ArticleSSM - population health2019
Income inequality and racial disparities in pregnancy-related mortality in the US.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Structural racism as a fundamental cause of health inequities: a scoping review.International journal for equity in health · 2025Pooled it
- SAGES guidelines for the use of laparoscopy during pregnancy.Surgical endoscopy · 2024Guideline
- Equity in prenatal healthcare services globally: an umbrella review.BMC pregnancy and childbirth · 2024Pooled it
- Comprehensively addressing postpartum maternal health: a content and image review of commercially available mobile health apps.BMC pregnancy and childbirth · 2021Pooled it
- Examining Associations Between the Timing of Maternal Depressive Symptoms, Parenting Behaviors, and Child Outcomes.Journal of the American Academy of Child and Adolescent Psychiatry · 2026Article
- Establishing and Evaluating an Interdisciplinary Summer Undergraduate Research Training Program in Maternal, Child, and Family Health.Journal of racial and ethnic health disparities · 2026Article
- Article
- The first 1000 days: the price of inequalities in high and middle-income countries.Pediatric research · 2025Review
- Clinical Psychology in the Post-Dobbs Era: Navigating Clinical Practice, Research, and Advocacy in a Changing Sexual- and Reproductive-Health Landscape.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Sociodemographic differences in modes of cannabis use among pregnant individuals in Northern California.Drug and alcohol dependence · 2025Article
- Development and Usability of the OHiFamily Mobile App to Enhance Accessibility to Maternal and Infant Information for Expectant Families in Ohio: Qualitative Study.JMIR formative research · 2024Article
- Feasibility and acceptability of measuring prenatal stress in daily life using smartphone-based ecological momentary assessment and wearable physiological monitors.Journal of behavioral medicine · 2024Article
- Rheumatoid arthritis and cardiovascular complications during delivery: a United States inpatient analysis.European heart journal · 2024Article
- Impact of maternal risk factors on ethnic disparities in maternal mortality: a national population-based cohort study.The Lancet regional health. Europe · 2024Article
- Cloud-Integrated Smart Nanomembrane Wearables for Remote Wireless Continuous Health Monitoring of Postpartum Women.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024Article
- Inflammatory Dietary Potential Is Associated with Vitamin Depletion and Gut Microbial Dysbiosis in Early Pregnancy.Nutrients · 2024Article
- Comparing approaches to identify live births using the Transformed Medicaid Statistical Information System.Health services research · 2024Article
- Inflammatory dietary potential is associated with vitamin depletion and gut microbial dysbiosis in early pregnancy.medRxiv : the preprint server for health sciences · 2024Article
- Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review.PloS one · 2024Article
- Leveraging quality improvement to promote health equity: standardization of prenatal aspirin recommendations.BMC pregnancy and childbirth · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
In this ecological study, we examined the associations between state-level income inequality and pregnancy-related mortality among non-Hispanic (NH) black and NH white populations across the US. We estimated total population and race-specific 5-year pregnancy-related mortality ratios in each state based on national death and live birth records from 2011 to 2015. We obtained data on Gini coefficients for income inequality and population-level characteristics from the US Census American Community Survey. Poisson regression with robust standard errors estimated pregnancy-related mortality rate ratios (RR) and 95% confidence intervals (CI) associated with a one unit increase in income inequality overall and separately within black and white populations. Adjusted linear regression models estimated the associations between income inequality and magnitude of the absolute and relative racial inequity in pregnancy-related mortality within states. Across all states, increasing contemporaneous income inequality was associated with a 15% and 5-year lagged inequality with 14% increase in pregnancy-related mortality among black women (aRR = 1.15, 95% CI = 1.05; 1.25 and aRR = 1.14, 95% CI = 1.04; 1.24, respectively) after controlling for states' racial compositions and socio-economic conditions. In addition, both lagged and contemporaneous income inequality were associated with larger absolute and relative racial inequities in pregnancy-related mortality. These findings highlight the role of contextual factors in contributing to pregnancy-related mortality among black women and the persistent racial inequity in maternal death in the US.
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