학술논문

The Black‐White Disparity in Preterm Birth: Race or Racism?
Document Type
Article
Source
Milbank Quarterly. Apr2023 Supplement 1, Vol. 101, p356-378. 23p. 1 Chart.
Subject
*MEDICAL quality control
*HEALTH policy
*PREMATURE infants
*GENETICS
*BLACK people
*INSTITUTIONAL racism
*RISK assessment
*SOCIOECONOMIC factors
*WHITE people
*HEALTH equity
*POPULATION health
*PSYCHOLOGICAL stress
Language
ISSN
0887-378X
Abstract
Policy PointsRacism is an upstream determinant of health that influences health through many midstream and downstream factors. This Perspective traces multiple plausible causal pathways from racism to preterm birth.Although the article focuses on the Black‐White disparity in preterm birth, a key population health indicator, it has implications for many other health outcomes.It is erroneous to assume by default that underlying biological differences explain racial disparities in health. Appropriate science‐based policies are needed to address racial disparities in health; this will require addressing racism. [ABSTRACT FROM AUTHOR]