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Patricia (Trish) Goedecke, Ph.D. candidate

Department of Preventive Medicine,

University of Tennessee Health Science Center 

  

 

Hypertensive disorders of pregnancy (HDP) include among their medically recognized risk factors racially defined categorization. As racial categorization comes to be understood as a social and not strictly genetic construct, researchers are seeking to clarify racial differences observed in medical conditions, either as underlying physical characteristics or as social determinants affecting these groups. Here we examine the comparative associative relationships between HDP and the following: (1) Social determinants at street-address and census-tract levels; (2) Employment disparities accentuated during the COVID-19 pandemic for mothers delivering at a public versus a private hospital; (3) Disparities in residential lending established historically by the federal Home Owners' Loan Corporation (HOLC), prohibited but still in evidence today. Our patient data is spatially identified at the street address level, with analyses alternately grouped at levels of patient address or census tract, by hospital of delivery, or by historic HOLC residential lending zones. Analyses include random forest, logistic regression, and Bayesian network analysis.

 

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