Understanding the Relationship Between Gender Representation in County Government and Perinatal Outcomes to Black, White, and Hispanic Birthing People in Georgia

Objective: To characterize the association between percent of county-level elected officials who were female-presenting and perinatal outcomes in Georgia and variation by individual race, 2020?2021. Materials and Methods: We gathered data on the gender composition of county-level elected officials for all Georgia counties (n?=?159) in 2022 and calculated the percent of female elected officials (percent female, 0?100). We linked this to data from 2020 to 2021 birth certificates (n?=?238,795) to identify preterm birth (PTB,