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The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families.

TitleThe color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families.
Publication TypeJournal Article
Year of Publication2020
AuthorsBeck AF, Edwards EM, Horbar JD, Howell EA, McCormick MC, Pursley DWM
JournalPediatr Res
Volume87
Issue2
Pagination227-234
Date Published2020 Jan
ISSN1530-0447
Abstract

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.

DOI10.1038/s41390-019-0513-6
Alternate JournalPediatr. Res.
PubMed ID31357209
Grant ListR01 HD078565 / HD / NICHD NIH HHS / United States
R01 MD007651 / MD / NIMHD NIH HHS / United States