Maternal Health Disparities: An Intersection of Race and Rurality
Link | View Research Recap | |
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Date | 10/2022 | |
Description | In 2019, 30.8% of rural counties had no obstetric clinicians of any type. This Recap examines the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. | |
Topics | Health disparities and health equity, Healthcare access, Maternal health, Women |
Rural Health Research Products Included in this Recap
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Access to Obstetric Services in Rural Counties Still Declining, With 9 Percent Losing Services, 2004-14
Journal Article
University of Minnesota Rural Health Research Center
Date: 09/2017
Providing access to obstetric care in rural areas is a growing concern. By 2014, about 54% of rural counties in the United States did not have hospital obstetric services. -
Changes in Hospital-Based Obstetric Services in Rural U.S. Counties, 2014-2018
Journal Article
University of Minnesota Rural Health Research Center
Date: 07/2020
In 2014, 54% of rural U.S. counties had no hospital-based obstetric services, following a steady decrease during the previous decade. Loss of rural maternity care is tied to adverse maternal and infant health outcomes. This study shares hospital-based obstetric service losses in rural U.S. counties from 2014 to 2018. -
Racial Inequities in the Availability of Evidence-Based Supports for Maternal and Infant Health in 93 Rural U.S. Counties With Hospital-Based Obstetric Care
Policy Brief
University of Minnesota Rural Health Research Center
Date: 07/2022
This policy brief examines racial disparities in rural maternal and infant health outcomes between majority-Black, Indigenous, and People of Color versus majority-white rural counties and examines the availability of maternal and infant health evidence-based supports. -
Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Policy Brief
University of Minnesota Rural Health Research Center
Date: 04/2021
The purpose of this policy brief is to illustrate the differences between urban and rural hospitals that provide obstetric services by their size, capacity, location, and community characteristics, as well as to compare these factors between rural hospitals with obstetric services and those that recently closed their obstetric units. -
Rural-Urban Differences in Severe Maternal Morbidity and Mortality in the U.S., 2007-15
Journal Article
University of Minnesota Rural Health Research Center
Date: 12/2019
In the U.S., severe maternal morbidity and mortality (SMMM) is climbing—a reality that is especially challenging for rural communities, which face declining access to obstetric services. Using data for 2007-15 from the National Inpatient Sample, we analyzed SMMM during childbirth hospitalizations among rural and urban residents. -
State and Regional Differences in Access to Hospital-Based Obstetric Services for Rural Residents, 2018
Policy Brief
University of Minnesota Rural Health Research Center
Date: 08/2021
This policy brief measures state and regional differences in the availability of hospital-based obstetric services among rural hospitals in the U.S. in 2018. -
The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S.
Policy Brief
WWAMI Rural Health Research Center
Date: 06/2020
Monitoring the supply of the obstetrical (OB) care workforce is important for identifying areas that may lack OB care access. This brief describes the supply and geographic distribution of obstetricians, advanced practice midwives, midwives (not advanced practice), and family physicians in rural versus urban counties. -
Trends in Singleton Preterm Births by Rural Status in the U.S., 2012-2018
Policy Brief
Southwest Rural Health Research Center
Date: 04/2021
This brief examines singleton preterm birth rates by rurality and across census regions in the U.S. It also studies the relationship between singleton preterm birth and several maternal characteristics among women who lived in counties with various rurality levels from 2012-2018.