The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families
Open accessAbstract
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.
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The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact
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Ginsberg, K. H., Serlachius, A., Rogers, J., & Alsweiler, J. (2023) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2023.113456 · Cited by 9 · see citing works
- Authors
- Beck, A. F., Edwards, E. M., Horbar, J. D., Howell, E. A., McCormick, M. C., & Pursley, D. M.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- University of Vermont (US)
- Icahn School of Medicine at Mount Sinai (US)
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Edwards, Erika M.
- ORCID
- Venue
- Pediatric Research
- Published
- 2019-07-29
- Volume
- 87
- Issue
- 2
- Pages
- 227-234
- ISSN
- 0031-3998 (ISSN-L)
- 1530-0447
- PMC
- PMC6960093
- OpenAlex
- W2965990631
- Cited by
- 224
- References
- 126
- Citations by year
- 2026: 8 · 2025: 25 · 2024: 37 · 2023: 41 · 2022: 53 · 2021: 40 · 2020: 18 · 2019: 1 · 2014: 1
- FWCI
- 5.15
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Pediatric Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (K23AI112916)
- National Institute on Minority Health and Health Disparities (L60 MD000765, R01MD007651)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD078565, R01HD083368, R01HD084667)
- Topics
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- racism, segregation, health disparities, preterm birth, preterm infants, infant health, family well-being, socioeconomic disparities, quality of care, perinatal care, neonatal care, life course, intervention
- MeSH terms
- Social Segregation, Race Factors, Child, Child Development, Child, Preschool, Family Health, Female, Health Services Accessibility, Humans, Infant, Infant, Newborn, Infant, Postmature, Pregnancy, Risk Factors, United States, Risk Assessment, Premature Birth, Health Status Disparities, Healthcare Disparities, Racism, Social Determinants of Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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