Racial and geographic disparities in neonatal brain care.

Autor: Vesoulis ZA; Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: vesoulis_z@wustl.edu., Diggs S; Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, St. Louis, MO, USA., Brackett C; Department of Pediatrics, Division of Neonatology, University of Virginia, USA., Sullivan B; Department of Pediatrics, Division of Neonatology, University of Virginia, USA.
Jazyk: angličtina
Zdroj: Seminars in perinatology [Semin Perinatol] 2024 Aug; Vol. 48 (5), pp. 151925. Date of Electronic Publication: 2024 Jun 13.
DOI: 10.1016/j.semperi.2024.151925
Abstrakt: In this review, we explore race-based disparities in neonatology and their impact on brain injury and neurodevelopmental outcomes. We discuss the historical context of healthcare discrimination, focusing on the post-Civil War era and the segregation of healthcare facilities. We highlight the increasing disparity in infant mortality rates between Black and White infants, with premature birth being a major contributing factor, and emphasize the role of prenatal factors such as metabolic syndrome and toxic stress in affecting neonatal health. Furthermore, we examine the geographic and historical aspects of racial disparities, including the consequences of redlining and limited access to healthcare facilities or nutritious food options in Black communities. Finally, we delve into the higher incidence of brain injuries in Black neonates, as well as disparities in adverse neurodevelopmental outcome. This evidence underscores the need for comprehensive efforts to address systemic racism and provide equitable access to healthcare resources.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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