Reproductive and Social Policies, Sociopolitical Stress, and Implications for Maternal and Child Health Equity.

Autor: Eick SM; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA. stephanie.marie.eick@emory.edu., Eatman JA; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.; School of Medicine, Emory University, Atlanta, GA, USA., Chandler M; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Brooks NR; Department of Global Health, School of Public Health, Boston University, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Current environmental health reports [Curr Environ Health Rep] 2024 Jun; Vol. 11 (2), pp. 279-287. Date of Electronic Publication: 2024 Apr 19.
DOI: 10.1007/s40572-024-00443-w
Abstrakt: Purpose of Review: Although many environmental exposures (e.g., air pollution) are geographically patterned and persist as a result of historic economic policies (e.g., redlining), the impact of reproductive and social policies on maternal and child health remains incompletely understood. Reproductive and social policies are increasingly important for maternal and child health equity, particularly following the 2022 US Supreme Court decision in Dobbs v Jackson Women's Health Organization ("Dobbs decision"), which restricted access to abortion. Here, we summarize the literature from original research studies examining influences of reproductive and social policy on maternal and child health, focusing on impacts on adverse birth outcomes and policies as sources of stress.
Recent Findings: Several studies suggest that those most impacted by the Dobbs decision are younger, non-white, socioeconomically disadvantaged, and living in states with less access to government safety net programs, all of which are compounded by environmental injustices. Further, studies conducted in the wake of the Dobbs decision find elevated stress levels among women of reproductive age. This may represent one pathway leading to adverse birth outcomes, as epidemiologic studies demonstrate that preterm birth rates increased following the 2016 election, a period of heightened stress. Reproductive and social policies are understudied contributors to adverse outcomes for reproductive-aged women and their children. This has important implications for maternal and child health equity, as those who will be the most impacted by reproductive and social policies already experience the highest rates of adverse birth outcomes and environmental toxicant exposure.
(© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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