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审视社会心理因素在新冠疫情期间对黑人孕产妇健康的影响

Examining the Role of Psychosocial Influences on Black Maternal Health During the COVID-19 Pandemic.

作者信息

Carvalho Keri, Kheyfets Anna, Lawrence Blessing, Moky Alison, Harris Lauren, Abouhala Siwaar, Amutah-Onukagha Ndidiamaka

机构信息

Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue MV 252, Boston, MA, 02111, USA.

出版信息

Matern Child Health J. 2022 Apr;26(4):764-769. doi: 10.1007/s10995-021-03181-9. Epub 2021 Aug 21.

Abstract

INTRODUCTION

Due to the disproportionate impact of COVID-19 on communities of color, racial disparities in maternal mortality and morbidity are likely to increase. However, neighborhood and social support factors have yet to be discussed as potential mechanisms by which COVID-19 can exacerbate racial disparities.

METHODS

We examined literature on the role of neighborhood factors and social support on maternal health outcomes and provided analytical perspective on the potential impacts of COVID-19 on Black birthing people.

RESULTS

Even prior to the pandemic, Black individuals were disproportionately impacted by psychosocial stress. However, the compounding effect of pre-existing and current pandemic psychosocial stressors may be a mechanism by which racial disparities are exacerbated and result in higher rates of maternal mortality and morbidity in Black women.

CONCLUSION

We recommend continued monitoring of data related to racial disparities in maternal mortality and morbidity throughout the pandemic. Given that Black women may be disproportionately impacted by psychosocial stress, it is necessary for leadership structures and communities to recognize the potential for worsening disparities and intervene.

摘要

引言

由于新冠病毒病(COVID-19)对有色人种社区的影响不成比例,孕产妇死亡率和发病率方面的种族差异可能会增加。然而,邻里和社会支持因素作为COVID-19可能加剧种族差异的潜在机制尚未得到讨论。

方法

我们研究了关于邻里因素和社会支持对孕产妇健康结局作用的文献,并就COVID-19对黑人分娩人群的潜在影响提供了分析视角。

结果

甚至在疫情大流行之前,黑人就受到心理社会压力的影响尤为严重。然而,既往存在的和当前疫情期间的心理社会压力源的复合效应可能是加剧种族差异并导致黑人女性孕产妇死亡率和发病率升高的一种机制。

结论

我们建议在整个疫情大流行期间持续监测与孕产妇死亡率和发病率方面的种族差异相关的数据。鉴于黑人女性可能受到心理社会压力的影响尤为严重,领导层结构和社区有必要认识到差异加剧的可能性并进行干预。

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