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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.068577v1 97/1/163    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (5) Citing Articles via Google Scholar Google Scholar Articles by Tanaka, M. Articles by McNutt, L.-A. Search for Related Content PubMed PubMed Citation Articles by Tanaka, M. Articles by McNutt, L.-A. Related Collections Cardiovascular Disease Diabetes Pregnancy African Americans/Blacks Hispanics/Latinos Socioeconomic Factors

Masako Tanaka, MPH, Gundegmaa Jaamaa, MD, MPH, Michelle Kaiser, MS, Elaine Hills, MA, Aida Soim, MD, Motao Zhu, MD, MS, Ivan Y. Shcherbatykh, MD, MPH, Renee Samelson, MD, Erin Bell, PhD, Michael Zdeb, MS and Louise-Anne McNutt, PhD

At the time of the study, Masako Tanaka, Gundegmaa Jaamaa, Michelle Kaiser, Elaine Hills, Aida Soim, Motao Zhu, and Ivan Y. Shcherbatykh were graduate students and Renee Samelson was a preventive medicine resident at the School of Public Health, University at Albany, State University of New York. Erin Bell, Michael Zdeb, and Louise-Anne McNutt are with the Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York.

Correspondence: Requests for reprints should be sent to Louise-Anne McNutt, PhD, Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, One University Place, Rensselaer, NY 12144 (e-mail: lam08{at}health.state.ny.us).

Objectives. We studied trends of hypertensive disorders of pregnancy by residential socioeconomic status (SES) and racial/ethnic subgroups in New York State over a 10-year period.

Methods. We merged New York State discharge data for 2.5 million women hospitalized with delivery from 1993 through 2002 with 2000 US Census data.

Results. Rates of diagnoses for all hypertensive disorders combined and for preeclampsia individually were highest among Black women across all regions and neighborhood poverty levels. Although hospitalization rates for preeclampsia decreased over time for most groups, differences in rates between White and Black women increased over the 10-year period. The proportion of women living in poor areas remained relatively constant over the same period. Black and Hispanic women were more likely than White women to have a form of diabetes and were at higher risk of preeclampsia; preeclampsia rates were higher in these groups both with and without diabetes than in corresponding groups of White women.

Conclusions. An increasing trend of racial/ethnic disparity in maternal hypertension rates occurred in New York State during the past decade. This trend was persistent after stratification according to SES and other risk factors. Additional research is needed to understand the factors contributing to this growing disparity.

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