Title |
Paradox lost on the U.S.-Mexico border: U.S. Latinas and cesarean rates
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Published in |
BMC Pregnancy and Childbirth, April 2018
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DOI | 10.1186/s12884-018-1701-9 |
Pubmed ID | |
Authors |
Theresa Morris, Amanda Gomez, Miriam Naiman-Sessions, Christine H. Morton |
Abstract |
We apply Intersectional Theory to examine how compounded disadvantage affects the odds of women having a cesarean in U.S.-Mexico border hospitals and in non-border hospitals. We define U.S. Latinas with compounded disadvantage as those who have neither a college education nor private health insurance. Analyzing quantitative and qualitative data from Childbirth Connection's Listening to Mothers III Survey, we find that, consistent with the notion of the Latinx Health Paradox, compounded disadvantage serves as a protective buffer and decreases the odds of cesarean among women in non-border hospitals. However, the Latinx Health Paradox is absent on the border. Our data show that women with compounded disadvantage who give birth on the border have significantly higher odds of a cesarean compared to women without such disadvantage. Further, women with compounded disadvantage who give birth in border hospitals report receiving insufficient prenatal, pregnancy, and postpartum information, providing a direction for future research to explain the border disparity in cesareans. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 67% |
Members of the public | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 7 | 17% |
Student > Doctoral Student | 6 | 14% |
Professor | 5 | 12% |
Student > Master | 5 | 12% |
Student > Bachelor | 4 | 10% |
Other | 6 | 14% |
Unknown | 9 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 10 | 24% |
Medicine and Dentistry | 7 | 17% |
Psychology | 5 | 12% |
Social Sciences | 4 | 10% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Other | 1 | 2% |
Unknown | 14 | 33% |