Changes in Racial and Ethnic Inequities in Pregnancy-Associated Death in the United States During the Covid-19 Pandemic
Bibliographic Data
Objectives. To examine changes in cause-specific pregnancy-associated deaths during the COVID-19 pandemic by race and ethnicity and assess changes in racial and ethnic inequities in pregnancy-associated deaths. Methods. We used US vital statistics mortality data from 2018 to 2021 to identify pregnancy-associated deaths among females aged 15 to 44 years. We calculated crude pregnancy-associated death rates (deaths per 100 000 live births) by year, cause, and race/ethnicity, percent change in death rate, and the inequity (difference) in rate for each racial or ethnic group compared with non-Hispanic White people. Results. The pregnancy-associated death rate for obstetric, drug-related, homicide, and other causes of death increased during 2020, and obstetric deaths continued to increase in 2021. Overall estimates mask 2021 increases in drug-related deaths among Hispanic, non-Hispanic American Indian and Alaska Native (AI/AN), and non-Hispanic Asian people; increases in homicide among most racial and ethnic groups; and increases in suicide among Hispanic, non-Hispanic AI/AN, and non-Hispanic Asian people. Conclusions. We found disproportionate increases in pregnancy-associated deaths from nonobstetric causes among minoritized racial and ethnic groups during the COVID-19 pandemic. ( Am J Public Health. 2024;114(7):733–742. https://doi.org/10.2105/AJPH.2024.307651 )
2019-20 coronavirus outbreak · Betacoronavirus · Coronavirus disease 2019 (COVID-19) · Coronavirus Infections · Disease · Ethnic group · Infectious disease (medical specialty) · Outbreak · Pandemic · Political science · Pregnancy · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Sociology · COVID-19 Impact on Reproduction · Demography · Grief, Bereavement, and Mental Health · Law · Medicine · Migration, Health and Trauma · Virology
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