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Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches
Diana Montoya-Williams1, Yarden S Fraiman2, Michelle-Marie Peña1
1Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA.
Insights
Racism negatively impacts infant health outcomes, leading to health inequities for marginalized neonates. This article guides neonatal clinicians on antiracism strategies to promote health equity for all newborns.
Area of Science:
- Neonatal medicine
- Health equity research
- Social determinants of health
Background:
- Historically marginalized communities face unequal healthcare access and outcomes.
- Race and ethnicity are critical factors in understanding health disparities.
- Racism, at multiple levels, significantly impacts newborn health in the NICU.
Purpose of the Study:
- To educate neonatal clinicians on race, racism, and antiracism in medicine.
- To provide actionable strategies for promoting antiracism and health equity in neonatology.
Main Methods:
- Literature review on race, racism, and health equity in neonatology.
- Analysis of how different forms of racism affect neonatal health outcomes.
- Development of practical recommendations for healthcare professionals.
Main Results:
- Understanding race and racism is crucial for addressing health inequities.
- The NICU is a key setting for implementing antiracist interventions.
- Clinicians can actively contribute to health equity through specific actions.
Conclusions:
- Antiracism efforts in neonatology are essential for improving health outcomes.
- Addressing structural and interpersonal racism can reduce health disparities.
- Neonatal clinicians play a vital role in achieving health equity for all infants.
Abstract:
Neonatal patients and families from historically marginalized and discriminated communities have long been documented to have differential access to health care, disparate health care, and as a result, inequitable health outcomes. Fundamental to these processes is an understanding of what race and ethnicity represent for patients and how different levels of racism act as social determinants of health. The NICU presents a unique opportunity to intervene with regard to the detrimental ways in which structural, institutional, interpersonal, and internalized racism affect the health of newborn infants. The aim of this article is to provide neonatal clinicians with a foundational understanding of race, racism, and antiracism within medicine, as well as concrete ways in which health care professionals in the field of neonatology can contribute to antiracism and health equity in their professional careers.
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