TABLE 2—
Characteristic | African American | Other | P |
Medi-Cal FFS, % | 22.8 | 33.3 | < .001 |
Private MC, % | 7.4 | 16.9 | |
Medi-Cal MC, % | 38.3 | 14.7 | |
Private FFS, % | 1.4 | 2.8 | |
Private HMO, % | 25.6 | 28.4 | |
Self-pay, % | 1.5 | 1.8 | |
Other pay, % | 2.0 | 1.8 | |
Medicare, % | 1.1 | 0.2 | |
Zip code income quartile,a % | < .001 | ||
1 | 47.1 | 28.8 | |
2 | 23.1 | 26.8 | |
3 | 18.9 | 23.6 | |
4 | 10.8 | 20.8 | |
Scheduled admission, % | 21.8 | 29.4 | < .001 |
Cesarean risk indications,b % | < .001 | ||
0 | 69.4 | 76.1 | |
1 | 22.0 | 18.4 | |
2 | 6.4 | 4.2 | |
> 2 | 2.1 | 1.2 | |
Pregnancy risk factors,b % | < .001 | ||
0 | 75.5 | 79.1 | |
1 | 20.1 | 17.9 | |
2 | 3.7 | 2.7 | |
> 2 | 0.7 | 0.4 | |
Fetal heart rate abnormality, % | 19.0 | 13.2 | < .001 |
Hospital deliveries, median | 2695 | 3144 | .001 |
Note. FFS = fee for service; HMO = health maintenance organization; MC = managed care. Total of 493 443 women delivering in 255 Californian hospitals in 2010. P values from χ2 tests for categorical values and Kruskal-Wallis tests for continuous values. Effects are not independent and additive.
Patient zip code household income, as quartile of state values for all zip codes. Higher values correspond to more affluent zip codes.
Coded from 12 maternal, fetal, and placental indications associated with cesarean, and 13 other maternal comorbidities associated with pregnancy risk, as explained in text.