Birth outcome racial disparities: A result of intersecting social and environmental factors.
Birth outcome racial disparities: A result of intersecting social and environmental factors.
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DOI：
10.1053/j.semperi.2017.07.002
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发表时间：
2017-10
影响因子：
3.4
通讯作者：
Hacker MR
中科院分区：
文献类型：
--
作者：
Burris HH;Hacker MR
在美国，早产、低出生体重和婴儿死亡率等不良生育后果继续对黑人和贫穷婴儿造成不成比例的影响。医疗质量和可获得性的改善并没有消除这些差距。这项审查的目的是考虑社会因素，包括次优教育、收入不平等和居住隔离，这些因素共同导致有毒环境暴露和心理社会压力。许多有毒化学物质，以及心理社会压力，都会导致不良生育结果的风险，黑人女性往往比白人女性暴露在更高的风险中。环境暴露与压力相结合并最终导致出生结果中的种族差异的程度尚未量化，但可能是相当大的。初级预防不良生育结果和消除差异将需要社会方法来改善教育质量、收入公平和社区。
Adverse birth outcomes such as preterm birth, low birth weight and infant mortality continue to disproportionately affect black and poor infants in the United States. Improvements in healthcare quality and access have not eliminated these disparities. The objective of this review was to consider societal factors, including suboptimal education, income inequality, and residential segregation, that together lead to toxic environmental exposures and psychosocial stress. Many toxic chemicals, as well as psychosocial stress, contribute to the risk of adverse birth outcomes and black women often are more highly exposed than white women. The extent to which environmental exposures combine with stress and culminate in racial disparities in birth outcomes has not been quantified but is likely substantial. Primary prevention of adverse birth outcomes and elimination of disparities will require a societal approach to improve education quality, income equity, and neighborhoods.
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影响因子：
168.9
作者：
Chappell, LC;Seed, PT;Poston, L
通讯作者：
Poston, L
影响因子：
3.5
作者：
ANDREWS, KW;SAVITZ, DA;HERTZPICCIOTTO, I
通讯作者：
HERTZPICCIOTTO, I
影响因子：
12.7
作者：
Collins, JW;David, RJ;Andes, S
通讯作者：
Andes, S
DOI：
10.1186/s12940-015-0043-6
发表时间：
2015-07-15
期刊：
Environmental health : a global access science source
影响因子：
--
作者：
Branch F;Woodruff TJ;Mitro SD;Zota AR
通讯作者：
Zota AR
影响因子：
4.5
作者：
Ghosh, Jo Kay C.;Wilhelm, Michelle H.;Dunkel-Schetter, Christine;Lombardi, Christina A.;Ritz, Beate R.
通讯作者：
Ritz, Beate R.