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

Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 0100714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1530-0447 (Electronic) Linking ISSN: 00313998 NLM ISO Abbreviation: Pediatr Res Subsets: MEDLINE

Publication: 2012- : New York : Nature Publishing Group
Original Publication: Basel ; New York : Karger.

Health Status Disparities* ; Social Determinants of Health* ; Social Segregation*; Family Health/*ethnology ; Healthcare Disparities/*ethnology ; Infant, Postmature/*growth & development ; Premature Birth/*ethnology ; Premature Birth/*prevention & control ; Racism/*ethnology; Child ; Child Development ; Child, Preschool ; Female ; Health Services Accessibility ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Race Factors ; Risk Assessment ; Risk Factors ; United States/epidemiology

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.

Comment in: Pediatr Res. 2020 Jan;87(2):192-193. doi: 10.1038/s41390-019-0602-6. (PMID: 31581171)

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R01 HD083368 United States HD NICHD NIH HHS; L60 MD000765 United States MD NIMHD NIH HHS; R01 HD084667 United States HD NICHD NIH HHS; K23 AI112916 United States AI NIAID NIH HHS; R01 MD007651 United States MD NIMHD NIH HHS; R01 HD078565 United States HD NICHD NIH HHS

Date Created: 20190730 Date Completed: 20210125 Latest Revision: 20231113

20250114

PMC6960093

10.1038/s41390-019-0513-6

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