The Convergence of COVID-19 and Systemic Racism: An Evaluation of Current Evidence, Health System Changes, and Solutions Grounded in Reproductive Justice.
The Convergence of COVID-19 and Systemic Racism: An Evaluation of Current Evidence, Health System Changes, and Solutions Grounded in Reproductive Justice.
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DOI:
10.1111/jmwh.13250
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发表时间:
2021-05
影响因子:
2.7
通讯作者:
Amore, Alexis Dunn
中科院分区:
文献类型:
--
作者:
Britt, Abby J.;Carlson, Nicole S.;Joseph, Naima T.;Amore, Alexis Dunn
The United States is currently experiencing the confluence of two deadly pandemics, that of systemic racism and of COVID-19. Both are widespread, deeply intertwined, and disproportionately affect Black, Indigenous, Latinx, and other people of color. The intersection of these two pandemics produces a perfect storm for people of color who are pregnant. Their already higher rates of pregnancy and birthing complications, including maternal mortality, 1 coupled with their increased risk of COVID-19 infection and adverse sequelae, 2 combine to potentiate these disparities.Midwifery care has the potential to deliver effective and innovative solutions to the twin pandemics of systemic racism and COVID-19, thus being a fundamental part of healthcare initiatives targeting disparities. Specifically, there must be intentional efforts focused on the expansion of the racial and ethnic composition of midwives across the various domains of the midwifery workforce. To do this, midwifery care in the United States must grow to the fullest version of itself, one which moves beyond healthcare provision to embrace both advocacy and allyship within the political arena, healthcare organizations, educational institutions, and communities. 3 In this version of midwifery care, midwives can best focus their efforts by using a reproductive justice lens centered on the voices of families, community-based organizations, healthcare providers, and researchers of color. 4 Reproductive justice is a human rights-and social justice-based framework that recognizes
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