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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Racial and ethnic disparities in outcomes after NICU discharge: An equity-focused model

Daria C Murosko1, Michelle-Marie Peña2, Scott A Lorch3

  • 1Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia PA.

Seminars in Perinatology
|September 24, 2022
PubMed

Insights

Racial and ethnic disparities persist in premature infant health after neonatal intensive care unit (NICU) discharge. A new "thriving" model highlights the need for comprehensive, equity-focused research on post-discharge outcomes.

Area of Science:

  • Neonatal Health
  • Health Equity Research
  • Infant Development

Background:

  • Racial and ethnic disparities are well-documented in birth outcomes and prematurity complications.
  • Limited understanding exists regarding racial and ethnic variations in health outcomes for premature infants post-neonatal intensive care unit (NICU) discharge.

Purpose of the Study:

  • To propose a novel, equity-focused conceptual model for evaluating post-discharge outcomes in premature infants.
  • To define a multi-dimensional, comprehensive view of infant health, termed "thriving."
  • To apply this model to existing literature on post-discharge inequities.

Main Methods:

  • Conceptual model development focused on equity.
  • Literature review applying the "thriving" model to post-discharge outcomes.
  • Analysis of existing data on racial and ethnic variations in infant health.

Main Results:

  • Existing literature reveals significant inequities in post-discharge outcomes for premature infants based on race and ethnicity.
  • The proposed "thriving" model provides a framework for a more comprehensive health assessment.
  • A need for rigorous analysis of the drivers of these disparities is identified.

Conclusions:

  • A multi-dimensional "thriving" model is essential for understanding and addressing post-discharge inequities in premature infants.
  • Future research should focus on strength-based, longitudinal outcomes and the underlying drivers of disparities.
  • Promoting health equity requires a comprehensive approach to infant well-being after NICU discharge.

Keywords:
Racebreastfeedingdevelopmentethnicityhealth care utilizationhealth equitypreterm infants

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