The Mortality of Politics: An American Paradox

Fetal Diagnosis and Therapy, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Окт. 9, 2024

Introduction: The USA has the poorest health statistics of any high-income country. Political polarization risen dramatically; newer safety net programs (the Affordable Care Act [ACA]) are unevenly provided because many Republican-leaning states refused expanded Federal coverage. Democratic have reduced physician leadership medicine. Both been deleterious. Here, we investigated associations among four key measures two which directly impact pregnancy outcomes and that affect all patients by percentage each state voted for Republican versus candidate in 2020 presidential election. Methods: For state, used public, non-partisan databases to assess incidence COVID, maternal, infant mortality per 100,000 population average life expectancy. Correlations these outcome variables vote were calculated (r), contextualized measuring with related including COVID vaccination rates, access medical care, incidences heart disease, obesity, diabetes, gunshot deaths, automotive fatalities. Results: mortality, maternal expectancy highly correlated (“red”) state. If “red” had rates equivalent Democratic-leaning (“blue”) states, 72,000 deaths could avoided. Overall, lower metrics, higher comorbidities. Conclusion: percent was strongly associated, but not whole answer, worse multiple public various ACA improved patient care also led “maternity deserts” disproportionately rural areas states. Translating insurance coverage into requires further analysis will require multi-pronged approaches expanding incentivizing quality care.

Язык: Английский

Impact of inoculation of inactivated COVID-19 vaccine on the outcomes of frozen-thawed embryo transfer

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Дек. 3, 2024

To assess the impact of inoculation inactivated corona virus disease 2019 (COVID-19) vaccine on outcome frozen-thawed embryo transfer (FET). From January 2022 to November 2023, patients aged 20 ~ 45 years old undergoing FET at Reproductive Medicine Center a tertiary teaching hospital were prospectively enrolled. The divided into vaccinated group (n = 458) and unvaccinated 530) based COVID-19 before FET. Vaccinated was further three subgroups dose (single dose, n 55; double 292; triple 111) or interval from first (< 3 months, 51; 6 101; > 306). primary live birth rate (LBR). LBR (43.87% vs. 40.57%) not significantly different between groups, so implantation (IR), clinical pregnancy (CPR), gestational age delivery weight (P 0.05). IR decreased with shorter vaccination (28.57% 32.02% vs.45.24%, P = 0.007), while CPR For vaccination, IR, Inoculation did affect Clinical Trial Registration Number: ChiCTR2200055597 (Chinese Clinical Registry), 14, 2022. (https://www.chictr.org.cn/bin/project/edit?pid=148312)

Язык: Английский