Department of Sociology, Texas A&M University, MS4351, College Station, TX, 77843, USA.
Independent Scholar, Bryan, TX, USA.
BMC Pregnancy Childbirth. 2018 Apr 3;18(1):82. doi: 10.1186/s12884-018-1701-9.
We apply Intersectional Theory to examine how compounded disadvantage affects the odds of women having a cesarean in U.S.-Mexico border hospitals and in non-border hospitals. We define U.S. Latinas with compounded disadvantage as those who have neither a college education nor private health insurance.
Analyzing quantitative and qualitative data from Childbirth Connection's Listening to Mothers III Survey, we find that, consistent with the notion of the Latinx Health Paradox, compounded disadvantage serves as a protective buffer and decreases the odds of cesarean among women in non-border hospitals. However, the Latinx Health Paradox is absent on the border.
Our data show that women with compounded disadvantage who give birth on the border have significantly higher odds of a cesarean compared to women without such disadvantage. Further, women with compounded disadvantage who give birth in border hospitals report receiving insufficient prenatal, pregnancy, and postpartum information, providing a direction for future research to explain the border disparity in cesareans.
我们运用交叉性理论来研究复合劣势如何影响美国-墨西哥边境医院和非边境医院的女性进行剖腹产的几率。我们将没有大学学历且没有私人医疗保险的美国拉丁裔女性定义为具有复合劣势的女性。
通过分析来自 Childbirth Connection 的“倾听母亲 III 调查”的定量和定性数据，我们发现，与拉丁裔健康悖论的概念一致，复合劣势起到了保护缓冲作用，降低了非边境医院女性剖腹产的几率。然而，在边境地区，拉丁裔健康悖论并不存在。
我们的数据表明，在边境地区分娩的具有复合劣势的女性进行剖腹产的几率明显高于没有这种劣势的女性。此外，在边境医院分娩的具有复合劣势的女性报告称，她们在产前、怀孕和产后期间获得的信息不足，为未来的研究提供了一个方向，以解释边境地区剖腹产率的差异。
