Racial and Ethnic Disparities in Severe Maternal Morbidity in the United States

Liese, Kylea Laina; Mogos, Mulubrhan F.; Abboud, Sarah; DeCocker, Karen; Koch, Abby; Geller, Stacie E.

doi:10.1007/s40615-019-00577-w

Cited by 78 publications

(61 citation statements)

References 35 publications

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“…1e4 Black women have the highest rates of severe maternal mortality compared to other racial and ethnic groups. 5 In the most recent maternal mortality report, the Centers for Disease Control and Prevention confirms that Black women continue to have a maternal mortality rate 2.5 to 3 times higher than White women (14.7 vs 37.1 deaths per 100,000 live births). 6 As we are increasingly more informed on how race is a proxy for life experience 7 and structural and societal racism 8e11 that directly affects women of different races and ethnicities, we must also examine maternal health outcomes from a life course perspective.…”

Section: Introductionmentioning

confidence: 99%

Does race or ethnicity play a role in the origin, pathophysiology, and outcomes of preeclampsia? An expert review of the literature

Johnson

Louis

2022

American Journal of Obstetrics and Gynecology

135

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Section: Introductionmentioning

confidence: 99%

Does race or ethnicity play a role in the origin, pathophysiology, and outcomes of preeclampsia? An expert review of the literature

Johnson

Louis

2022

American Journal of Obstetrics and Gynecology

135

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“…The decline after 2004 is encouraging, but shockingly more than one half of the deaths among the youngest African Americans in 2010-2014 still stem from the racial mortality gap. The persistently high racial disparity in infant mortality, along with the higher incidence of pregnancy-related maternal deaths among Black women, has been the subject of much recent scholarly research and journalistic coverage (Creanga et al, 2017;Gennuso et al, 2019;Liese et al, 2019;Rossen and Schoendorf, 2014;Singh and Stella, 2019;Villarosa 2018).…”

Section: Early Indicators For the Twenty-first Centurymentioning

confidence: 99%

The Toll of Inequality

Jackman

Shauman

2019

Du Bois Rev.

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To take stock of the human toll resulting from racial inequality in the United States, we estimate the number of excess deaths that accumulated among African Americans over the twentieth century as a result of the enduring racial gap in mortality rates. We assemble a wide array of demographic and vital statistics data for all years since 1900 to calculate the number of Black deaths in each half-decade that occurred in excess of what would be projected if Blacks had experienced the same gender- and age-specific mortality rates as Whites. We estimate that there were almost 7.7 million excess deaths among African Americans from 1900 through 1999. Those deaths comprised over 40% of all African American deaths over the century.Excess deaths were highest in the early decades (peaking in 1925–1934), but the only period of sustained decline was 1935–1949. Subsequent reductions in excess deaths were relatively modest and unstable, and in the last decade of the century the percentage of Blacks’ deaths that were excess returned to levels as high as in the first decade. That trajectory is less positive than the trajectory for the racial gap in life expectancy over the century.Excess deaths fell disproportionately among the young in the early twentieth century, but in the succeeding decades they progressively hit harder among older African Americans, many of them in the prime of life when their economic and social pursuits were vital to their families and communities. Excess deaths were also especially heavy among Black women for most of the century.We conclude by discussing the social and policy implications of the excess deaths. We assess trends in the early twenty-first century as we consider the political challenges involved in tackling the continuing excess death toll.

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“…Similarly, these types of comorbidity-based tools may not appropriately acknowledge issues with unmeasured confounding and racial/ethnic disparities that exist in pregnancy outcomes. 9 Lastly, their utility may be limited by poor positive predictive values and the subsequent effects of "over-identifying" people at risk.…”

Section: Introductionmentioning

confidence: 99%

The value of intrapartum factors in predicting maternal morbidity

Clapp

James

McCoy

et al. 2022

American Journal of Obstetrics & Gynecology MFM

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Racial and Ethnic Disparities in Severe Maternal Morbidity in the United States

Cited by 78 publications

References 35 publications

Does race or ethnicity play a role in the origin, pathophysiology, and outcomes of preeclampsia? An expert review of the literature

Does race or ethnicity play a role in the origin, pathophysiology, and outcomes of preeclampsia? An expert review of the literature

The Toll of Inequality

The value of intrapartum factors in predicting maternal morbidity

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