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Table 4 Full models predicting rate ratios ((RR) [95% CI]) for childbirth hospitalization outcomes in Hawai‘i (2008-2012) from Hawai‘i Health Information Corporation data

From: Maternal quality and safety outcomes for Asians and Pacific Islanders in Hawai‘i: an observational study from five years of statewide data

 

Cesarean Delivery Rate

Primary Cesarean Delivery Rate

Vaginal Birth After Cesarean Rate, All

Vaginal Birth After Cesarean Rate, Uncomplicated

Obstetric Trauma Rate - Vaginal Delivery Without Instrument

Obstetric Trauma Rate - Vaginal Delivery With Instrument

Non-Complicated Deliveries-ID rate

 

RR [95% CI]

RR [95% CI]

RR [95% CI]

RR [95% CI]

RR [95% CI]

RR [95% CI]

RR [95% CI]

Race/Ethnicity

       

Chinese vs. White

0.96 [0.88, 1.05]

1.00 [0.88, 1.14]

0.79 [0.58, 1.08]

0.78 [0.57, 1.06]

1.95 [1.53, 2.48]

1.42 [1.06, 1.91]

0.97 [0.95, 0.99]

Filipino vs. White

1.15 [1.11, 1.20]

1.11 [1.04, 1.18]

0.97 [0.82, 1.13]

0.91 [0.78, 1.07]

1.04 [0.88, 1.23]

1.07 [0.87, 1.31]

0.96 [0.95, 0.97]

Hawaiian vs. White

1.02 [0.98, 1.06]

0.83 [0.78, 0.88]

0.99 [0.84, 1.17]

0.94 [0.79, 1.11]

0.62 [0.52, 0.74]

0.66 [0.50, 0.87]

1.01 [1.00, 1.02]

Japanese vs. White

0.96 [0.91, 1.02]

1.00 [0.92, 1.08]

0.84 [0.73, 1.03]

0.77 [0.63, 0.94]

1.52 [1.27, 1.81]

1.02 [0.80, 1.29]

0.97 [0.95, 0.98]

Other vs. White

1.14 [1.09, 1.19]

1.16 [1.09, 1.25]

0.87 [0.73, 1.05]

0.82 [0.68, 0.99]

1.21 [1.01, 1.44]

1.06 [0.84, 1.33]

0.98 [0.97, 0.99]

Other PI vs. White

1.16 [1.10, 1.22]

1.16 [1.07, 1.26]

1.28 [1.08, 1.51]

1.23 [1.03, 1.46]

1.09 [0.89, 1.34]

0.80 [0.60, 1.06]

0.97 [0.96, 0.98]

Age Groups

       

<20 vs. 40+

0.47 [0.44, 0.51]

0.80 [0.72, 0.88]

1.96 [1.39, 2.78]

2.02 [1.41, 2.89]

1.76 [1.26, 2.46]

1.30 [0.85, 1.99]

0.90 [0.88, 0.92]

20-29 vs. 40+

0.60 [0.57, 0.63]

0.66 [0.61, 0.72]

1.55 [1.21, 1.98]

1.50 [1.15, 1.95]

1.32 [0.98, 1.78]

1.41 [0.99, 2.01]

0.96 [0.94, 0.97]

30-39 vs. 40+

0.75 [0.72, 0.79]

0.71 [0.66, 0.77]

1.31 [1.03, 1.67]

1.32 [1.02, 1.71]

1.15 [0.85, 1.55]

1.23 [0.87, 1.74]

0.99 [0.98, 1.01]

Payer

       

DOD vs. private

0.98 [0.90, 1.07]

0.87 [0.77, 0.99]

0.88 [0.67, 1.14]

0.88 [0.68, 1.14]

0.74 [0.55, 1.00]

0.64 [0.41, 0.98]

1.06 [1.04, 1.08]

Public vs. private

0.98 [0.95, 1.01]

0.84 [0.81, 0.88]

1.23 [1.10, 1.37 ]

1.25 [1.11, 1.41]

0.54 [0.48, 0.61]

0.76 [0.65, 0.90]

1.02 [1.01, 1.03]

Self Pay vs. private

0.84 [0.76, 0.94]

0.82 [0.70, 0.97]

1.28 [0.87, 1.88]

1.23 [0.82, 1.86]

0.90 [0.63, 1.28]

1.09 [0.73, 1.62]

0.98 [0.95, 1.01]

High Risk

       

Yes vs. No

1.52 [1.48, 1.55]

2.43 [2.25, 2.43]

0.70 [0.63, 0.78]

0.74 [0.67, 0.82]

1.14 [1.03, 1.28]

1.04 [0.90, 1.20]

0.98 [0.97, 0.99]

Hospital

       

rural vs. urban

1.66 [1.61, 1.71]

1.73 [1.66, 1.81]

0.09 [0.07, 0.12]

0.10 [0.07, 0.13]

0.81 [0.71, 0.92]

0.65 [0.54, 0.77]

1.14 [1.13, 1.14]

Multiple Gestation

       

Yes vs. No

NA1

NA

0.34 [0.15, 0.80]

NA

0.94 [0.47, 1.87]

1.46 [0.82, 2.59]

0.98 [0.97, 1.03]

Baby Birth Weight

       

Low vs. Normal

1.20 [1.10,1.31]

1.11 [0.97, 1.26]

1.22 [0.90, 1.65]

1.17 [0.87, 1.59]

0.53 [0.42,0.67]

0.75 [0.57,0.99]

0.98 [0.96, 1.01]

High vs. Normal

1.06 [0.97, 1.16]

0.83 [0.73, 0.95]

1.25 [0.92, 1.69]

1.21 [0.89, 1.63]

0.32 [0.25, 0.41]

0.47 [0.33,0.65]

1.04 [1.02, 1.06]

  1. 1N/A: For cesarean delivery Rate, primary cesarean delivery rate and vaginal birth after cesarean rate, uncomplicated, multiple gestations were excluded out of analyses based on AHRQ quality indicators.