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本文引用的文献

1
Summary and Conclusion: Framing a New Research Agenda on Maternal Morbidities and Mortality in the United States.总结与结论:构建美国孕产妇发病与死亡新研究议程
J Womens Health (Larchmt). 2021 Feb;30(2):280-284. doi: 10.1089/jwh.2020.8877. Epub 2020 Nov 19.
2
Clinical Outcomes in High-Risk Pregnancies Due to Advanced Maternal Age.高龄孕产妇所致高危妊娠的临床结局
J Womens Health (Larchmt). 2021 Feb;30(2):160-167. doi: 10.1089/jwh.2020.8860. Epub 2020 Nov 13.
3
Social and Structural Determinants of Health Inequities in Maternal Health.孕产妇健康不平等的社会和结构决定因素。
J Womens Health (Larchmt). 2021 Feb;30(2):230-235. doi: 10.1089/jwh.2020.8882. Epub 2020 Nov 12.
4
Racial/Ethnic Disparities in Pregnancy-Related Deaths - United States, 2007-2016.妊娠相关死亡的种族/民族差异 - 美国,2007-2016 年。
MMWR Morb Mortal Wkly Rep. 2019 Sep 6;68(35):762-765. doi: 10.15585/mmwr.mm6835a3.
5
Buprenorphine Treatment Divide by Race/Ethnicity and Payment.美沙酮治疗按种族/民族和支付方式划分。
JAMA Psychiatry. 2019 Sep 1;76(9):979-981. doi: 10.1001/jamapsychiatry.2019.0876.
6
Receipt of Timely Addiction Treatment and Association of Early Medication Treatment With Retention in Care Among Youths With Opioid Use Disorder.及时接受成瘾治疗与早期药物治疗对阿片类药物使用障碍青年患者治疗保留率的关联。
JAMA Pediatr. 2018 Nov 1;172(11):1029-1037. doi: 10.1001/jamapediatrics.2018.2143.
7
Opioid Use Disorder Documented at Delivery Hospitalization - United States, 1999-2014.分娩住院时记录的阿片类药物使用障碍 - 美国,1999-2014 年。
MMWR Morb Mortal Wkly Rep. 2018 Aug 10;67(31):845-849. doi: 10.15585/mmwr.mm6731a1.
8
Pregnancy-Related Mortality in the United States, 2011-2013.2011 - 2013年美国与妊娠相关的死亡率
Obstet Gynecol. 2017 Aug;130(2):366-373. doi: 10.1097/AOG.0000000000002114.
9
Alarming racial differences in maternal mortality.孕产妇死亡率方面令人担忧的种族差异。
J Perinat Educ. 2000 Spring;9(2):50-1. doi: 10.1624/105812400X87653.

孕产妇死亡率的差异。

Disparities in maternal mortality.

作者信息

Tran Phuong, Jreij Barbara, Sistani Farideh, Shaya Fadia T

机构信息

Department of Practice, Sciences and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD, USA.

Faculty of Medicine and Medical Sciences, University of Balamand, Balamand, Lebanon.

出版信息

J Clin Transl Sci. 2023 Apr 20;7(1):e192. doi: 10.1017/cts.2023.520. eCollection 2023.

DOI:10.1017/cts.2023.520
PMID:37745934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10514681/
Abstract

Maternal mortality rates in the USA remain high, with persistent racial and socioeconomic disparities. We identified 207,016 hospital admissions for pregnant women in Maryland, from 2017 to 2019. Logistic regression was used to identity factors associated with maternal death. The health outcome for black women was more prone to give rise to maternal mortality than for white women. Our study revealed numerous racial and age discrepancies in gestational health outcomes, which opioid use disorder exacerbated. Our findings elaborate on the importance of identifying the drivers of adverse pregnancy outcomes, to help inform policy, and resource allocations.

摘要

美国的孕产妇死亡率仍然很高,存在持续的种族和社会经济差异。我们确定了2017年至2019年马里兰州207,016例孕妇的住院情况。采用逻辑回归来确定与孕产妇死亡相关的因素。黑人女性的健康结局比白人女性更容易导致孕产妇死亡。我们的研究揭示了妊娠健康结局中存在的众多种族和年龄差异,阿片类药物使用障碍加剧了这些差异。我们的研究结果阐述了识别不良妊娠结局驱动因素的重要性,以帮助为政策和资源分配提供信息。