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National Healthcare Disparities Report, 2006

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Table 172
Obstetric trauma with 3rd degree, 4th degree, or other obstetric lacerations per 1,000 instrument-assisted vaginal deliveries, by race/ethnicity, United States, 2003
        Non-Hispanic Hispanic, all races
    Total White Black API
Population group Ratea SE Ratea SE Ratea SE Ratea SE Ratea SE
Total 228.1 1.7 240.6 2.0 185.5 4.2 265.4 5.2 195.1 3.0
Age 10-14 278.4 24.6 312.9 48.3 297.8 44.7 * * 220.2 38.6
15-17 244.6 6.1 249.5 9.8 244.4 12.6 321.0 43.8 232.4 10.0
18-24 230.7 2.7 240.1 3.5 198.6 6.0 290.8 12.9 216.9 4.5
25-34 257.5 2.4 272.9 2.8 184.5 7.1 293.3 6.3 203.1 4.6
35-54 218.6 4.0 231.2 4.8 159.8 14.1 246.3 11.3 162.1 9.8
Median income of patient's ZIP Code Less than $25,000 189.6 7.8 204.2 18.3 196.6 13.5 305.2 35.2 157.0 12.1
$25,000-$34,999 206.6 3.2 223.7 4.8 190.8 7.5 279.3 18.0 181.8 5.3
$35,000-$44,999 221.5 2.8 239.9 3.6 188.5 7.6 241.8 11.8 186.0 5.3
$45,000 or more 241.0 2.1 245.4 2.5 174.4 7.2 268.9 6.1 219.9 4.9
Location of patient residence Metropolitan-large 223.1 2.0 236.0 2.6 188.0 5.0 265.0 5.8 189.7 3.6
Metropolitan-small 236.8 2.7 246.8 3.3 185.2 8.6 276.4 11.4 208.6 5.7
Micropolitan 229.7 4.8 247.1 5.5 155.6 17.3 197.0 32.1 178.6 13.5
Noncore 232.4 6.0 235.7 6.7 187.2 19.6 * * 231.0 20.3
Expected payment source Private insurance 247.6 2.0 254.1 2.3 193.7 6.7 275.2 6.1 205.2 5.4
Medicare 206.3 25.4 216.1 31.7 * * * * 300.2 80.6
Medicaid 197.8 2.4 203.2 3.7 181.3 5.4 244.8 10.1 189.4 3.7
Other insurance 219.4 9.2 234.0 11.6 195.9 26.0 270.6 44.4 171.0 21.7
Uninsured/self pay/no charge 217.0 7.6 223.1 13.6 162.1 27.5 215.1 27.6 207.8 11.2
Region of inpatient treatment Northeast 241.2 3.5 242.9 4.1 208.0 11.2 314.5 13.9 221.1 10.7
Midwest 259.8 3.3 258.9 3.7 217.4 10.4 304.1 22.0 279.7 14.0
South 222.9 2.3 235.7 3.0 173.6 5.2 304.6 11.1 204.1 4.8
West 202.2 2.7 217.1 4.3 165.3 12.4 236.3 6.6 176.4 4.1
Ownership/control of hospital Private, not-for-profit 234.7 1.8 244.6 2.2 185.9 5.0 287.1 6.0 198.1 3.9
Private, for-profit 187.7 3.4 215.2 5.0 175.1 10.0 160.3 12.0 153.6 5.7
Public 239.5 4.1 238.5 6.0 194.4 10.8 274.7 15.8 248.1 7.2
Teaching status of hospital Teaching 248.5 2.6 258.0 3.5 201.7 6.8 294.9 8.2 227.9 5.5
Non-teaching 219.5 1.9 234.1 2.3 176.0 5.2 245.8 6.5 182.4 3.5
Location of hospital Metropolitan-large 222.2 2.0 234.5 2.6 187.4 5.0 265.1 5.8 189.5 3.6
Metropolitan-small 241.0 2.6 252.7 3.2 182.6 8.3 275.9 11.4 209.8 5.6
Micropolitan 219.5 4.9 232.7 5.6 169.9 16.8 191.8 32.0 177.5 13.8
Noncore 235.0 8.6 234.0 9.8 198.9 27.4 416.1 117.1 235.8 27.5
Bed size of hospital Less than 100 221.8 4.2 228.7 5.0 188.2 16.8 290.5 27.4 191.0 9.3
100-299 221.3 2.3 235.9 2.9 179.7 7.1 268.7 8.1 178.8 4.5
300-499 229.1 2.7 242.8 3.8 184.8 6.8 255.7 8.9 208.2 5.5
500 or more 241.8 3.0 254.4 3.9 193.0 8.2 268.7 10.2 212.3 6.4

a Rates 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.

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, 2003. This file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AZ, CA, CO, CT, FL, GA, HI, KS, MD, MA, MI, MO, NH, NJ, NY, PA, RI, SC, TN, TX, VA, VT, and WI.

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