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Abstract：
OBJECTIVE: To assess maternal mortality (MM) in Brazilian Black, Pardo, and White women.
METHODS: We evaluated the maternal mortality rate (MMR) using data from the Brazilian Ministry of Health public databases from 2017 to 2022. We compared MMR among Black, Pardo, and White women according to the region of the country, age, and cause. For statistical analysis, the Q2 test prevalence ratio (PR) and confidence interval (CI) were calculated.
RESULTS: From 2017 to 2022, the general MMR was 68.0/100,000 live births (LB). The MMR was almost twice as high among Black women compared to White (125.81 vs 64.15, PR = 1.96, 95%CI:1.84-2.08) and Pardo women (125.8 vs 64.0, PR = 1.96, 95%CI: 1.85-2.09). MMR was higher among Black women in all geographical regions, and the Southeast region reached the highest difference among Black and White women (115.5 versus 60.8, PR = 2.48, 95%CI: 2.03-3.03). During the covid-19 pandemic, MMR increased in all groups of women (Black 144.1, Pardo 74.8 and White 80.5/100.000 LB), and the differences between Black and White (PR = 1.79, 95%CI: 1.64-1.95) and Black and Pardo (PR = 1.92, 95%CI: 1.77-2.09) remained. MMR was significantly higher among Black women than among White or Pardo women in all age ranges and for all causes.
CONCLUSIONS: Black women presented higher MMR in all years, in all geographic regions, age groups, and causes. In Brazil, Black skin color is a key MM determinant. Reducing MM requires reducing racial disparities.
METHODS: We evaluated the maternal mortality rate (MMR) using data from the Brazilian Ministry of Health public databases from 2017 to 2022. We compared MMR among Black, Pardo, and White women according to the region of the country, age, and cause. For statistical analysis, the Q2 test prevalence ratio (PR) and confidence interval (CI) were calculated.
RESULTS: From 2017 to 2022, the general MMR was 68.0/100,000 live births (LB). The MMR was almost twice as high among Black women compared to White (125.81 vs 64.15, PR = 1.96, 95%CI:1.84-2.08) and Pardo women (125.8 vs 64.0, PR = 1.96, 95%CI: 1.85-2.09). MMR was higher among Black women in all geographical regions, and the Southeast region reached the highest difference among Black and White women (115.5 versus 60.8, PR = 2.48, 95%CI: 2.03-3.03). During the covid-19 pandemic, MMR increased in all groups of women (Black 144.1, Pardo 74.8 and White 80.5/100.000 LB), and the differences between Black and White (PR = 1.79, 95%CI: 1.64-1.95) and Black and Pardo (PR = 1.92, 95%CI: 1.77-2.09) remained. MMR was significantly higher among Black women than among White or Pardo women in all age ranges and for all causes.
CONCLUSIONS: Black women presented higher MMR in all years, in all geographic regions, age groups, and causes. In Brazil, Black skin color is a key MM determinant. Reducing MM requires reducing racial disparities.
摘要：
目的：评估巴西黑人的孕产妇死亡率（MM），帕尔多,白人女性。
方法：我们使用2017年至2022年巴西卫生部公共数据库的数据评估了孕产妇死亡率（MMR）。我们比较了布莱克的MMR，帕尔多,根据这个国家的地区，白人女性，年龄,和原因。为了进行统计分析，计算Q2检验患病率比(PR)和置信区间(CI).
结果：从2017年到2022年，一般MMR为68.0/100,000活产（LB）。黑人女性的MMR几乎是白人（125.81vs64.15，PR=1.96，95CI：1.84-2.08）和帕尔多女性（125.8vs64.0，PR=1.96，95CI：1.85-2.09）的两倍。所有地理区域的黑人妇女的MMR较高，东南地区黑人和白人女性的差异最高（115.5对60.8，PR=2.48，95CI：2.03-3.03）。在covid-19大流行期间，所有女性组的MMR均增加（黑色144.1，帕多74.8和白色80.5/100.000LB），黑色和白色（PR=1.79，95CI：1.64-1.95）与黑色和帕尔多（PR=1.92，95CI：1.77-2.09）之间的差异仍然存在。在所有年龄段和所有原因中，黑人妇女的MMR均显着高于白人或帕尔多妇女。
结论：黑人女性在所有年份都表现出更高的MMR，在所有地理区域，年龄组,和原因。在巴西,黑肤色是MM的关键决定因素。减少MM需要减少种族差异。
方法：我们使用2017年至2022年巴西卫生部公共数据库的数据评估了孕产妇死亡率（MMR）。我们比较了布莱克的MMR，帕尔多,根据这个国家的地区，白人女性，年龄,和原因。为了进行统计分析，计算Q2检验患病率比(PR)和置信区间(CI).
结果：从2017年到2022年，一般MMR为68.0/100,000活产（LB）。黑人女性的MMR几乎是白人（125.81vs64.15，PR=1.96，95CI：1.84-2.08）和帕尔多女性（125.8vs64.0，PR=1.96，95CI：1.85-2.09）的两倍。所有地理区域的黑人妇女的MMR较高，东南地区黑人和白人女性的差异最高（115.5对60.8，PR=2.48，95CI：2.03-3.03）。在covid-19大流行期间，所有女性组的MMR均增加（黑色144.1，帕多74.8和白色80.5/100.000LB），黑色和白色（PR=1.79，95CI：1.64-1.95）与黑色和帕尔多（PR=1.92，95CI：1.77-2.09）之间的差异仍然存在。在所有年龄段和所有原因中，黑人妇女的MMR均显着高于白人或帕尔多妇女。
结论：黑人女性在所有年份都表现出更高的MMR，在所有地理区域，年龄组,和原因。在巴西,黑肤色是MM的关键决定因素。减少MM需要减少种族差异。
