scholarly journals Changes in the Prevalence of Chronic Hypertension in Pregnancy, United States, 1970 to 2010

Hypertension ◽  
2019 ◽  
Vol 74 (5) ◽  
pp. 1089-1095 ◽  
Author(s):  
Cande V. Ananth ◽  
Christina M. Duzyj ◽  
Stacy Yadava ◽  
Marlene Schwebel ◽  
Alan T.N. Tita ◽  
...  
Keyword(s):  
United States ◽  
Black Women ◽  
Birth Cohort ◽  
Rate Ratio ◽  
White Women ◽  
Cohort Analysis ◽  
The United States ◽  
Population Based ◽  
Chronic Hypertension ◽  
Cross Sectional

We estimated changes in the prevalence of chronic hypertension among pregnant women and evaluated the extent to which changes in obesity and smoking were associated with these trends. We designed a population-based cross-sectional analysis of over 151 million women with delivery-related hospitalizations in the United States, 1970 to 2010. Maternal age, year of delivery (period), and maternal year of birth (birth cohort), as well as race, were examined as risk factors for chronic hypertension. Prevalence rates and rate ratios with 95% CIs of chronic hypertension in relation to age, period, and birth cohort were derived through age-period-cohort models. We also examined how changes in obesity and smoking rates influenced age-period-cohort effects. The overall prevalence of chronic hypertension was 0.63%, with black women (1.24%) having more than a 2-fold higher rate than white women (0.53%; rate ratio, 2.31; 95% CI, 2.30–2.32). In the age-period-cohort analysis, the rate of chronic hypertension increased sharply with advancing age and period from 0.11% in 1970 to 1.52% in 2010 (rate ratio, 13.41; 95% CI, 13.22–13.61). The rate of hypertension increased, on average, by 6% (95% CI, 5–6) per year, with the increase being slightly higher among white (7%; 95% CI, 6%–7%) than black (4%; 95% CI, 3%–4%) women. Adjustments for changes in rates of obesity and smoking were not associated with age and period effects. We observed a substantial increase in chronic hypertension rates by age and period and an over 2-fold race disparity in chronic hypertension rates.

Historical and Recent Changes in Maternal Mortality Due to Hypertensive Disorders in the United States, 1979 to 2018

Hypertension ◽  
2021 ◽  
Vol 78 (5) ◽  
pp. 1414-1422
Author(s):  
Cande V. Ananth ◽  
Justin S. Brandt ◽  
Jennifer Hill ◽  
Hillary L. Graham ◽  
Sonal Grover ◽  
...  
Keyword(s):  
United States ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Birth Cohort ◽  
White Women ◽  
Gestational Hypertension ◽  
The United States ◽  
Chronic Hypertension ◽  
Maternal Deaths ◽  
Live Births

We evaluated the contributions of maternal age, year of death (period), and year of birth (cohort) on trends in hypertension-related maternal deaths in the United States. We undertook a sequential time series analysis of 155 710 441 live births and 3287 hypertension-related maternal deaths in the United States, 1979 to 2018. Trends in pregnancy-related mortality rate (maternal mortality rate [MMR]) due to chronic hypertension, gestational hypertension, and preeclampsia/eclampsia, were examined. MMR was defined as death during pregnancy or within 42 days postpartum due to hypertension. Trends in overall and race-specific hypertension-related MMR based on age, period, and birth cohort were evaluated based on weighted Poisson models. Trends were also adjusted for secular changes in obesity rates and corrected for potential death misclassification. During the 40-year period, the overall hypertension-related MMR was 2.1 per 100 000 live births, with MMR being almost 4-fold higher among Black compared with White women (5.4 [n=1396] versus 1.4 [n=1747] per 100 000 live births). Advancing age was associated with a sharp increase in MMR at ≥15 years among Black women and at ≥25 years among White women. Birth cohort was also associated with increasing MMR. Preeclampsia/eclampsia-related MMR declined annually by 2.6% (95% CI, 2.2–2.9), but chronic hypertension–related MMR increased annually by 9.2% (95% CI, 7.9–10.6). The decline in MMR was attenuated when adjusted for increasing obesity rates. The temporal burden of hypertension-related MMR in the United States has increased substantially for chronic hypertension–associated MMR and decreased for preeclampsia/eclampsia-associated MMR. Nevertheless, deaths from hypertension continue to contribute substantially to maternal deaths.

scholarly journals African American Women and Domestic Violence: Addressing their Voice of Silence

2019 ◽  
Author(s):  
Bernice Kennedy ◽  
Chalice Rhodes (Former Jenkins)
Keyword(s):  
United States ◽  
Domestic Violence ◽  
African American ◽  
Black Women ◽  
African American Women ◽  
White Women ◽  
The United States ◽  
Slave Owner ◽  
American Women ◽  
Strong Black Women

Abstract Historically, during slavery, the international slave trade promoted normalization of violence against African American women. During slavery, African American women endured inhuman conditions because of the majority race views of them as being over-sexualized, physically strong, and immoral. This perception of the African American women as being highly sexual and more sexual than white women results in slave owner justifying their sexual violation and degrading of the African American women. The stereotypical representations of African American women as strong, controlling, dangerous, fearless, and invulnerable may interfere with the African American women receiving the needed services for domestic violence in the community. The Strong Black Women Archetype has been dated back to slavery describing their coping mechanism in dealing with oppression by developing a strong, less traditionally female role. The authors developed a model: The Multidimensional Perspectives of Factors Contributing to Domestic Violence of African American Women in the United States. This model depicts historically, the factors contributing to domestic violence of African American women in the United States. Also, this model addressed the African American women subscribing to the Strong Black Women Archetype to cope with domestic violence. Despite the increase in domestic violence in African American women, they focused more on the issue of racism instead of sexism in America. African American women have experienced the two obstacles of racism and sexism in America. However, African American women and men believe racism is more critical than sexism. Therefore, domestic violence in the African American population may remain silent because of cultural loyalty. However, the voice of silence of African American females is gradually changing with the upcoming generations.

187: Timing of delivery for chronic hypertension: a population-based cohort study in the United States

2016 ◽  
Vol 214 (1) ◽  
pp. S116
Author(s):  
Alexander M. Friedman ◽  
Cynthia Gyamfi-Bannerman ◽  
Jason D. Wright ◽  
Zainab Siddiq ◽  
Mary E. D'Alton ◽  
...  
Keyword(s):  
United States ◽  
Cohort Study ◽  
The United States ◽  
Population Based ◽  
Chronic Hypertension

Incidence, Epidemiology, and Outcomes of Pediatric Tracheostomy in the United States from 2000 to 2012

2018 ◽  
Vol 160 (2) ◽  
pp. 332-338 ◽  
Author(s):  
R. Grant Muller ◽  
Madhu P. Mamidala ◽  
Samuel H. Smith ◽  
Aaron Smith ◽  
Anthony Sheyn
Keyword(s):  
United States ◽  
Cohort Analysis ◽  
Secondary Analysis ◽  
The United States ◽  
Population Based ◽  
Geographic Region ◽  
Hospital Charges ◽  
National Database ◽  
Discharge Data ◽  
Procedure Codes

Objectives To investigate national and regional variations in pediatric tracheostomy rates, epidemiology, and outcomes from 2000 to 2012. Study Design Retrospective cohort analysis. Setting Previous research with the 1997 edition of the Kids’ Inpatient Database (KID), a national database of pediatric hospital discharge data, demonstrated that rates and outcomes of pediatric tracheostomy vary among US geographic regions. The KID has since been released an additional 5 times, increasing in size with successive editions. Subjects and Methods Patients ≤18 years old with procedure codes for permanent or temporary tracheostomy from 2000 to 2012 were included. Primary outcome was a weighted population-based rate of tracheostomy stratified by year. Secondary analysis included epidemiologic characteristics and outcomes stratified by year and geographic region. Results A weighted total of 24,354 cases was analyzed. Population-based tracheostomy rates decreased from 6.8 ± 0.2 (mean ± SD) tracheostomies per 100,000 child-years in 2000 to 6.0 ± 0.2 in 2012. Minorities increased from 53.3% in 2000 to 56.4% in 2012. Patients experienced increased procedures, diagnoses, length of stay, and hospital charges with time. From 2000 to 2012, rates and outcomes varied by US geographic region. Mortality during hospitalization (8%) did not vary by year, patient age, region, or sex. Conclusions Pediatric tracheostomy is associated with variation in incidence, epidemiology, and hospitalization outcomes in the United States from 2000 to 2012. While rates of pediatric tracheostomy decreased, patients became increasingly medically complicated and ethnically diverse with outcomes varying according to geographic region.

Boundaries of Love

2019 ◽  
Author(s):  
Chinyere K. Osuji
Keyword(s):  
United States ◽  
Black Women ◽  
Los Angeles ◽  
Race And Ethnicity ◽  
White Women ◽  
Qualitative Interviews ◽  
The United States ◽  
Comparative Approach ◽  
Interracial Couples ◽  
White Couples

How do interracial couples negotiate ethnoracial boundaries? Boundaries of Love: Interracial Marriage from the United States to Brazil takes a novel approach to answering this question by examining how contemporary black-white couples make sense of ethnoracial boundaries in their lives. Based on over 100 qualitative interviews with husbands and wives in black-white couples in Los Angeles and Rio de Janeiro, Boundaries of Love unpacks the cultural repertoires of race-mixing in these two post-Atlantic slavery societies and shows how different approaches to race mixture - celebrated in Brazil versus illegal for much of U.S. history - influence the meanings that contemporary interracial couples give to their lives and social interactions. Employing an innovative “critical constructivist” approach to race and ethnicity, Boundaries of Love compares the experiences of couples involving black men and white women with those of black women with white men in these two diverse, multicultural settings. It reveals the influence of ethnoracial boundaries on: dating preferences throughout the life course in their “romantic career;” comparisons between their own racial identity and how their spouse sees their blackness or whiteness; how parents identify their children and its implications for affirmative action eligibility; how white families handle the introduction of a black in-law; and the compromises couples make spending time together in public. Through its fresh qualitative comparative approach, Boundaries of Love provides a unique perspective on racial dynamics in the United States and Brazil and clearly illuminates the familiar adage that race is a social construction.

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