Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants

被引:514
作者
Bryant, Allison S. [1 ]
Worjoloh, Ayaba [1 ]
Caughey, Aaron B. [1 ]
Washington, A. Eugene [1 ]
机构
[1] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
基金
美国国家卫生研究院;
关键词
disparities; maternal mortality; obstetric care; preterm birth; race/ethnicity; LOW-BIRTH-WEIGHT; POLYCYCLIC AROMATIC-HYDROCARBONS; CORTICOTROPIN-RELEASING HORMONE; NUTRITION EXAMINATION SURVEY; PREGNANCY-RELATED MORTALITY; RACIAL-ETHNIC-DIFFERENCES; SPONTANEOUS PRETERM BIRTH; AFRICAN-AMERICAN WOMEN; BLACK-WHITE DISPARITY; NEURAL-TUBE DEFECTS;
D O I
10.1016/j.ajog.2009.10.864
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Wide disparities in obstetric outcomes exist between women of different race/ethnicities. The prevalence of preterm birth, fetal growth restriction, fetal demise, maternal mortality, and inadequate receipt of prenatal care all vary by maternal race/ethnicity. These disparities have their roots in maternal health behaviors, genetics, the physical and social environments, and access to and quality of health care. Elimination of the health inequities because of sociocultural differences or access to or quality of health care will require a multidisciplinary approach. We aim to describe these obstetric disparities, with an eye toward potential etiologies, thereby improving our ability to target appropriate solutions.
引用
收藏
页码:335 / 343
页数:9
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