ArticleBMC public health2021
Maternal mortality ratio in China from 1990 to 2019: trends, causes and correlations.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Impact of government health expenditure on health outcomes in China: a quantitative analysis of mediation and threshold effects.BMJ open · 2026Article
- [Disease burden and trends of preterm birth in China from 1990 to 2023].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026Article
- Reducing urban-rural disparities in maternal and child mortality in China: a 33-year analysis and projection to 2030.Journal of global health · 2026Article
- Urban-rural disparities in the trends and causes of maternal deaths in Jinan, 1991-2025: a longitudinal trend analysis.Frontiers in public health · 2026Article
- Trends in maternal mortality in China and Hainan Province: an analysis based on GBD 2023 and Hainan surveillance data.Frontiers in global women's health · 2026Article
- Global, regional, and national burden of maternal hemorrhage: a systematic analysis from the global burden of disease 2021 and projections to 2030.BMC pregnancy and childbirth · 2025Article
- The maternal and child mortality in the Middle East and North Africa between 2000 and 2020: the role of health financing.Global health research and policy · 2025Article
- The association between china's primary health care reform and inequalities in primary care utilisation and maternal mortality: a quasi-experimental longitudinal study from 2010 to 2019.International journal for equity in health · 2025Article
- Impact of health intervention coverage on reducing maternal mortality in 126 low- and middle-income countries: a Lives Saved Tool modelling study.Global health research and policy · 2025Article
- Spatiotemporal disparities in maternal mortality and the role of multiscale administrative levels: a 20-year study across Chinese counties.Frontiers in public health · 2025Article
- Pregnancy complications associated with maternal near-miss in an undeveloped province in south-central China, 2012-2022.BMC public health · 2024Article
- Evolving trends, regional differences, determinants, and disease sources of provincial-level health inequalities in china 1990-2019: a temporal convergence and novel triple decomposition analysis.International journal for equity in health · 2024Article
- Assessment of ecological civilization construction from the perspective of environment and health in China.Eco-Environment & Health · 2024Article
- Trends in maternal and child health in China and its urban and rural areas from 1991 to 2020: a joinpoint regression model.Scientific reports · 2024Article
- Risk factors for maternal near-miss in an undeveloped province in south-central China, 2012-2022.BMC public health · 2024Article
- Influence of sociodemographic and obstetric factors on maternal mortality in Brazil from 2011 to 2021.BMC women's health · 2024Article
- Association between arthropathies and postpartum hemorrhage: a bidirectional Mendelian randomization study.Frontiers in genetics · 2024Article
- Fluid resuscitation strategy in patients with placenta previa accreta: a retrospective study.Frontiers in medicine · 2024Article
- Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- COVID-19 Pandemic Impact on the Maternal Mortality in Kazakhstan and Comparison with the Countries in Central Asia.International journal of environmental research and public health · 2023Article
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Abstract
backgroundMaternal mortality ratio is an important indicator to evaluate the health status in developing countries. Previous studies on maternal mortality ratio in China were limited to certain areas or short periods of time, and there was a lack of research on correlations with public health funding. This study aimed to assess the trends in the maternal mortality ratio, the causes of maternal death, and the correlations between maternal mortality ratio and total health financing composition in China from 1990 to 2019.
methodsData in this longitudinal study were collected from the China Health Statistics Yearbooks (1991-2020) and China Statistical Yearbook 2020. Linear regression analysis was used to assess the trends in the maternal mortality ratio in China. Pearson correlation analysis was used to assess the correlations between national maternal mortality ratio and total health financing composition.
resultsThe yearly trends of the national, rural and urban maternal mortality ratio were - 2.290 (p < 0.01), - 3.167 (p < 0.01), and - 0.901 (p < 0.01), respectively. The gap in maternal mortality ratio between urban and rural areas has narrowed. Obstetric hemorrhage was the leading cause of maternal death. The mortalities ratios for the main causes of maternal death all decreased in China from 1990 to 2019. The hospital delivery rate in China increased, with almost all pregnant women giving birth in hospitals in 2019. Government health expenditure as a proportion of total health expenditure was negatively correlated with the maternal mortality ratio (r = - 0.667, p < 0.01), and out-of-pocket health expenditure as a proportion of total health expenditure was positively correlated with the maternal mortality ratio (r = 0.516, p < 0.01).
conclusionChina has made remarkable progress in improving maternal survival, especially in rural areas. The maternal mortality ratio in China showed a downward trend over time. To further reduce the maternal mortality ratio, China should take effective measures to prevent obstetric hemorrhage, increase the quality of obstetric care, improve the efficiency and fairness of the government health funding, reduce income inequality, and strengthen the medical security system.
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