Literature DB >> 31128630

A Bayesian spatio-temporal analysis on racial disparities in hypertensive disorders of pregnancy in Florida, 2005-2014.

Hui Hu1, Hong Xiao2, Yi Zheng3, Bo Bonnie Yu4.   

Abstract

Disparities in hypertensive disorders of pregnancy (HDP) exist among racial and ethnic groups in the US. However, little is known about spatio-temporal variations in HDP disparities. We used a Bayesian hierarchical regression approach to investigate spatio-temporal variations in HDP disparities from 2005 to 2014. County-level variation was firstly examined, followed by census tract-level variation assessment in counties where high HDP disparities were observed. A significant disadvantage in HDP was revealed for African Americans in Florida overall (Odds Ratio: 1.27, 95% Confidence Interval: 1.25, 1.29), with significant spatial variations. The greatest HDP disparities between African Americans and non-African Americans occurred in North Central Florida counties (the Big Bend region of Florida), with consistent patterns from 2005 to 2014. Analyses at census tract-level further revealed significant neighborhood disparities within these counties. Findings from this study provide important information for public health agencies and policymakers to reduce HDP disparities at the population level.
Copyright © 2019 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Bayesian; Hypertensive disorders of pregnancy; Racial disparities; Spatio-temporal analysis

Mesh:

Year:  2019        PMID: 31128630      PMCID: PMC6631343          DOI: 10.1016/j.sste.2019.03.002

Source DB:  PubMed          Journal:  Spat Spatiotemporal Epidemiol        ISSN: 1877-5845


  39 in total

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