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LETTER |
The authors are with the Centers for Disease Control and Prevention, Atlanta, Ga.
Correspondence: Requests for reprints should be sent to Myra J. Tucker, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-23, Atlanta, GA 30341 (e-mail: mjt2@cdc.gov).
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We appreciate Holtzmans interest in our efforts to gain insight into the reasons for racial disparities in maternal mortality. The persistent 3- to 4-times greater risk of pregnancy-related mortality for Black women is the largest gap among the traditional indicators of maternal and infant health in the United States. We, too, are concerned that racial disparities also exist for infant outcomes and that they, like those for pregnancy-related mortality, remain largely unexplained.
The role of stress, neuroendocrine pathways, and immune system functions are all areas of biomedical research that we hope will help us to better understand why some groups
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