TY - JOUR
T1 - The color of health
T2 - how racism, segregation, and inequality affect the health and well-being of preterm infants and their families
AU - Beck, Andrew F.
AU - Edwards, Erika M.
AU - Horbar, Jeffrey D.
AU - Howell, Elizabeth A.
AU - McCormick, Marie C.
AU - Pursley, De Wayne M.
N1 - Publisher Copyright:
© 2019, The Author(s).
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Racism, segregation, and inequality contribute to health outcomes and drive health disparities across the life course, including for newborn infants and their families. In this review, we address their effects on the health and well-being of newborn infants and their families with a focus on preterm birth. We discuss three causal pathways: increased risk; lower-quality care; and socioeconomic disadvantages that persist into infancy, childhood, and beyond. For each pathway, we propose specific interventions and research priorities that may remedy the adverse effects of racism, segregation, and inequality. Infants and their families will not realize the full benefit of advances in perinatal and neonatal care until we, collectively, accept our responsibility for addressing the range of determinants that shape long-term outcomes.
AB - Racism, segregation, and inequality contribute to health outcomes and drive health disparities across the life course, including for newborn infants and their families. In this review, we address their effects on the health and well-being of newborn infants and their families with a focus on preterm birth. We discuss three causal pathways: increased risk; lower-quality care; and socioeconomic disadvantages that persist into infancy, childhood, and beyond. For each pathway, we propose specific interventions and research priorities that may remedy the adverse effects of racism, segregation, and inequality. Infants and their families will not realize the full benefit of advances in perinatal and neonatal care until we, collectively, accept our responsibility for addressing the range of determinants that shape long-term outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85070323600&partnerID=8YFLogxK
U2 - 10.1038/s41390-019-0513-6
DO - 10.1038/s41390-019-0513-6
M3 - Review article
C2 - 31357209
AN - SCOPUS:85070323600
SN - 0031-3998
VL - 87
SP - 227
EP - 234
JO - Pediatric Research
JF - Pediatric Research
IS - 2
ER -