Publication Date

12-2021

School

School of Health Sciences

Major

Public Health: Health Promotion

Keywords

maternal mortality, inequity, social determinants, racial disparity

Disciplines

Community Health and Preventive Medicine | Maternal and Child Health | Medicine and Health Sciences | Public Health | Women's Health

Abstract

The United States (U.S.) is known for its quest for knowledge, innovation, and advancements in all disciplines. However, it has the highest maternal mortality ratio (MMR) among developed nations. The US MMR increased from 12.7 to 17.4 per 100,000 live births between 2007 and 2018. Over 60% of these deaths are preventable, indicating room for improvement. African American or non-Hispanic Black women are disproportionately affected, at over twice the rate of their non-Hispanic White and Hispanic counterparts. The proximal (e.g., individual level) determinants have not been able to fully explain these inequities. Using the socio-ecological model and the social determinants framework, this systematic review will synthesize the literature on community and societal determinants of maternal deaths among African American women.

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