Department of Pediatrics, University of California San Francisco, San Francisco, CA, United States; California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, United States.
Department of Pediatrics, University of California San Francisco, San Francisco, CA, United States.
Semin Perinatol. 2022 Dec;46(8):151657. doi: 10.1016/j.semperi.2022.151657. Epub 2022 Aug 28.
Despite recognition and attempts to reduce racial disparities in perinatal outcomes, Black infants are still disproportionately represented among those who are born preterm. Postnatal investigations of racial disparities in comorbidities and outcomes after preterm birth are increasing, although their results and interpretations are conflicting. In the present review, we 1.) identify important methodological limitations of that literature 2.) summarize the conflicting literature investigating racial disparities, specifically Black-white differences, in postnatal comorbidities and outcomes after preterm birth 3.) describe mechanisms by which racism operates to contextualize our understanding to inform future work to actively reduce disparities in preterm birth and subsequently, its complications.
尽管已经认识到并试图减少围产期结局方面的种族差异，但早产儿中仍 disproportionately 存在黑人婴儿。尽管其结果和解释存在争议，但对早产出生后合并症和结局的种族差异进行的产后调查正在增加。在本综述中，我们 1.）确定了该文献的重要方法局限性 2.）总结了调查早产出生后合并症和结局的种族差异（特别是黑人和白人之间的差异）的相互矛盾的文献 3.）描述了种族主义运作的机制，以从上下文角度理解我们的理解，为积极减少早产及其并发症的差异提供信息。
