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以公平为中心:解决健康的结构性和社会性决定因素,改善母婴健康结局。

Centering equity: Addressing structural and social determinants of health to improve maternal and infant health outcomes.

机构信息

National Birth Equity Collaborative, 4747 Earhart Blvd., Suite I, New Orleans, LA 70125, United States.

National Birth Equity Collaborative, 4747 Earhart Blvd., Suite I, New Orleans, LA 70125, United States.

出版信息

Semin Perinatol. 2022 Dec;46(8):151661. doi: 10.1016/j.semperi.2022.151661. Epub 2022 Aug 29.

Abstract

Despite decades of investment and improvements in infant health in the United States, efforts to ensure the health and well-being of birthing people, especially those from racialized and minoritized communities, have been underfunded and neglected. As a result, many birthing people do not have access to the quality care they deserve and suffer disproportionately from adverse health outcomes such as severe maternal morbidity and maternal mortality. Through a Reproductive Justice lens, this paper will discuss structural causes for maternal health disparities as well as some of the structural solutions necessary to support the correction of centuries of discrimination on the basis of race, sex, gender, and other minoritized identities.

摘要

尽管美国在婴儿健康方面投入了数十年的资金并取得了进展,但确保分娩人群,特别是那些来自种族化和少数群体社区的人的健康和福祉的努力却一直资金不足和被忽视。因此,许多分娩人群无法获得他们应得的高质量护理,并且不成比例地遭受严重的产妇发病率和产妇死亡率等不良健康后果的影响。本文通过生殖正义视角,将讨论造成孕产妇健康差异的结构性原因,以及为支持纠正基于种族、性别、性别认同和其他少数群体身份的数百年歧视而必需的一些结构性解决方案。

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