Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19
Importance: Hypertensive disorders of pregnancy (HDP) are a group of high blood pressure disorders during pregnancy that are a leading cause of maternal and infant morbidity and mortality. Data on the trend in the incidence of HDP among the Medicaid population during coronavirus disease of 2019 (COV...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-04-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0045 |
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| author | Jessica Lin Heidi Feng Ronald Horswell San Chu Yun Shen Gang Hu |
| author_facet | Jessica Lin Heidi Feng Ronald Horswell San Chu Yun Shen Gang Hu |
| author_sort | Jessica Lin |
| collection | DOAJ |
| description | Importance: Hypertensive disorders of pregnancy (HDP) are a group of high blood pressure disorders during pregnancy that are a leading cause of maternal and infant morbidity and mortality. Data on the trend in the incidence of HDP among the Medicaid population during coronavirus disease of 2019 (COVID-19) are lacking. Objective: To determine the trends in the annual incidence of HDP among pregnant Medicaid-insured women in Louisiana before and during the COVID-19 pandemic (2016–2021). Methods: A total of 113,776 pregnant women aged 15–50 years were included in this study. For multiparous individuals, only the first pregnancy was used in the analyses. Women with a diagnosis of each type-specific HDP were identified by using the International Classification of Diseases, 10th revision (ICD-10) codes. The annual incidence of HDP was calculated for each race and age subgroup. For each type-specific HDP, the annual age-specific incidence was calculated. Results: The incidence of HDP increased from 10.5% in 2016 to 17.7% in 2021. The highest race/ethnicity-specific incidence of HDP was seen in African American women (19.2%), then White women (13.1%), followed by other women (10.7%). Conclusion and Relevance: HDP remains a very prevalent and significant global health issue, especially in African American women and during the COVID-19 pandemic. Severe HDP substantially increases the risk of mortality in offspring and poses long-term issues for both mother and infant. HDP prevention holds particular relevance for the Medicaid population, given the health care disparities and barriers that impact quality of care, leading to an increased risk for HDP. |
| format | Article |
| id | doaj-art-3cfd0d18954b4cc48b45fae28b439d77 |
| institution | Kabale University |
| issn | 2688-4844 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-3cfd0d18954b4cc48b45fae28b439d772025-08-20T03:49:45ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-015164164910.1089/whr.2024.0045Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19Jessica Lin0Heidi Feng1Ronald Horswell2San Chu3Yun Shen4Gang Hu5Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.Importance: Hypertensive disorders of pregnancy (HDP) are a group of high blood pressure disorders during pregnancy that are a leading cause of maternal and infant morbidity and mortality. Data on the trend in the incidence of HDP among the Medicaid population during coronavirus disease of 2019 (COVID-19) are lacking. Objective: To determine the trends in the annual incidence of HDP among pregnant Medicaid-insured women in Louisiana before and during the COVID-19 pandemic (2016–2021). Methods: A total of 113,776 pregnant women aged 15–50 years were included in this study. For multiparous individuals, only the first pregnancy was used in the analyses. Women with a diagnosis of each type-specific HDP were identified by using the International Classification of Diseases, 10th revision (ICD-10) codes. The annual incidence of HDP was calculated for each race and age subgroup. For each type-specific HDP, the annual age-specific incidence was calculated. Results: The incidence of HDP increased from 10.5% in 2016 to 17.7% in 2021. The highest race/ethnicity-specific incidence of HDP was seen in African American women (19.2%), then White women (13.1%), followed by other women (10.7%). Conclusion and Relevance: HDP remains a very prevalent and significant global health issue, especially in African American women and during the COVID-19 pandemic. Severe HDP substantially increases the risk of mortality in offspring and poses long-term issues for both mother and infant. HDP prevention holds particular relevance for the Medicaid population, given the health care disparities and barriers that impact quality of care, leading to an increased risk for HDP.https://www.liebertpub.com/doi/10.1089/whr.2024.0045HDPincidenceCOVID-19Medicaidhealth disparities |
| spellingShingle | Jessica Lin Heidi Feng Ronald Horswell San Chu Yun Shen Gang Hu Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 Women's Health Reports HDP incidence COVID-19 Medicaid health disparities |
| title | Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 |
| title_full | Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 |
| title_fullStr | Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 |
| title_full_unstemmed | Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 |
| title_short | Trends in the Incidence of Hypertensive Disorders of Pregnancy Among the Medicaid Population before and During COVID-19 |
| title_sort | trends in the incidence of hypertensive disorders of pregnancy among the medicaid population before and during covid 19 |
| topic | HDP incidence COVID-19 Medicaid health disparities |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0045 |
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