Anglim Annemarie J, Radke Stephanie M
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Clin Obstet Gynecol. 2022 Dec 1;65(4):788-800. doi: 10.1097/GRF.0000000000000753. Epub 2022 Oct 3.
Rural communities are a vital segment of the US population; however, these communities are shrinking, and their population is aging. Rural women experience health disparities including increased risk of maternal morbidity and mortality. In this article, we will explore these trends and their determinants both within and external to the health care system. Health care providers, public health professionals, and policymakers should be aware of these social and structural factors that influence health outcomes and take action to reduce generational cycles of health disparity. Opportunities to improve the health and pregnancy outcomes for rural women and rural populations are highlighted.
农村社区是美国人口的重要组成部分;然而,这些社区正在萎缩,人口也在老龄化。农村妇女面临健康差异,包括孕产妇发病和死亡风险增加。在本文中,我们将探讨这些趋势及其在医疗保健系统内部和外部的决定因素。医疗保健提供者、公共卫生专业人员和政策制定者应意识到这些影响健康结果的社会和结构因素,并采取行动减少健康差异的代际循环。文中强调了改善农村妇女和农村人口健康及妊娠结局的机会。