Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation.

ABSTRACT:

Background

In 2011, Oregon implemented a policy that reduced the state's rate of early (before 39 weeks' gestation) elective (without medical need) births.

Objective

This analysis measured differential policy effects by race, examining whether Oregon's policy was associated with changes in non-Hispanic Black-White disparities in early elective cesarean and labor induction.

Methods

We used Oregon birth certificate data, defining prepolicy (2008-2010) and postpolicy (2012-2014) periods, including non-Hispanic Black and White women who gave birth during these periods (n = 121,272). We used longitudinal spline models to assess policy impacts by race and probability models to measure policy-associated changes in Black-White disparities.

Results

We found that the pre

SUBMITTER: Kozhimannil KB 

PROVIDER: S-EPMC5959748 | biostudies-literature | 2018 May - Jun

REPOSITORIES: biostudies-literature