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 - Funding Information:
E.M.E., J.D.H. and E.A.H. receive support from the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health, E.M.E. and J.D.H. by Award Number R01HD083368, J.D.H. by R01HD084667, and E.A.H. by Award Number R01HD078565. E.A.H. also receives support from the National Institute for Minority Health and Health Disparities by Award Number R01MD00765. A.F.B. receives support from the National Institute of Allergy and Infectious Diseases by Award Number 1K23AI112916.
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
VL - 87
SP - 227
EP - 234
JO - Pediatric Research
JF - Pediatric Research
SN - 0031-3998
IS - 2
ER -