University of South Carolina, College of Nursing, Columbia, SC.
University of South Carolina, College of Nursing, Columbia, SC.
Nurs Outlook. 2024 Sep-Oct;72(5):102246. doi: 10.1016/j.outlook.2024.102246. Epub 2024 Aug 7.
The rate of preterm birth (PTB) is high in the United States and Black infants remain disproportionately affected, with the disparity between Black and White infant deaths greater today than it was under antebellum slavery.
The National Institute on Minority Health and Disparities Research Framework reflects a unique set of determinants relevant to the understanding and promotion of minority health.
We have applied this framework to better understand the effects of PTB on Black parents and the distribution of the social determinants of health, including structural determinants and root causes of inequities.
This adaptation shows the intersection in maternal and infant health that shapes individuals' experiences, drives disparities and impacts perinatal outcomes in critical periods over the lifecourse.
In our efforts to achieve health equity, it is imperative that we study the underlying mechanisms and recognize that policies, institutional structures, and social factors are drivers of racism.
美国的早产率 (PTB) 很高，黑人婴儿仍然不成比例地受到影响，如今黑人和白人婴儿死亡的差距比南北战争前的奴隶制时期还要大。
少数民族健康和差异研究所的研究框架反映了一组独特的决定因素，这些因素与理解和促进少数民族健康有关。
我们应用这一框架来更好地理解早产对黑人父母的影响，以及健康的社会决定因素的分布，包括结构决定因素和不平等的根本原因。
这种适应表明，在塑造个人经历、推动差异以及影响整个生命过程中关键时期围产期结局的母婴健康方面存在着交叉。
在我们努力实现健康公平的过程中，我们必须研究潜在的机制，并认识到政策、制度结构和社会因素是种族主义的驱动因素。
