Table 3.
Adjusted Relative Risks and 95% Confidence Intervals (CI) for Maternal Death in Association with Residence in a Maternity Care Desert,Louisiana 2016–2017.
| Pregnancy-associated mortality | Pregnancy-related mortality | |||
|---|---|---|---|---|
| Relative Risk | (95% CI) | Relative Risk | (95% CI) | |
| Level of access to maternity care | ||||
| Access to maternity care | Reference | |||
| Limited access to maternity care | 1.37 | (0.83–2.28) | 0.79 | (0.28–2.24) |
| Maternity care desert | 1.91 | (1.15–3.18) | 3.37 | (1.71–6.65) |
| Residential parish urbanicity | ||||
| Mostly urban | Reference | Reference | ||
| Mostly rural | 0.40 | (0.21–0.74) | 0.60 | (0.24–1.49) |
| Completely rural | 1.36 | (0.49–3.74) | 0.41 | (0.14–1.19) |
| Maternal age | ||||
| <25 | Reference | Reference | ||
| 25–29 | 0.81 | (0.50–1.32) | 1.80 | (0.84–3.83) |
| 30–34 | 1.25 | (0.73–2.12) | 2.17 | (0.95–4.92) |
| 35+ | 1.48 | (0.91–2.41) | 4.03 | (1.79–9.08) |
| Race/ethnicity | ||||
| Non-Hispanic White, | Reference | Reference | ||
| Non-Hispanic Black | 2.22 | (1.39–3.56) | 2.66 | (1.16–6.12) |
| Hispanic, multiple, or other | 0.52 | (0.22–1.22) | 0.64 | (0.19–1.50) |
| Educational attainment | ||||
| Less than high school | 2.39 | (1.50–3.81) | 2.90 | (1.35–6.21) |
| High school graduate/GED | 1.43 | (0.92–2.22) | 1.83 | (0.86–3.90) |
| More than high school | Reference | Reference | ||
| Percent of the population with health insurancea | 1.06 | (0.96–1.17) | 1.29 | (1.05–1.60) |
| Percentage of families living below the poverty levela | 0.93 | (0.88–0.97) | 0.84 | (0.78–0.91) |
| Parish geographic area (risk per 100 square miles) | 0.99 | (0.96–1.04) | 1.00 | (0.96–1.06) |
| Percentage of births covered by Medicaida | 1.04 | (1.01–1.07) | 1.07 | (1.02–1.13) |
| Delivery facility volume | ||||
| Low | Reference | |||
| High | 1.22 | (0.70–2.31) | 1.14 | (0.36–3.64) |
a
per 1-unit increase