Departments of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA; Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.
Family and Community Medicine, University of California, San Francisco, San Francisco, CA.
Am J Obstet Gynecol. 2022 Oct;227(4):593-596. doi: 10.1016/j.ajog.2022.05.048. Epub 2022 May 28.
Pregnancy-related morbidity and mortality continue to disproportionately affect birthing people who identify as Black. The use of race-based risk factors in medicine exacerbates racial health inequities by insinuating a false conflation that fails to consider the underlying impact of racism. As we work toward health equity, we must remove race as a risk factor in our guidelines to address disparities due to racism. This includes the most recent US Preventive Services Taskforce, American College of Obstetricians and Gynecologists, and Society for Maternal-Fetal Medicine guidelines for aspirin prophylaxis in preeclampsia, where the risk factor for "Black race" should be replaced with "anti-Black racism." In this commentary, we reviewed the evidence that supports race as a sociopolitical construct and the health impacts of racism. We presented a call to action to remove racial determination in the guidelines for aspirin prophylaxis in preeclampsia and more broadly in our practice of medicine.
妊娠相关发病率和死亡率继续不成比例地影响自认为是黑人的产妇。医学中使用基于种族的风险因素加剧了种族健康不平等，因为这种因素暗示了一种错误的混淆，没有考虑到种族主义的潜在影响。在我们努力实现健康公平的过程中，我们必须在指南中消除种族作为风险因素，以解决因种族主义造成的差异。这包括最近的美国预防服务工作组、美国妇产科医师学会和母胎医学学会关于子痫前期阿司匹林预防的指南，其中“黑人种族”的风险因素应改为“反黑人种族主义”。在这篇评论中，我们回顾了支持种族作为社会政治结构和种族主义对健康影响的证据。我们呼吁在子痫前期阿司匹林预防指南以及更广泛的医学实践中取消种族决定。
