{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:45:20Z","timestamp":1782992720723,"version":"3.54.5"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,1,20]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Individuals who experience hypertensive disorders of pregnancy (HDPs) are at increased risk for downstream pregnancy\u2010related complications, yet the variability in this risk among Asian American, Native Hawaiian, and Pacific Islander individuals remains understudied. This study investigated the risk for 5 HDP outcomes\u2014chronic hypertension, chronic hypertension with superimposed preeclampsia, gestational hypertension, preeclampsia, and severe preeclampsia or eclampsia\u2014among 15 disaggregated Asian American, Native Hawaiian, and Pacific Islander subgroups and assessed maternal characteristics that may be driving differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We used infant and fetal vital records linked to maternal hospital discharge records from births to Asian American, Native Hawaiian, and Pacific Islander individuals in California from 2007 to 2019. Modified Poisson regression models estimated risk ratios (RR) for each outcome with sequential adjustments to assess the contributions of maternal sociodemographic and health\u2010related characteristics to variability in risk. The largest subgroup\u2014Chinese individuals\u2014was the reference group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">The cohort included 772\u2009688 individuals. Prevalence of HDPs ranged from 3.7% among Chinese individuals (n=7930) to 13.0% among Guamanian individuals (n=247). All Pacific Islander subgroups and Filipino individuals were consistently at higher risk for HDPs than Chinese individuals, whereas Korean, Vietnamese, and Japanese individuals tended to be at lowest risk. After full adjustment, the highest risk groups had adjusted relative risks 2\u2010 to 3\u2010fold higher than Chinese individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">The variability in HDP risk observed across Asian American, Native Hawaiian, and Pacific Islander populations further demonstrates the need to study health outcomes in disaggregated subgroups. These findings may help providers identify individuals at high risk for HDPs, enabling prevention, prompt treatment, and reduced adverse maternal health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.042477","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T11:45:47Z","timestamp":1768391147000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hypertensive Disorders of Pregnancy in Asian American, Native Hawaiian, and Pacific Islander Individuals in California, 2007 to 2019"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4826-6117","authenticated-orcid":false,"given":"Jennifer","family":"Soh","sequence":"first","affiliation":[{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6554-5891","authenticated-orcid":false,"given":"Marina","family":"Carvalho Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Stanford Medicine Children\u2019s Health","place":["Palo Alto, USA"]},{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1484-9948","authenticated-orcid":false,"given":"Chen","family":"Ma","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8257-8177","authenticated-orcid":false,"given":"Sandra","family":"Tsai","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-7850","authenticated-orcid":false,"given":"Elliott K","family":"Main","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6310-5924","authenticated-orcid":false,"given":"Suzan L","family":"Carmichael","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]},{"name":"Stanford University School of Medicine","place":["Palo Alto, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7117a1"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.16991"},{"key":"e_1_3_1_4_2","volume-title":"StatPearls","author":"Luger RK","year":"2023","unstructured":"Luger RK, Kight BP. 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