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Int J Obstet Anesth. 2014 May;23(2):161-7. doi: 10.1016/j.ijoa.2013.09.001. Epub 2013 Sep 11.

Preferred spoken language mediates differences in neuraxial labor analgesia utilization among racial and ethnic groups.

Author information

  • 1Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA.
  • 2Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: ajbut@stanford.edu.

Abstract

INTRODUCTION:

The aims of this study were to assess racial/ethnic disparities for neuraxial labor analgesia utilization and to determine if preferred spoken language mediates the association between race/ethnicity and neuraxial labor analgesia utilization.

METHODS:

We performed a retrospective cohort study of 3129 obstetric patients who underwent vaginal delivery at a tertiary care obstetric center. Bivariate analyses and multivariate logistic regression models were used to assess the relationships between race/ethnicity, preferred spoken language and neuraxial labor analgesia.

RESULTS:

Hispanic ethnicity (adjusted OR 0.77, 95% CI 0.61-0.98) and multiparity (adjusted OR 0.59, 95% CI 0.51-0.69) were independently associated with a reduced likelihood of neuraxial labor analgesia utilization. When preferred spoken language was controlled for, the effect of Hispanic ethnicity was no longer significant (adjusted OR 0.84, 95% CI 0.66-1.08) and only non-English preferred spoken language (adjusted OR 0.82, 95% CI 0.67-0.99) and multiparity (adjusted OR 0.59, 95% CI 0.51-0.69) were associated with a reduced likelihood of neuraxial labor analgesia utilization.

CONCLUSIONS:

This study provides evidence that preferred spoken language mediates the relationship between Hispanic ethnicity and neuraxial labor analgesia utilization.

Copyright © 2013 Elsevier Ltd. All rights reserved.

KEYWORDS:

Disparities; Ethnicity; Labor analgesia; Neuraxial analgesia; Race; Utilization

PMID:
24703871
[PubMed - indexed for MEDLINE]
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