TABLE 3.
Cumulative proportional odds logistic regression of scale scores on representative perinatal quality improvement items
| IRT scaled scores | Alignment between experience and expectation |
I felt hospital staff were available and paid attention to me when I needed help. (S10) |
I would seek out a Black physician, midwife, doula, lactation educator, or nurse to be part of my hospital birth team, If I could re‐do my 2020 hospital birth. (E66) |
The hospital made me feel that because my baby and I survived birth, my experiences in labor, birth, and postpartum did not matter. (D74) |
I wished I had more information and support about lactation, breastfeeding, or chest feeding that was specific to Black mothers and birthing people. (R56) |
||
|---|---|---|---|---|---|---|---|
| During labor | At birth | Postpartum care | |||||
| OR (95% CI) a , b | OR (95% CI) a , b | OR (95% CI) a , b | OR (95% CI) a , b | OR (95% CI) a , b | OR (95% CI) a , b | OR (95% CI) a , b | |
| Racism | 0.22 (0.18‐0.27) | 0.28 (0.23‐0.34) | 0.27 (0.22‐0.33) c | 0.13 (0.10‐0.17) | 2.84 (2.36‐3.42) | 6.43 (5.02‐8.24) c | 2.07 (1.73‐2.47) |
| Kinship | 0.13 (0.10‐0.17) | 0.16 (0.12‐0.21) | 0.17 (0.13‐0.22) | 0.10 (0.08‐0.13) | 3.03 (2.51‐3.66) | 5.60 (4.38‐7.15) | 2.59 (2.15‐3.12) c |
| Humanity | 0.11 (0.08‐0.14) | 0.16 (0.13‐0.21) | 0.16 (0.13‐0.21) c | 0.03 (0.02‐0.04) | 2.89 (2.42‐3.46) | 8.36 (6.24‐11.21) | 2.33 (1.96‐2.77) |
All P‐values were statistically significant (<.0001).
Probabilities modeled are accumulated over the lower Ordered Values (3‐Strongly agree/Agree, 2‐Neutral, 1‐Disagree/Strongly disagree).
Proportional Odds Assumption does not hold. For the 4 variables violating proportionality assumption, if the ORs from nonproportional odds model were within the 95% confidence interval of proportional odds model, the OR (95% CI) from proportional odds model were used.