OS028. XXXX disease in pregnancy: An examination of ethnic differences and the Hispanic paradox.

@entity1 @entity1468 @entity101
INTRODUCTION: The "Hispanic Paradox" refers to the epidemiological finding that Hispanics in the US have better health outcomes than the average population despite what their aggregate socioeconomic determinants would predict. OBJECTIVES: The aim of this study was to evaluate obstetric outcomes for a multiethnic population with @entity101 diseases. METHODS: We performed a retrospective review of parturients with @entity101 disease delivering at Duke University Medical Center in 2005-2007. We analyzed maternal sociodemographic characteristics and ethnic differences in @entity101 disease types using Chi Square. We assessed the role of race and ethnicity on maternal and neonatal outcomes through a series of logistic regression analyses. RESULTS: Nine thousand eight hundred and thirteen @entity1 delivered during the study period, and 9% had @entity101 diseases in pregnancy. There were significant racial and ethnic differences in presentation (Chi-square=39.11, p<.001) with gestational @entity101 more common in Whites, chronic @entity101 in African Americans, and mild @entity1468 in Hispanics. The overall incidence of @entity1468 was lower in Hispanics. However, severe @entity1468 rates were equal across groups. Hispanics were more likely to be uninsured, younger, enter prenatal care later, and least likely to complete high school. There was no significant difference in smoking or parity. Stratified analyses by ethnicity showed that the relationship between severe @entity1468 and comorbidities (IUGR, LBW, ICN admission) were least pronounced in Hispanics and strongest in African American @entity1 . CONCLUSION: Despite similar rates of severe @entity1468 and adverse sociodemographic characteristics, Hispanic @entity1 with severe @entity1468 had better pregnancy outcomes than African-American or White @entity1 with the disease.
