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Published on: January 12, 2018
Racial Disparities in Preterm Birth among Pregnant Women with Obesity
Anuoluwapo Egbejimi1, Veronica Ajewole, Deepa Dongarwar2
1From the College of Pharmacy and Health Sciences, Texas Southern University, Houston.
Insights
Obesity exacerbates racial disparities in preterm birth (PTB), with non-Hispanic Black women facing the highest risk. This study highlights significant health inequities impacting the Black population.
Area of Science:
- Reproductive Health
- Public Health
- Epidemiology
Background:
- Racial disparities in preterm birth (PTB) are a significant public health concern in the United States.
- Obesity is a known risk factor for adverse pregnancy outcomes, but its role in widening racial disparities in PTB requires further investigation.
Purpose of the Study:
- To assess the impact of obesity on preterm birth (PTB) among different racial groups in the U.S.
- To determine if obesity exacerbates the racial-ethnic disparity gap in PTB, focusing on non-Hispanic Black and White women.
Main Methods:
- A cross-sectional cohort study was conducted using U.S. birth data from 2014-2019.
- Data included 14,864,844 births, analyzed for associations between obesity, race, and PTB.
Main Results:
- Preterm birth (PTB) rates were higher among non-Hispanic Black women compared to non-Hispanic White and Hispanic women.
- A dose-dependent relationship was observed between high body mass index (obesity) and increased PTB risk.
- Significant racial disparities in PTB persisted among obese pregnant women, with non-Hispanic Black women showing the highest risk.
Conclusions:
- Obesity is a critical factor contributing to the disproportionately high rates of preterm birth (PTB) among non-Hispanic Black women.
- The findings underscore the existence of persistent health disparities affecting the Black population in maternal and infant outcomes.
Objectives:
We assessed the impact of obesity and racial disparities on preterm birth (PTB) in the United States and sought to determine whether obesity widens the racial-ethnic disparity gap in preterm birth with a focus on non-Hispanic Black and White women.
Methods:
Using birth data for the years 2014-2019 made publicly available by the Centers for Disease Control and Prevention and obtained from the National Vital Statistics System, we conducted a cross-sectional cohort study analyzing a total of 14,864,844 births from 2014 to 2019.
Results:
We observed dose-dependent changes in obesity and PTB by defining obesity in subgroups and PTB in a stratified method. PTB occurred more among non-Hispanic Black women than their non-Hispanic White and Hispanic counterparts. We observed a consistent trend of increased PTB among women with high body mass index. Racial disparity existed in PTB among pregnant obese women, with non-Hispanic Black women exhibiting the greatest risk for PTB.
Conclusions:
Our work further contributes to the growing knowledge of the existence of health disparity among the Black population.
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