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情况甚至更糟了。
考虑到在过去的十年里黑人妇女的健康恶化进度，格隆尼姆斯认为现在的情况甚至更糟了。
Geronimus thinks the situation may be even worse now, given that the rate of health deterioration in black women has increased in the past decade.
虽然有的州在不断取得进展，但是有的州几乎什么都没有做，甚至有一些州把事态弄得更糟了。
Although some states are making progress, others have done little and a few have made matters worse.
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