Journal
CLINICAL OBSTETRICS AND GYNECOLOGY
Volume 51, Issue 2, Pages 360-370Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/GRF.0b013e31816f28de
Keywords
race; racism; racial disparities; infant mortality; birth outcomes; pregnancy
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While the biologic authenticity of race remains a contentious issue, the social significance of race is indisputable. The chronic stress of racism and the social inequality it engenders may be underlying social determinants of persistent racial disparities in health, including infant mortality, preterm delivery, and low birth weight. This article describes the problem of racial disparities in adverse birth outcomes; outlines the multidimensional nature of racism and the pathways by which it may adversely affect health; and discusses the implications for clinical practice.
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