{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T17:50:42Z","timestamp":1780336242537,"version":"3.54.1"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["U54HD113173-02S1"],"award-info":[{"award-number":["U54HD113173-02S1"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Maternal morbidity and mortality (MMM) rates in the U.S. are high and increasing, and are disproportionately experienced by understudied, underrepresented, and underreported (U3) populations, especially Black, Indigenous, and\/or rural women. Decreasing MMM among U3 women would substantially improve maternal health equity and health outcomes, yet current data limitations inhibit our ability to fully understand the reasons underlying the disparities or regional nuances. This article calls for leveraging diverse, publicly available data such as deidentified health system utilization data; geocoded locations of hospitals providing multiple levels of maternal care services; and social determinants and demographic data into a series of linked datasets to enable county-level investigations of maternal health equity, healthcare utilization, and health outcomes.<\/jats:p>","DOI":"10.3389\/fpubh.2025.1499468","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:02:52Z","timestamp":1740726172000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Determining what matters: data resources for examining maternal health equity"],"prefix":"10.3389","volume":"13","author":[{"given":"Leremy A.","family":"Colf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina M.","family":"Shreffler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"B1","unstructured":"Pregnancy-related deaths: data from 14 US maternal mortality review committees\n          \n          8\n          2\n          \n            \n              Davis\n              NL\n            \n            \n              Smoots\n              AN\n            \n            \n              Goodman\n              DA\n            \n          \n          39197563\n          Education.\n          40\n          2019"},{"key":"B2","unstructured":"Geneva\n          World Health Organization\n          Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: Executive Summary\n          \n          2019"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:124678","author":"Hoyert","year":"2023","journal-title":"Maternal Mortality Rates in the United States, 2021."},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.15620\/cdc\/152992","author":"Hoyert","year":"2022","journal-title":"Maternal Mortality Rates in the United States, 2020."},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:103855","author":"Hoyert","year":"2021","journal-title":"Maternal Mortality Rates in the United States, 2019."},{"key":"B6","doi-asserted-by":"publisher","first-page":"643.e1","DOI":"10.1016\/j.ajog.2015.11.004","article-title":"Measuring severe maternal morbidity: validation of potential measures","volume":"214","author":"Main","year":"2016","journal-title":"Am J Obstetr Gynecol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1186\/s12939-023-01963-x","article-title":"Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States","volume":"22","author":"Girardi","year":"2023","journal-title":"Int J Equity Health."},{"key":"B8","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1097\/AOG.0000000000003647","article-title":"Severe maternal morbidity and mortality among indigenous women in the United States","volume":"135","author":"Kozhimannil","year":"2020","journal-title":"Obstet Gynecol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1089\/jwh.2020.8868","article-title":"Health equity among Black women in the United States","volume":"30","author":"Chinn","year":"2021","journal-title":"J. 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