The impact of neighborhood-level racial and economic segregation on low-risk cesarean delivery among Black, White, and Biracial (Black/White) individuals.

ABSTRACT:

Background

Research has established Black-White low-risk cesarean delivery (CD) disparities; however, it is unknown how select structural factors are involved in this disparity and whether Biracial (Black/White) individuals face similar disparities. Our objective was to estimate the association of low-risk CD among Black, White and Biracial individuals, and determine whether these associations vary by neighborhood level racial and economic segregation.

Methods

Three hundred eighty-five thousand, eight hundred twenty-five nulliparous, term, singleton, vertex births among Black, White, and Biracial individuals in California (2011-2019) were included from a statewide administrative birth cohort of birth certificates linked to hospital records. We used a generalized estimating e

SUBMITTER: Batterson E 

PROVIDER: S-EPMC12764071 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature