Skip to main content

Table 3 Factors identified by nonlinear decomposition analysis that contributed to the racial gaps in the caesarean rates

From: Racial disparities in caesarean delivery among nulliparous women that delivered at term: cross-sectional decomposition analysis of Nebraska birth records from 2005-2014

 

Black - NH

Asian - NH

Hispanic

Native American - NH

%

%

%

%

Caesarean Rate Among White Women

27.7

27.7

27.7

27.7

Caesarean Rate Among Minority Group

28.9

30.6

24.5

23.7

Gap in Caesarean Rate

−1.2

−2.9

3.2

4.0

Estimated Effects of Explanatory Variablea

% (95% CI)

% (95% CI)

% (95% CI)

% (95% CI)

Maternal Age

3.6 (3.4 to 3.9)

−2.8 (−2.9 to −2.6)

3.5 (3.3 to 3.8)

5.2 (4.8 to 5.6)

Marital Status

−0.2 (−0.6 to 0.1)

0.1 (0 to 0.3)

−0.2 (−0.4 to 0.1)

−0.3 (−0.7 to 0.1)

County of Residence

0.7 (0.4 to 0.9)

0.6 (0.4 to 0.8)

0.0 (0.0 to 0.0)

−0.4 (− 0.6 to − 0.3)

Education

−1.1 (− 1.4 to − 0.7)

0.2 (0.1 to 0.4)

−1.3 (− 1.8 to − 0.9)

−1.4 (− 1.9 to − 0.9)

Insurance Status at Time of Birth

0.3 (0.0 to 0.7)

0.1 (0 to 0.1)

0.5 (0.1 to 0.8)

0.4 (0.0 to 0.9)

Pre-Pregnancy BMI

−1.2 (− 1.3 to − 1.2)

3.7 (3.5 to 3.9)

0.3 (0.3 to 0.3)

−1.2 (− 1.3 to − 1.1)

Tobacco Use During Pregnancy

0.1 (0.1 to 0.2)

0.2 (0.1 to 0.4)

0.2 (0.1 to 0.3)

−0.2 (− 0.3 to − 0.1)

  1. aMeasures the magnitude and direction of contribution to the gap in caesarean rate for each explanatory variable. Variables with a positive estimated effect contribute to a lower caesarean section rate for the minority racial/ethnic group compared to the White group. Variables with a negative estimated effect contribute to a higher caesarean rate for the minority racial/ethnic group compared to the White group