干旱区生态环境知识资源中心(Arid): Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States

Arid

DOI	10.1007/s40615-020-00825-4
	Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States
	Noursi, Samia; Saluja, Bani; Richey, Leah
通讯作者	Noursi, S
来源期刊	JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
ISSN	2197-3792
EISSN	2196-8837
英文摘要	Maternal morbidity and mortality (MMM) is a significant problem in the USA, with about 700 maternal deaths every year and an estimated 50,000 "near misses." Disparities in MMM by race are marked; black women are disproportionately affected. We use Urie Bronfenbrenner's ecological systems theory to examine the root causes of racial disparities in MMM at the individual (microsystem), interpersonal (mesosystem), community (exosystem), and societal (macrosystem) levels of influence. This review discusses the interaction of these levels of influence on racial disparities related to MMM-covering preconception health, access to prenatal care, implicit bias among health care providers and its possible influence on obstetric care, "maternity care deserts," and the need for quality improvement among black-serving hospitals. Relevant policies-parental leave, Medicaid coverage during pregnancy, and Medicaid expansion-are considered. We also apply the ecological systems theory to identify interventions that would most likely reduce disparities in MMM by race, such as revising the educational curricula of health care professionals, enhancing utilization of alternate prenatal care providers, and reforming Medicaid policies.
英文关键词	Racial disparity Maternal morbidity Maternal mortality Maternal health Ecological systems theory
类型	Article ; Early Access
语种	英语
收录类别	SSCI
WOS记录号	WOS:000552913200001
WOS关键词	PREGNANCY-RELATED DEATHS ; RACIAL/ETHNIC DISPARITIES ; ETHNIC DISPARITIES ; PERCEIVED DISCRIMINATION ; SOCIAL DETERMINANTS ; OBSTETRIC SERVICES ; MIDWIFERY CARE ; HEALTH ; WOMEN ; OUTCOMES
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/328117
作者单位	[Noursi, Samia] NIH, Off Res Womens Hlth, 6707 Democracy Blvd,Suite 400, Bethesda, MD 20817 USA; [Saluja, Bani] Univ Maryland, Sch Publ Hlth, Dept Behav & Community Hlth, College Pk, MD 20742 USA; [Richey, Leah] Univ Maryland, Sch Publ Hlth, College Pk, MD 20742 USA
推荐引用方式 GB/T 7714	Noursi, Samia,Saluja, Bani,Richey, Leah. Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States[J].
APA	Noursi, Samia,Saluja, Bani,&Richey, Leah.
MLA	Noursi, Samia,et al."Using the Ecological Systems Theory to Understand Black/White Disparities in Maternal Morbidity and Mortality in the United States".JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES