TY  - JOUR
PY  - 2024//
TI  - Changes in racial and ethnic inequities in pregnancy-associated death in the United States during the COVID-19 pandemic
JO  - American journal of public health
A1  - Margerison, Claire E.
A1  - Wang, Xueshi
A1  - Goldman-Mellor, Sidra
A1  - Muzik, Maria
A1  - Gemmill, Alison
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVEs. To examine changes in cause-specific pregnancy-associated deaths during the COVID-19 pandemic by race and ethnicity and assess changes in racial and ethnic inequities in pregnancy-associated deaths. <br><br>METHODS. We used US vital statistics mortality data from 2018 to 2021 to identify pregnancy-associated deaths among females aged 15 to 44 years. We calculated crude pregnancy-associated death rates (deaths per 100 000 live births) by year, cause, and race/ethnicity, percent change in death rate, and the inequity (difference) in rate for each racial or ethnic group compared with non-Hispanic White people. <br><br>RESULTS. The pregnancy-associated death rate for obstetric, drug-related, homicide, and other causes of death increased during 2020, and obstetric deaths continued to increase in 2021. Overall estimates mask 2021 increases in drug-related deaths among Hispanic, non-Hispanic American Indian and Alaska Native (AI/AN), and non-Hispanic Asian people; increases in homicide among most racial and ethnic groups; and increases in suicide among Hispanic, non-Hispanic AI/AN, and non-Hispanic Asian people. <br><br>CONCLUSIONS. We found disproportionate increases in pregnancy-associated deaths from nonobstetric causes among minoritized racial and ethnic groups during the COVID-19 pandemic. (Am J Public Health. Published online ahead of print May 16, 2024:e1-e10. https://doi.org/10.2105/AJPH.2024.307651).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2024.307651
ID  - ref1
ER  -