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Rural–Urban Disparities in Adverse Maternal Outcomes in the United States, 2016–2019.
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- Author(s): Harrington, Katharine A.; Cameron, Natalie A.; Culler, Kasen; Grobman, William A.; Khan, Sadiya S.
- Source:
American Journal of Public Health. Feb2023, Vol. 113 Issue 2, p224-227. 4p. - Source:
- Additional Information
- Subject Terms: HOSPITAL care evaluation; INTENSIVE care units; CONFIDENCE intervals; RURAL conditions; POPULATION geography; PREGNANT women; CATASTROPHIC illness; PREGNANCY outcomes; RISK assessment; COMPARATIVE studies; DESCRIPTIVE statistics; RESEARCH funding; HEALTH equity; MATERNAL mortality; METROPOLITAN areas; PREGNANCY
- Subject Terms:
- Abstract: Objectives. To describe differences in maternal admissions to the intensive care unit (ICU) and mortality in rural versus urban areas in the United States. Methods. We performed a nationwide analysis and calculated age-standardized rates and rate ratios (RRs) of maternal ICU admission and mortality per 100 000 live births between 2016 and 2019 in rural versus urban areas. Results. From 2016 to 2019, there was no significant increase in age-standardized rates of maternal ICU admissions in rural (170.6–192.3) or urban (161.7–172.4) areas, with a significantly higher rate, albeit a relatively small difference, in rural versus urban areas (2019 RR = 1.14; 95% confidence interval [CI] = 1.04, 1.20). Maternal mortality increased in both rural (66.9–81.7 deaths per 100 000 live births) and urban (38.1–42.3) areas and was nearly 2 times higher in rural areas (2019 RR = 1.93; 95% CI = 1.71, 2.17). Conclusions. Pregnant individuals in rural areas are at higher risk for ICU admission and mortality than are their urban counterparts. Significant increases in maternal mortality occurred in rural and urban areas. Public Health Implications. Public health efforts need to focus on resource-limited rural areas to mitigate geographic disparities in maternal morbidity and mortality. (Am J Public Health. 2023;113(2): 224–227.https://doi.org/10.2105/AJPH.2022.307134) [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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