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Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016‒2017

American journal of public health (1971), 2021-09, Vol.111 (9), p.1673-1681 [Peer Reviewed Journal]

ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2021.306375 ;PMID: 34383557

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  • Title:
    Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016‒2017
  • Author: MacDorman, Marian F ; Thoma, Marie ; Declcerq, Eugene ; Howell, Elizabeth A
  • Subjects: Adult ; African Americans - statistics & numerical data ; Asian Americans - statistics & numerical data ; Ethnicity - statistics & numerical data ; Female ; Health Status Disparities ; Healthcare Disparities - ethnology ; Hispanic or Latino - statistics & numerical data ; Humans ; Maternal Death - etiology ; Maternal Mortality - ethnology ; Pregnancy ; Risk Factors ; United States
  • Is Part Of: American journal of public health (1971), 2021-09, Vol.111 (9), p.1673-1681
  • Description: To better understand racial and ethnic disparities in US maternal mortality. We analyzed 2016-2017 vital statistics mortality data with cause-of-death literals (actual words written on the death certificate) added. We created a subset of confirmed maternal deaths that had pregnancy mentions in the cause-of-death literals. Primary cause of death was identified and recoded using cause-of-death literals. We examined racial and ethnic disparities both overall and by primary cause. The maternal mortality rate for non-Hispanic Black women was 3.55 times that for non-Hispanic White women. Leading causes of maternal death for non-Hispanic Black women were eclampsia and preeclampsia and postpartum cardiomyopathy with rates 5 times those for non-Hispanic White women. Non-Hispanic Black maternal mortality rates from obstetric embolism and obstetric hemorrhage were 2.3 to 2.6 times those for non-Hispanic White women. Together, these 4 causes accounted for 59% of the non-Hispanic Black‒non-Hispanic White maternal mortality disparity. The prominence of cardiovascular-related conditions among the leading causes of confirmed maternal death, particularly for non-Hispanic Black women, necessitates increased vigilance for cardiovascular problems during the pregnant and postpartum period. Many of these deaths are preventable.
  • Publisher: United States
  • Language: English
  • Identifier: ISSN: 0090-0036
    EISSN: 1541-0048
    DOI: 10.2105/AJPH.2021.306375
    PMID: 34383557
  • Source: ProQuest One Psychology
    Open Access: PubMed Central
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
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