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Black Babies Matter.

James W Collins1, Richard J David2

  • 1Neonatal Intensive Care Unit, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Box 45, 225 E. Chicago Avenue, Chicago, IL 60611, USA.

Clinics in Perinatology
|February 25, 2022
PubMed
Summary
This summary is machine-generated.

Structural racism significantly impacts African-American infant mortality rates, contributing to a two-fold higher risk compared to non-Latinx White infants. Addressing this requires understanding racism and social class interplay.

Keywords:
African–AmericanInfant mortalityPreterm birthRacial discriminationRacial disparitySocial class

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Area of Science:

  • Public Health
  • Sociology
  • Medical Ethics

Background:

  • Despite advances in neonatal intensive care, African-American infants face disproportionately higher mortality rates.
  • A significant disparity exists, with over double the first-year mortality rate compared to non-Latinx White infants.

Purpose of the Study:

  • To examine how historical and current structural racism in the U.S. affects birth outcomes for African-American women.
  • To propose a framework for addressing racial health inequities in adverse birth outcomes.

Main Methods:

  • This essay analyzes upstream factors contributing to birth outcome disparities.
  • It considers the intersection of racism and social class in shaping health inequities.

Main Results:

  • Structural racism is identified as a critical upstream factor in adverse birth outcomes for African-American women.
  • The interplay between racism and social class is crucial for understanding these disparities.

Conclusions:

  • Addressing the racial health inequity in adverse birth outcomes necessitates a paradigm shift.
  • This paradigm must integrate the complex influences of structural racism and social class.