美国与怀孕相关的死亡率按县,种族和种族,2000-2019年
Rachel A Zajdel1,2, Erik J Rodriquez3, Paula D Strassle4
1Division of Intramural Research, National Heart, Lung, and Blood Institute, Bethesda, MD, USA. rachel.zajdel@nih.gov.
Archives of public health = Archives belges de sante publique
|November 13, 2025
概括
美国的孕产妇死亡率正在上升,种族和地理差异严重,持续到2019年. 需要紧急干预,以应对这些与怀孕有关的死亡趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 美国的孕产妇死亡率正在上升,主要原因是显著的地理和种族差异.
- 现有研究强调了对这些趋势进行细分分析的必要性.
研究的目的:
- 从2000年到2019年,研究美国县级的种族/种族分类与怀孕相关的死亡率.
- 确定产妇死亡率的趋势和地理差异.
主要方法:
- 利用了美国国家生命统计系统和国家卫生统计中心 (2000-2019) 的数据.
- 估计年龄标准化每10万年龄在15-44岁的女性中与怀孕相关的死亡率.
- 采用小面积估计,并根据种族/族裔错误报告进行调整,按县和种族/族裔分层 (AIAN,亚洲人,黑人,拉丁裔,白人).
主要成果:
- 与怀孕相关的死亡率在2000-2019年期间在所有种族/族群和99.4%的美国县增加.
- 白人女性的百分比增长最大 (214.7%),但AIAN和黑人女性在2019年拥有最高的绝对率 (3.5-3.7/100,000).
- 北大平原和南部地区的死亡率最高;亚洲和拉丁裔妇女的死亡率也在增加.
结论:
- 在美国,与怀孕相关的死亡率继续上升,种族/民族和地理差异持久,明显.
- 迫切需要进行临床和公共卫生干预,以减少孕产妇死亡率并解决这些不平等问题.
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