Homicide in Pregnant and Postpartum versus Nonpregnant and Nonpostpartum Populations: Re-estimation of a Rate Ratio using a Person-time Framework
McNellan, C. R.; Marquez, N.; Alexander, M.
Show abstract
We aim to re-estimate the national homicide rate ratio between nonpregnant/nonpostpartum and pregnant/postpartum women accounting for person-time exposure, which prior studies overlooked. Using a theoretical framework for descriptive epidemiology, we complete a retrospective analysis to estimate the pregnancy-associated homicide rate and re-estimate the national homicide rate ratio between pregnant/postpartum and nonpregnant/nonpostpartum populations in 2020. We use National Vital Statistics System death, fetal death, birth, and Census Bureau data to identify the population at risk. We compare mortality rates and 95% confidence intervals overall and stratified by race, ethnicity, and age. Among the 9,905,908 pregnancies contributing person-time, there were 185 homicides. The relative homicide risk was 35% higher among nonpregnant/nonpostpartum compared to pregnant/postpartum populations. Pregnancy was only associated with elevated risk among ages 10-19 (homicide rate ratio 3.82; 95% CI 2.39-5.77). Homicide rate ratios between nonpregnant/nonpostpartum and pregnant/postpartum women calculated accounting for exposure time and pregnancy transitions contradict previous estimates. Accurate assessment of mortality rates is essential to develop strategies protective against maternal mortality.
Matching journals
The top 8 journals account for 50% of the predicted probability mass.
Similar papers in this journal
- Deprivation and Segregation in Ovarian cancer survival among African American Women: a mediated analysis 91%
- Racial/Ethnic Disparities in the Observed COVID-19 Case Fatality Rate Among the U.S. Population 91%
- COVID-19 Mortality in California Based on Death Certificates: Disproportionate Impacts Across Racial/Ethnic Groups and Nativity 90%
Similar papers in this journal
- A compelling symmetry: The extended fetuses-at-risk perspective on modal, optimal and relative birthweight and gestational age 94%
- How do perceptions of Covid-19 risk impact pregnancy-related health decisions? A convergent parallel mixed-methods study protocol 93%
- Ranked severe maternal morbidity index for population-level surveillance at delivery hospitalization based on hospital discharge data 92%
Similar papers in this journal
- Assessment of Bias in Estimates of Sexual Network Degree using Prospective Cohort Data 90%
- The Contribution of Health Behaviors to Depression Risk across Birth Cohorts 90%
- Measuring the missing: greater racial and ethnic disparities in COVID-19 burden after accounting for missing race/ethnicity data 90%
Similar papers in this journal
Similar papers in this journal
"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.