Pisanty-Alatorre Julio
Instituto Mexicano del Seguro Social. México.
Salud Publica Mex. 2017 Nov-Dec;59(6):639-649. doi: 10.21149/8788.
To estimate maternal mortality ratios (MMR) for the different sub-state regions in Mexico in order to identify those with highest maternal mortality, as well as the degree of inter-regional inequality.
Maternal mortality and registered live births data was taken from publicly available official data for the years 2005 to 2014. We regionalized the states based on political-administrative divisions within them and calculated MMR for these regions, and calculated Gini coefficients.
MMR for sub-state regions ranges from 16 (Non-Metropolitan Nuevo León State) to 160 (Sola de Vega, Oaxaca). We identified 13 regions of Very High or Extremely High maternal mortality. The national Gini coefficient is 0.175, with the states of Chihuahua, Nayarit, Oaxaca and Guerrero standing out for their unequal distribution of maternal mortality within their territory.
Even state level averages of maternal mortality rates tend to hide important inequalities within states, which reflect multiple subjacent inequities.
估算墨西哥不同州级以下区域的孕产妇死亡率（MMR），以确定孕产妇死亡率最高的区域以及区域间不平等程度。
孕产妇死亡率和登记活产数据取自2005年至2014年公开的官方数据。我们根据各州内的政治行政区划对各州进行区域划分，并计算这些区域的孕产妇死亡率，以及基尼系数。
州级以下区域的孕产妇死亡率从16（新莱昂州非大都会区）到160（瓦哈卡州索拉 - 德维加）不等。我们确定了13个孕产妇死亡率极高或极高的区域。全国基尼系数为0.175，奇瓦瓦州、纳亚里特州、瓦哈卡州和格雷罗州因其境内孕产妇死亡率分布不均而突出。
即使是州一级的孕产妇死亡率平均水平也往往掩盖了州内的重要不平等现象，这些不平等反映了多个潜在的不公平因素。
