Conquering Racial Disparities in Perinatal Outcomes
Conquering Racial Disparities in Perinatal Outcomes
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DOI：
10.1016/j.clp.2014.08.008
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发表时间：
2014-12-01
影响因子：
2.1
通讯作者：
Majnik, Amber
中科院分区：
文献类型：
--
作者：
Willis, Earnestine;McManus, Patricia;Majnik, Amber
婴儿死亡率是社会健康状况的参考指标。婴儿死亡率的趋势分析强调了美国需要克服的两个挑战：（1）美国婴儿死亡率高于大多数工业化国家;（2）出生结局存在持续的种族/民族差异，尤其是黑人。种族/民族婴儿死亡率差异是不利的社会、经济和环境暴露的复杂相互作用的结果。在这篇文章中，种族/民族的差异进行了讨论，突出的趋势，表观遗传学在理解机制，社区行动规划的关键领域，以及解决不良出生结果的种族差距的方案和政策的作用。
Infant mortality rate (IMR) is a reference indicator for societal health status. Trend analysis of IMR highlights 2 challenges to overcome in the United States: (1) US IMR is higher than most industrialized countries and (2) there are persistent racial/ethnic disparities in birth outcomes, especially for blacks. Racial/ethnic infant mortality disparities result from the complex interplay of adverse social, economic, and environmental exposures. In this article, racial/ethnic disparities are discussed, highlighting trends, the role of epigenetics in understanding mechanisms, key domains of community action planning, and programs and policies addressing the racial gaps in adverse birth outcomes.