2022
DOI: 10.1161/jaha.121.023791
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Trends in the Incidence of New‐Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019

Abstract: Background Hypertensive disorders of pregnancy are growing public health problems that contribute to maternal morbidity, mortality, and future risk of cardiovascular disease. Given established rural‐urban differences in maternal cardiovascular health, we described contemporary trends in new‐onset hypertensive disorders of pregnancy in the United States. Methods and Results We conducted a serial, cross‐sectional analysis of 51 685 525 live births to indi… Show more

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Cited by 52 publications
(38 citation statements)
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“…Regional and rural-urban differences in HDP prevalence have been previously reported ( 9 ). Place-based disparities in HDP prevalence might be due to differences in prevalence of HDP risk factors, including diet, tobacco use, physical activity patterns, poverty, or access to care.…”
Section: Discussionmentioning
confidence: 72%
“…Regional and rural-urban differences in HDP prevalence have been previously reported ( 9 ). Place-based disparities in HDP prevalence might be due to differences in prevalence of HDP risk factors, including diet, tobacco use, physical activity patterns, poverty, or access to care.…”
Section: Discussionmentioning
confidence: 72%
“…Suboptimal cardiovascular status during pregnancy predisposes to pregnancy complications and adverse pregnancy outcomes (APOs) such as new‐onset hypertensive disorders of pregnancy including gestational hypertension and preeclampsia/eclampsia, the rates of which have nearly doubled across the United States over the past 14 years as noted by Cameron et al 7 in this issue. The rates of these hypertensive conditions have increased in both rural and urban areas with the greatest rise in urban areas and with racial and ethnic asymmetries that suggest an important contribution of social determinants of health.…”
mentioning
confidence: 94%
“…4 The incidence rate has increased similarly across racial and ethnic groups, and disparities have persisted, with the highest incidence observed among non-Hispanic American Indian or Alaska Native individuals and non-Hispanic Black individuals. [4][5][6] Age of pregnant individuals at first birth, a known risk factor for HDP, has increased during the same time period and is implicated as a key factor associated with increasing rates of morbidity and mortality among pregnant individuals in the US. 4,7 However, the incidence of HDP has increased consistently in recent years among all age groups of pregnant individuals, with the greatest relative increases observed among younger pregnant individuals aged 20 to 24 years.…”
Section: Introductionmentioning
confidence: 99%
“…2 , 3 Rates of HDP have almost doubled during the past decade to approximately 8% of pregnant individuals. 4 The incidence rate has increased similarly across racial and ethnic groups, and disparities have persisted, with the highest incidence observed among non-Hispanic American Indian or Alaska Native individuals and non-Hispanic Black individuals. 4 , 5 , 6 …”
Section: Introductionmentioning
confidence: 99%