Geographic Disparities in Obstetric Care Access in the United States.

IF 4.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrics and gynecology Pub Date : 2025-09-11 DOI:10.1097/aog.0000000000006069

Valerie Chen,Xiaohan Ying,Elleana Majdinasab,Regan Theiler

引用次数: 0

Abstract

Understanding the distribution of obstetrician-gynecologists (ob-gyns) is crucial to combatting inequities in care access throughout the United States. In this cross-sectional study, we used data from the Health Resources & Services Administration to characterize counties with and without ob-gyns. Of the 3,143 U.S. counties analyzed, 1,473 (46.9%) did not have a single ob-gyn. Counties without ob-gyns were more likely to be nonmetropolitan (57.5% vs 44.6%, P<.01), have a lower median household income ($52,989 vs $59,470, P<.01), and have a greater proportion of White residents (87.6% vs 79.0%, P<.01). Notably, only 103 (7.0%) counties without an ob-gyn had any midwives. Inequities in maternity care provision remain a significant issue in the United States, creating a need for creative policy solutions to improve access.

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美国产科护理获取的地理差异。

了解妇产科医生（ob-gyns）的分布是至关重要的，以打击不平等的护理机会在整个美国。在这个横断面研究中，我们使用来自卫生资源和服务管理局的数据来描述有和没有妇产科的县的特征。在分析的3143个美国县中，1473个（46.9%）没有一个妇产科医生。没有妇产科的县更可能是非大都市（57.5%对44.6%，P< 0.01），家庭收入中位数较低（52,989美元对59,470美元，P< 0.01），白人居民比例较高（87.6%对79.0%，P< 0.01）。值得注意的是，只有103个（7.0%）没有妇产科医生的县有助产士。在美国，提供产妇护理方面的不平等仍然是一个重大问题，因此需要创造性的政策解决方案来改善获得机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.