Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Semin Perinatol. 2024 Aug;48(5):151925. doi: 10.1016/j.semperi.2024.151925. Epub 2024 Jun 13.
In this review, we explore race-based disparities in neonatology and their impact on brain injury and neurodevelopmental outcomes. We discuss the historical context of healthcare discrimination, focusing on the post-Civil War era and the segregation of healthcare facilities. We highlight the increasing disparity in infant mortality rates between Black and White infants, with premature birth being a major contributing factor, and emphasize the role of prenatal factors such as metabolic syndrome and toxic stress in affecting neonatal health. Furthermore, we examine the geographic and historical aspects of racial disparities, including the consequences of redlining and limited access to healthcare facilities or nutritious food options in Black communities. Finally, we delve into the higher incidence of brain injuries in Black neonates, as well as disparities in adverse neurodevelopmental outcome. This evidence underscores the need for comprehensive efforts to address systemic racism and provide equitable access to healthcare resources.
在这篇综述中，我们探讨了新生儿学中基于种族的差异及其对脑损伤和神经发育结果的影响。我们讨论了医疗保健歧视的历史背景，重点关注内战后的时代和医疗保健设施的隔离。我们强调了黑人和白人婴儿之间婴儿死亡率日益增加的差异，早产是一个主要的促成因素，并强调了产前因素如代谢综合征和有毒应激在影响新生儿健康方面的作用。此外，我们研究了种族差异的地理和历史方面，包括红线政策和黑人社区获得医疗设施或营养食品选择的机会有限的后果。最后，我们深入研究了黑人新生儿脑损伤发生率较高以及不良神经发育结果存在差异的问题。这一证据强调了需要全面努力解决系统性种族主义问题，并为医疗保健资源提供公平获取机会。
