Evidence map›Paper›PMID 37368190›Full record

ArticleJournal of racial and ethnic health disparities2024

Racial, Age, and Regional Disparities in Maternal Mortality in the USA, 1999-2020.

Ibraheem M Karaye, Rida Nasir, Odris Infante, Humyra Ali, Olivia Tiwari, Amatul Marium, Martine Hackett

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Article in Journal of racial and ethnic health disparities, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Ibraheem M KarayeDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA. Ibraheem.m.karaye@hofstra.edu.ORCID 0000-0001-6544-409X
Rida NasirDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.
Odris InfanteDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.
Humyra AliDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.
Olivia TiwariDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.
Amatul MariumDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.
Martine HackettDepartment of Population Health, Hofstra University, 106 Hofstra Dome, Hempstead, NY, 11549, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe health and well-being of mothers are essential for a thriving and prosperous society, yet maternal mortality remains a pressing public health problem in the USA. We aimed to examine the US trends in maternal mortality from 1999 to 2020 based on age, race/ethnicity, and census region.

methodsData from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research were used to identify maternal mortality cases. Temporal trends were analyzed using Joinpoint regression. Annual percentage changes, average annual percentage changes, and 95% confidence intervals were calculated.

resultsThe maternal mortality rate in the USA increased from 1999 to 2013, but has stabilized since then until 2020 (APC =  - 0.1; 95% CI: - 7.4, 2.9). However, there have been recent increases among Hispanics at a rate of 2.8% per year (95% CI: 1.6, 4.0) from 1999 to 2020. The rates stabilized among non-Hispanic Whites (APC =  - 0.7; 95% CI: - 8.1, 3.2) and non-Hispanic Blacks (APC =  - 0.7; 95% CI: - 14.7, 3.0). Maternal mortality rates increased among women aged 15-24 years at a rate of 3.3% per year (95% CI: 2.4, 4.2) since 1999, among women aged 25-44 years at a rate of 22.5% per year (95% CI: 5.4, 34.7), and among women aged 35-44 years at a rate of 4% per year (95% CI: 2.7, 5.3). Regional disparities existed, with rising rates in the West at a rate of 13.0% per year (95% CI: 4.3, 38.4), and stable rates in the Northeast (APC = 0.7; 95% CI: - 3.4, 2.8), Midwest (APC =  - 1.8; 95% CI: - 23.4, 4.2), and South (APC =  - 1.7; 95% CI: - 7.5, 1.7).

conclusionsWhile maternal mortality rates in the USA have stabilized since 2013, our analysis reveals significant disparities by race, age, and region. Therefore, it is essential to prioritize efforts to improve maternal health outcomes across all population subgroups to achieve equitable maternal health outcomes for all women.

Indexed as

Health Status DisparitiesMaternal MortalityAdolescentAdultAge FactorsBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMiddle AgedPregnancyRacial GroupsUnited StatesWhiteYoung AdultDisparitiesInequitiesMaternal mortalityTrendsUSA

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