic. Medicaid expansion in Arkansas was associated with a 27.8 percentage point increase in continuous insurance coverage and an increase in outpatient visits of 0.9 during the first 6 months postpartum, representing relative increases of 54.9% and 75.0%, respectively. Racial disparities in postpartum coverage decreased from 6.3 percentage points before expansion to -2.0 after. However, disparities in outpatient care after expansion persisted between Black and White individuals.
AHRQ-funded; HS027464.
Citation: Steenland MW, Wilson IB, Matteson KA .
Association of Medicaid expansion in Arkansas with postpartum coverage, outpatient care, and racial disparities.
JAMA Health Forum 2021 Dec;2(12):e214167. doi: 10.1001/jamahealthforum.2021.4167..
Keywords: Medicaid, Maternal Care, Pregnancy, Racial and Ethnic Minorities, Disparities, Policy, Women, Access to Care
Admon LK, Dalton VK, Kolenic GE
Comparison of delivery-related, early and late postpartum severe maternal morbidity among individuals with commercial insurance in the US, 2016 to 2017.
This study analyzed data from 2016 to 2017 on delivery-related, early, and late postpartum severe maternal morbidity (SMM) among individuals with commercial insurance by race and ethnicity and perinatal mood and anxiety disorder (PMAD) status. This cross-sectional study of deidentified claims data from the Optum Clinformatics Data Mart evaluated rates of SMM during 3 pregnancy periods among individuals aged 15 to 44 years. The study sample comprised of 100,982 individuals with a mean age of 31.6 years. SMM rates were compared for pregnancies with and without complications, with blood transfusions being the number one indicator for pregnancy and postpartum periods with SMM. Rates of SMM with and without blood transfusion varied by race and ethnicity and PMAD status. Higher rates of SMM were identified among Black individuals compared with White individuals for the pregnancy, early postpartum, and late postpartum periods, respectively. Higher rates of blood transfusion were also identified in each of the 3 periods among individuals with PMADs compared to individuals without PMADs.
AHRQ-funded; HS027640.
Citation: Admon LK, Dalton VK, Kolenic GE .
Comparison of delivery-related, early and late postpartum severe maternal morbidity among individuals with commercial insurance in the US, 2016 to 2017.
JAMA Netw Open 2021 Dec;4(12):e2137716. doi: 10.1001/jamanetworkopen.2021.37716..
Keywords: Labor and Delivery, Pregnancy, Maternal Care, Pregnancy, Health Insurance, Racial and Ethnic Minorities, Anxiety
Burris HH, Passarella M, Handley SC
Black-white disparities in maternal in-hospital mortality according to teaching and black-serving hospital status.
This study’s objective was to determine whether black-white disparities in maternal in-hospital mortality during delivery vary across hospital types (black-serving vs non-black and teaching vs non-teaching) and whether overall maternal mortality differs across hospital types. The authors performed a population-based, retrospective cohort study of 5,679,044 deliveries among black (14.2%) and white patients (85.8%) in 3 states (California, Missouri, and Pennsylvania) from 1995 to 2009. Examination of black-white disparities found that after risk adjustment, black patients had significantly greater risk of death and that the disparity was similar within each of the hospital types. At teaching hospitals, mortality was similar in black-serving and nonblack-serving hospitals. Among non-teaching hospitals, mortality was significantly higher in black-serving vs nonblack-serving hospitals. Over half (53%) of black patients delivered in nonteaching black-serving hospitals compared with just 19% of white patients.
AHRQ-funded; HS018661.
Citation: Burris HH, Passarella M, Handley SC .
Black-white disparities in maternal in-hospital mortality according to teaching and black-serving hospital status.
Am J Obstet Gynecol 2021 Jul;225(1):83.e1-83.e9. doi: 10.1016/j.ajog.2021.01.004..
Keywords: Maternal Care, Pregnancy, Mortality, Women, Racial and Ethnic Minorities, Disparities, Hospitals
Lange EMS, Toledo P
Peripartum racial/ethnic disparities.
Addressing disparities has been a focus of the US Department of Health and Human Services Healthy People initiative for decades, with the most recent Healthy People 2020 establishing a need for health equity in the United States. In this article, the investigators presented an overview of peripartum racial/ethnic disparities and address potential structural solutions to improve maternal health equity.
AHRQ-funded; HS025267.
Citation: Lange EMS, Toledo P .
Peripartum racial/ethnic disparities.
Int Anesthesiol Clin 2021 Jul 1;59(3):1-7. doi: 10.1097/aia.0000000000000326..
Keywords: Maternal Care, Pregnancy, Disparities, Racial and Ethnic Minorities, Women
Mehra R, Boyd LM, Magriples U
Black pregnant women "get the most judgment": a qualitative study of the experiences of Black women at the intersection of race, gender, and pregnancy.
This qualitative study examined the experiences of Black pregnant women and how being stereotyped can cause stress. Semistructured interviews with 24 Black pregnant women in New Haven, Connecticut was conducted. The women were asked about their experience of being pregnant, experiences of gendered racism, and concerns related to pregnancy and parenting Black children. Many of the women experienced gendered racism stigmatizing Black motherhood that devalued Black pregnancies. They reported encountering assumptions that they were poor, single, and had multiple children regardless of socioeconomic status, marital status, or parity. This pregnancy stigma occurred in everyday, health care, social services, and housing-related contexts. This may contribute to poorer maternal and infant outcomes by way of reduced access to quality health care; impediments to services, resources, and social support; and poorer psychological health. Interventions to combat this problem include anti-bias training for health care and social service providers; screening for racialized pregnancy stigma and providing evidence-based coping strategy; creating pregnancy support groups; and developing broader societal discourse that values Black women and their pregnancies.
AHRQ-funded; HS017589.
Citation: Mehra R, Boyd LM, Magriples U .
Black pregnant women "get the most judgment": a qualitative study of the experiences of Black women at the intersection of race, gender, and pregnancy.
Womens Health Issues 2020 Nov-Dec;30(6):484-92. doi: 10.1016/j.whi.2020.08.001..
Keywords: Pregnancy, Women, Racial and Ethnic Minorities
Glazer KB, Danilack VA, Werner EF
Elucidating the role of overweight and obesity in racial and ethnic disparities in cesarean delivery risk.
This study’s goal was to quantify the extent to which overweight and obesity explain cesarean delivery rates among women of different racial and ethnic backgrounds. Administrative records were used from New York City for 216,481 singleton, nulliparous births from 2008 to 2013. Risk ratios, risk differences, and population attributable fractions for associations between body mass index and cesarean, stratified by race and ethnicity was calculated. Black and Hispanic women had the highest cesarean rates attributable to obesity and overweight (17.4% and 14.6%) respectively.
AHRQ-funded; HS025013.
Citation: Glazer KB, Danilack VA, Werner EF .
Elucidating the role of overweight and obesity in racial and ethnic disparities in cesarean delivery risk.
Ann Epidemiol 2020 Feb;42:4-11.e4. doi: 10.1016/j.annepidem.2019.12.012.
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Keywords: Disparities, Racial and Ethnic Minorities, Pregnancy, Labor and Delivery, Risk, Obesity, Women
Li J, Pesko MF, Unruh MA
Effect of the Medicaid primary care rate increase on prenatal care utilization among Medicaid-insured women.
The purpose of this study was to evaluate the effect of the 2013-2014 ACA Medicaid Primary Care Rate Increase on Medicaid-insured women's prenatal care utilization, overall and by race and ethnicity. The investigators concluded that the Medicaid "fee bump" improved prenatal care utilization for non-Hispanic Black and White women. They suggest that policymakers may consider reinstating higher Medicaid reimbursements to improve access to care for disadvantaged populations.
AHRQ-funded; HS024357.
Citation: Li J, Pesko MF, Unruh MA .
Effect of the Medicaid primary care rate increase on prenatal care utilization among Medicaid-insured women.
Matern Child Health J 2019 Nov;23(11):1564-72. doi: 10.1007/s10995-019-02804-6..
Keywords: Medicaid, Primary Care, Maternal Care, Pregnancy, Women, Healthcare Utilization, Racial and Ethnic Minorities, Disparities
Shorten A, Shorten B, Fagerlin A
A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
This article describes a study that tested the feasibility and acceptability of implementing a Health Insurance Portability and Accountability Act-secure, Web-based decision aid tool that supports shared decisionmaking with regard to birth choices after cesarean in urban, ethnically diverse outpatient settings. Sixty-eight women participated in the study; the measures included the women's knowledge, decisional conflict, birth preferences and outcomes, decision aid use and acceptability ratings, and views on how the decision aid supported shared decisionmaking. The women rated the content, features, and functions as good or excellent. Most indicated they would recommend it to others. The researchers conclude that while the decision aid is feasible, strategies are needed to improve women's access and to encourage timely decision aid usage to prepare them for decision discussions with health care providers.
AHRQ-funded; HS022114.
Citation: Shorten A, Shorten B, Fagerlin A .
A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
J Midwifery Womens Health 2019 Jan;64(1):78-87. doi: 10.1111/jmwh.12908..
Keywords: Decision Making, Education: Patient and Caregiver, Health Information Technology (HIT), Pregnancy, Racial and Ethnic Minorities, Web-Based, Women
Kung SA, Saavedra-Avendano B, Velez EA
Capturing compassion: a survey of Mexican Catholics assessing abortion support by reason for abortion and degree of Catholicism.
No standard exists to measure religiosity in abortion studies. In this study, the investigators test whether religiosity was associated with support for abortion among Mexican Catholics and whether different measures of degree of Catholicism alter the relationship. The investigators found that the majority of Mexican Catholics supported abortion in some circumstances. The only measure of degree of Catholicism significantly associated with all the outcomes was belief that a person who helps someone who aborts can be a good Catholic.
AHRQ-funded; HS022981.
Citation: Kung SA, Saavedra-Avendano B, Velez EA .
Capturing compassion: a survey of Mexican Catholics assessing abortion support by reason for abortion and degree of Catholicism.
Contraception 2018 Dec;98(6):504-09. doi: 10.1016/j.contraception.2018.06.008..
Keywords: Racial and Ethnic Minorities, Pregnancy, Women
Masho SW, Rozario S, Walker D
Racial differences and the role of marital status in the association between intimate partner violence and unintended pregnancy.
This study examined the association between intimate partner violence (IPV) and unintended pregnancy across racial/ethnic and marital strata among U.S. women. Among other results, the investigators found that the odds of unintended pregnancy were increased for married non-Hispanic White women who reported IPV compared to their non-abused counterparts even after controlling for sociodemographic factors, health care access, and reproductive history.
AHRQ-funded; HS021504.
Citation: Masho SW, Rozario S, Walker D .
Racial differences and the role of marital status in the association between intimate partner violence and unintended pregnancy.
J Interpers Violence 2018 Oct;33(20):3162-85. doi: 10.1177/0886260516635317..
Keywords: Domestic Violence, Pregnancy, Racial and Ethnic Minorities, Social Determinants of Health
Liu CH, Phan J, Yasui M
Prenatal life events, maternal employment, and postpartum depression across a diverse population in New York City.
This study examined racial and ethnic disparities in three postpartum depression (PPDF) symptoms and identified specific predictors. Women from the New York City area completed the 2009-2011 Pregnancy Risk Assessment Monitoring System survey. White women were more likely to have PPD than African American women. Employment was also associated with PPD for white women.
AHRQ-funded; HS023007.
Citation: Liu CH, Phan J, Yasui M .
Prenatal life events, maternal employment, and postpartum depression across a diverse population in New York City.
Community Ment Health J 2018 May;54(4):410-19. doi: 10.1007/s10597-017-0171-2..
Keywords: Depression, Disparities, Pregnancy, Racial and Ethnic Minorities, Women
Fletcher GE, Teeters L, Schlundt D
Maternal conception of gestational weight gain among Latinas: a qualitative study.
The objective of this study was to develop a model of how pregnant Latinas- who have a higher risk of poor maternal and neonatal weight-related outcomes- conceptualize healthy gestational weight gain, providing guidance for future interventions. The investigators suggest that women's sociocultural and interpersonal context influence weight-related behaviors through the lens of personal health schemas and assert that understanding how cognitive aspects relate to traditional behavioral determinants suggested several opportunities for intervention.
AHRQ-funded; HS022990.
Citation: Fletcher GE, Teeters L, Schlundt D .
Maternal conception of gestational weight gain among Latinas: a qualitative study.
Health Psychol 2018 Feb;37(2):132-38. doi: 10.1037/hea0000555..
Keywords: Pregnancy, Racial and Ethnic Minorities, Women
Attanasio LB, Hardeman RR, Kozhimannil KB
Prenatal attitudes toward vaginal delivery and actual delivery mode: variation by race/ethnicity and socioeconomic status.
This study examined whether women's prenatal attitudes toward vaginal delivery differed by race/ethnicity or socioeconomic status, and whether attitudes were differently related to delivery mode depending on race/ethnicity or socioeconomic status. The study concluded that there are racial/ethnic differences in chances of cesarean delivery, and these differences are not explained by birth attitudes. Findings also suggested that white and high-socioeconomic status women may be more able to realize their preferences in childbirth.
AHRQ-funded; HS024215.
Citation: Attanasio LB, Hardeman RR, Kozhimannil KB .
Prenatal attitudes toward vaginal delivery and actual delivery mode: variation by race/ethnicity and socioeconomic status.
Birth 2017 Dec;44(4):306-14. doi: 10.1111/birt.12305..
Keywords: Health Services Research (HSR), Labor and Delivery, Pregnancy, Racial and Ethnic Minorities, Social Determinants of Health
Roman LA, Raffo JE, Dertz K
Understanding perspectives of African American Medicaid-insured women on the process of perinatal care: an opportunity for systems improvement.
The purpose of this study was to explore the perspectives of Medicaid-insured women about their experiences of perinatal care across a continuum of clinical and community-based services. It found that many women experienced difficulties engaging in early care, getting more help, and understanding and communicating with their providers, with some reporting socio-economic and racial bias in care.
AHRQ-funded; HS020208.
Citation: Roman LA, Raffo JE, Dertz K .
Understanding perspectives of African American Medicaid-insured women on the process of perinatal care: an opportunity for systems improvement.
Matern Child Health J 2017 Dec;21(Suppl 1):81-92. doi: 10.1007/s10995-017-2372-2.
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Keywords: Access to Care, Maternal Care, Medicaid, Pregnancy, Racial and Ethnic Minorities
Davis CM, Guo M, Miyamura J
Key factors in obstetric delivery decision-making among Asian and Pacific Islander women by English proficiency.
Understanding (1) how expectant mothers gather information to decide where to give birth, and (2) who helps make that decision, provides critical health communication and decision-making insights. This survey found that the top three health decision-makers for both those Asian American and Pacific Islanders (AAPIs) with limited English proficiency and English-proficient AAPIs were themselves, their obstetrician, and their spouse, which did not differ significantly by language proficiency.
AHRQ-funded; HS021903.
Citation: Davis CM, Guo M, Miyamura J .
Key factors in obstetric delivery decision-making among Asian and Pacific Islander women by English proficiency.
Hawaii J Med Public Health 2017 Oct;76(10):279-86.
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Keywords: Healthcare Delivery, Cultural Competence, Decision Making, Pregnancy, Racial and Ethnic Minorities
Goff SL, Youssef Y, Pekow PS
Successful strategies for practice-based recruitment of racial and ethnic minority pregnant women in a randomized controlled trial: the IDEAS for a healthy baby study.
The authors used strategies grounded in a health equity framework to address barriers to recruitment and retention in three domains: preparation, process, and patient-centeredness in the IDEAS (Information, Description, Education, Assistance, and Support) for a Healthy Baby study. They achieved higher recruitment (87.1 %) and retention rates (97.3 %) than anticipated, concluding that others seeking to recruit racial and ethnic minority pregnant women in similar settings may find the preparation, process, and patient-centered strategies used in this study applicable for their own studies.
AHRQ-funded; HS021864; HS021879.
Citation: Goff SL, Youssef Y, Pekow PS .
Successful strategies for practice-based recruitment of racial and ethnic minority pregnant women in a randomized controlled trial: the IDEAS for a healthy baby study.
J Racial Ethn Health Disparities 2016 Dec;3(4):731-37. doi: 10.1007/s40615-015-0192-x.
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Keywords: Racial and Ethnic Minorities, Pregnancy, Racial and Ethnic Minorities, Research Methodologies
Brown SD, Ehrlich SF, Kubo A
Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes.
The authors examined if ethnic identity could help account for variations in lifestyle behaviors within a diverse population at high risk for type 2 diabetes. Their findings suggest that ethnic group attachment is associated with some lifestyle behaviors, independent of acculturation indicators, among young women with gestational diabetes who are at high risk for type 2 diabetes. They suggest that prospective research is needed to clarify the temporal nature of associations between ethnic identity and modifiable diabetes risk factors.
AHRQ-funded; HS019367.
Citation: Brown SD, Ehrlich SF, Kubo A .
Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes.
Soc Sci Med 2016 Jul;160:87-93. doi: 10.1016/j.socscimed.2016.05.024.
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Keywords: Diabetes, Lifestyle Changes, Pregnancy, Racial and Ethnic Minorities, Women
Morales-Aleman MM, Scarinci IC
Correlates and predictors of sexual health among adolescent Latinas in the United States: a systematic review of the literature, 2004-2015.
The authors conducted a systematic literature review to better understand the correlates and predictors of sexual health among adolescent Latinas in the US. They found that results varied widely between studies, suggesting that the relationship between individual and proximal contextual variables and sexual health may be more complex than previously thought. They concluded that their review integrates the findings on correlates and predictors of sexual health among adolescent Latinas, and supports the need for strengths-based theoretically guided research on the mechanisms driving these associations.
AHRQ-funded; HS013852.
Citation: Morales-Aleman MM, Scarinci IC .
Correlates and predictors of sexual health among adolescent Latinas in the United States: a systematic review of the literature, 2004-2015.
Prev Med 2016 Jun;87:183-93. doi: 10.1016/j.ypmed.2016.03.005.
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Keywords: Children/Adolescents, Racial and Ethnic Minorities, Pregnancy, Racial and Ethnic Minorities, Sexual Health
Reid AE, Rosenthal L, Earnshaw VA
Discrimination and excessive weight gain during pregnancy among Black and Latina young women.
The researchers examined the influence of discrimination, a culturally relevant stressor, on odds of gaining weight beyond Institute of Medicine recommendations during pregnancy. They found that ever experiencing discrimination was associated with a 71 percent increase in the odds of excessive weight gain.
AHRQ-funded; HS022986.
Citation: Reid AE, Rosenthal L, Earnshaw VA .
Discrimination and excessive weight gain during pregnancy among Black and Latina young women.
Soc Sci Med 2016 May;156:134-41. doi: 10.1016/j.socscimed.2016.03.012..
Keywords: Disparities, Obesity: Weight Management, Pregnancy, Racial and Ethnic Minorities, Social Stigma
Earnshaw VA, Rosenthal L, Cunningham SD
Exploring group composition among young, urban women of color in prenatal care: implications for satisfaction, engagement, and group attendance.
The current investigation aimed to explore associations between prenatal care group composition with patient satisfaction, engagement, and group attendance among young, urban women of color. It found that women in groups with others more diverse in age reported greater patient engagement and, in turn, attended more group sessions.
AHRQ-funded; HS022986.
Citation: Earnshaw VA, Rosenthal L, Cunningham SD .
Exploring group composition among young, urban women of color in prenatal care: implications for satisfaction, engagement, and group attendance.
Womens Health Issues 2016 Jan-Feb;26(1):110-5. doi: 10.1016/j.whi.2015.09.011.
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Keywords: Racial and Ethnic Minorities, Pregnancy, Patient Experience, Women, Urban Health
Pu J, Zhao B, Wang EJ
Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors.
This study aimed to assess racial/ethnic differences in relative contribution of risk factors of gestational diabetes mellitus (GDM) among Asian subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese), Hispanics, non-Hispanic blacks, and non-Hispanic whites. It found that GDM was most prevalent among Asian Indians (19.3 percent). Relative risks were similar across all race/ethnic groups.
AHRQ-funded; HS019815.
Citation: Pu J, Zhao B, Wang EJ .
Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors.
Paediatr Perinat Epidemiol 2015 Sep;29(5):436-43. doi: 10.1111/ppe.12209.
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Keywords: Diabetes, Obesity, Pregnancy, Racial and Ethnic Minorities, Risk, Women