Cardio-oncology & otherResearch article

Association Between Changes in Maternal Age Distribution and Hypertensive Disorders of Pregnancy in the United States, 2011–2021

Circ Popul Health OutcomesPublished

  • Data from 2011 to 2021 were abstracted from the National Center for Health Statistics
  • Kitagawa decomposition
  • rate ratios

Authors' conclusion

Although both maternal age and frequency of HDP increased significantly between 2011 and 2021, the higher rates of HDP were not due to the upward shift in the age distribution, but rather, to increases in HDP frequency within all age groups.

Study context

Population
Births to individuals aged 15 to 44 years, all live births in the United Stateslive births in 2011 and 2021
Participants
7,595,018 births
Comparison
changes in hypertensive disorders of pregnancy (HDP) per 1000 live births between 2021 and 2011

Main finding

As reported in the abstract

Mean maternal age

Further findings

Frequency of HDP · increased significantly

Kitagawa decomposition of change in HDP

change in maternal age distribution (no association)
0.0 [−0.1 to 0.1]
age-specific rate of HDP (responsible for the total change)
47.1 [46.7-47.4]
  • age-specific rate of HDP increased across all age groups

Original publication

Association Between Changes in Maternal Age Distribution and Hypertensive Disorders of Pregnancy in the United States, 2011–2021. Circ Popul Health Outcomes. Published 16 February 2026. doi:10.1161/circoutcomes.125.012757

Summarised from the published abstract; every number is checked against it