Examining the Role of Racial and Neighborhood Context in Hypertensive Disorders of Pregnancy
A Multilevel Analysis
Bibliographic Data
| ID | 16928332 |
|---|---|
| Authors | Tiffany Reed (0000-0001-7020-228X, Chicago Department of Public Health, corresponding author), Saria Lofton (0000-0003-0409-115X, University of Illinois Chicago), David L Dubois (0000-0002-9955-7954, Chicago Department of Public Health), Crystal Patil (University of Michigan), Natasha Crooks (0000-0003-0178-2844, University of Illinois Chicago) |
| Year | 2026 |
| Publication date | 2026-04-13 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Racial and Ethnic Health Disparities (JOURNAL) |
| Journal identifiers | ISSN: 2196-8837 • E-ISSN: 2197-3792 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s40615-026-02949-5 |
| PMID | 41975159 |
| OpenAlex | W7154083553 |
| Language | EN |
| References cited | 64 |
Neighborhood environments inundated with poor social conditions-including structural racism, poverty, residential segregation, systemic bias, and language/communication barriers with providers may significantly increase a person susceptibility to adverse health outcomes. Black women living in socially vulnerable communities face increased risk for HDP, reflecting the compounded effects of these structural inequities. To address the multifaceted social and economic drivers of poor maternal health outcomes, policy reforms are urgently needed at both the federal and state levels. These reforms should include culturally responsive care coordination, expansion of Healthy Food Access programs, and the enactment of maternal health legislation that centers equity and community engagement
Context (archaeology · Health equity · Multilevel model · Odds · Odds ratio · Race (biology · Social determinants of health · Social vulnerability · Socioeconomic status · Epidemiology · Maternal and fetal healthcare · Maternal and Neonatal Healthcare · Pregnancy and preeclampsia studies
Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007–2016
Social vulnerability indices
Traveling Towards Disease
Multilevel structural equation models for assessing moderation within and across levels of analysis.
Place, Not Race
Maternal mortality rates in the United States, 2021
Metropolitan-Level Racial Residential Segregation and Black-White Disparities in Hypertension
The Impact of Neighborhoods on CV Risk
Structural racism and health inequities in the USA
Geospatial analysis of neighborhood deprivation index (NDI) for the United States by county
Greenspace, Air Pollution, Neighborhood Factors, and Preeclampsia in a Population-Based Case-Control Study in California
Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community
Relationship Between Neighborhood Socioeconomic Disadvantage and Severe Maternal Morbidity and Maternal Mortality
Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality
Neighborhoods and racial/ethnic differences in ideal cardiovascular health (the Multi-Ethnic Study of Atherosclerosis)
A Spatial Analysis of Obesity
Neighborhood Physical Disorder and Adverse Pregnancy Outcomes among Women in Chicago
The Development of a Standardized Neighborhood Deprivation Index
A brief conceptual tutorial of multilevel analysis in social epidemiology
Life Course Approaches to the Causes of Health Disparities
Associations of 4 Geographic Social Vulnerability Indices With US Covid-19 Incidence and Mortality
Transportation Barriers to Health Care in the United States
The Influence of Mistrust, Communication, and Advocacy on Black Women's Pregnancy-Related Healthcare Decisions
Experiences of discrimination
Neighborhood SES is particularly important to the cardiovascular health of low SES individuals
Structural Violence and Stress Experiences of Young Pregnant Black People
Perception of Obesity in African-American and Arab-American Minority Groups
| Highly cited | No |
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