Abstract
Despite improving pregnancy-related morbidity and mortality in other high-income countries, birthing people and infants in the United States have disparate and worsening outcomes influenced by structural, political, and moral determinants of health including racism. 1 2021 Annual Report. America's Health Rankings, United Health Foundation. 〈https://www.americashealthrankings.org/learn/reports/2021-annual-report/international-comparison〉. Published 2021. Accessed2022. Google Scholar , 2 Clark A. Wescott P. Mitchell N. Mahdi I. Crear-Perry J. Centering equity: Addressing structural and social determinants of health to improve maternal and infant health outcomes. Semin Perinatol. 2022; 46151661 Crossref PubMed Scopus (3) Google Scholar As clinicians in the neonatal intensive care unit (NICU), we are professionally obligated to enact structural and individual changes to mitigate disparities. 3 Cohen A. Montez K. Orr C. et al. Changing Who Has a Seat and Voice at the Table: How the Academic Pediatric Association is Responding to Systemic Racism. Acad Pediatr. 2022; 22: 352-355 Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar Therefore, recognizing and understanding how structural determinants of health (SDoH) and racism affect our patients is paramount.
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