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National Healthcare Disparities Report, 2005

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Table 156
Obstetric trauma with 3rd degree, 4th degree, or other obstetric lacerations per 1,000 instrument-assisted vaginal deliveries, by race/ethnicity, United States, 2002
Population group Total Non-Hispanic Hispanic (all races)
White Black API
Rate a SE Rate a SE Rate a SE Rate a SE Rate a SE
Total   226.4 2.0 239.0 2.5 185.0 5.3 267.0 7.2 190.7 3.9
Age 10-14 276.2 31.2 411.4 64.7 216.8 53.0 -- -- 247.4 50.0
15-17 232.6 7.7 230.3 12.5 243.6 15.7 273.2 61.5 217.3 13.1
18-24 229.5 3.3 239.4 4.4 198.1 7.4 306.4 18.8 212.4 5.9
25-34 257.1 2.9 272.1 3.5 188.6 9.2 293.5 8.7 199.7 6.2
35-54 213.9 5.1 227.6 6.3 142.1 17.9 248.4 16.3 155.8 13.2
Median income of patient's ZIP Code Less than $25,000 189.6 8.5 215.4 15.7 181.9 15.4 336.0 50.5 157.3 14.6
$25,000-$34,999 209.1 4.2 219.6 5.7 177.5 10.0 264.0 30.8 196.4 8.4
$35,000-$44,999 228.5 3.8 238.4 4.9 195.9 10.4 269.9 20.8 198.7 8.0
$45,000 or more 233.8 2.6 245.7 3.2 184.1 8.6 265.0 8.0 189.3 5.5
Location of patient residence Metropolitan-large 219.8 2.5 237.4 3.5 186.9 6.4 262.2 7.8 180.3 4.6
Metropolitan-small 242.0 3.5 245.4 4.2 192.5 10.9 310.2 21.8 228.7 8.1
Micropolitan 225.0 6.1 231.9 6.8 148.6 25.1 244.6 43.3 184.9 18.2
Noncore 222.6 7.5 232.9 8.5 160.1 20.8 * * 185.5 28.3
Expected payment source Private insurance 250.0 2.5 254.3 2.9 202.2 8.7 284.9 8.4 207.5 7.3
Medicare 210.4 34.4 242.7 43.2 * * * * * *
Medicaid 191.5 3.1 198.8 4.8 175.7 6.8 225.0 15.7 180.7 4.9
Other insurance 217.4 11.6 220.1 15.8 160.1 38.0 195.5 58.0 207.4 22.9
Uninsured/self pay/no charge 197.7 10.1 190.0 17.1 177.3 29.5 186.6 36.4 212.7 16.1
Region of inpatient treatment Northeast 247.3 4.9 252.1 5.9 187.1 14.0 342.7 24.1 235.5 13.9
Midwest 254.5 3.9 254.6 4.3 188.0 12.3 323.5 26.1 288.7 23.2
South 223.0 3.0 233.4 4.0 188.8 6.7 330.2 15.8 195.1 6.4
West 198.3 3.5 211.7 5.7 139.6 19.5 226.8 9.1 176.1 5.3
Ownership/control of hospital Private, not-for-profit 233.8 2.3 243.3 2.8 187.4 6.1 292.8 9.2 197.0 5.2
Private, for-profit 189.5 4.4 226.3 6.7 151.0 15.3 180.2 15.0 143.6 7.3
Public 230.5 5.2 217.0 7.7 199.8 14.0 290.0 18.1 244.8 9.3
Teaching status of hospital Teaching 250.2 3.4 261.4 4.5 193.5 8.0 335.3 14.9 231.8 7.3
Non-teaching 216.0 2.3 229.8 2.9 178.7 6.8 244.5 8.2 174.0 4.6
Location of hospital Metropolitan-large 219.2 2.5 236.6 3.5 186.8 6.4 261.2 7.8 179.5 4.6
Metropolitan-small 244.0 3.3 248.0 4.0 190.2 10.5 320.1 21.8 228.6 7.9
Micropolitan 214.9 6.2 221.3 7.0 147.7 23.8 243.1 44.2 173.2 18.3
Noncore 227.2 10.7 237.1 12.4 162.9 26.8 * * 245.2 41.3
Bed size of hospital Less than 100 216.6 4.9 232.7 5.9 135.6 19.2 205.9 36.1 176.7 10.2
100 - 299 216.3 2.8 229.6 3.6 197.1 9.6 235.1 9.9 176.3 5.5
300 - 499 233.1 3.6 241.2 5.0 186.7 8.4 301.9 12.9 215.1 7.4
500+ 247.8 4.4 262.8 5.5 182.3 10.4 332.9 21.0 211.7 12.6

a Estimates are adjusted by age. When reporting is by age, there is no adjustment.

* Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

-- Statistic cannot be calculated.

Key: API: Asian or Pacific Islander; SE: Standard error.

Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2002. This file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 22 States: AZ, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NJ, NY, PA, RI, SC, TN, TX, VA, VT, and WI.

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