Neighbourhood Poverty Histories and Severe Maternal Morbidity Across California Census Tracts.

ABSTRACT:

Background

Severe maternal morbidity (SMM) and its racial and ethnic inequities are the result of a mixture of risk factors ranging from clinical comorbidities to socio-economic contexts. One under-explored dimension is neighbourhood contexts.

Objectives

In order to understand the impact of neighbourhood contexts on SMM, this study investigates the relationship between a 20-year history of neighbourhood poverty and SMM among 8.6 million births in California from 2000 to 2018 and assesses effect measure modification by race/ethnicity and nativity.

Methods

Data include hospital live births in California from 2000 to 2018 from the California Department of Public Health. The final sample for this study consisted of 8,632,436 live births. Mixed-effects logistic regression

SUBMITTER: Maddali SR 

PROVIDER: S-EPMC12908858 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature