Adverse Birth Outcomes and Maternal Morbidity Among Afro-Latinas and Their Infants: A Systematic Literature Review.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-08-14 DOI:10.1007/s40615-024-02107-9

Alexa Parra, Vanessa Morales, Cynthia N Lebron, JoNell Potter, Yue Pan, Hudson P Santos

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Abstract

Objectives: To evaluate and synthesize research findings on adverse birth outcomes and maternal morbidity among Afro-Latinas and their infants.

Methods: A systematic review was conducted within PubMed, Web of Science, and SCOPUS databases. Four thousand five hundred twenty-six published peer-reviewed articles from 1970 to 2023 that reported outcomes related to maternal morbidity and/or birth outcomes were screened. After screening, we assessed 22 for eligibility, and ultimately, seven studies were included for data extraction and analysis.

Results: Although limited, the existing studies revealed disparities in abnormal birth weight (LBW & SGA) and higher preterm birth prevalence among Afro-Latinas compared to other racial and ethnic peers. These disparities are also prevalent among U.S.-born Afro-Latinas compared to foreign-born Afro-Latinas.

Conclusions: By critically examining the current empirical evidence, we can gain a deeper understanding of how intersectionality impacts perinatal health outcomes among Afro-Latinas. Understanding the root causes of these outcomes through increased research is critical to preventing and reducing poor maternal and child health among Afro-Latinas, particularly those who are U.S.-born.

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非裔拉美人及其婴儿的不良出生结果和孕产妇发病率：系统性文献综述。

目的评估和综合有关非裔拉美人及其婴儿的不良出生结果和产妇发病率的研究结果：在 PubMed、Web of Science 和 SCOPUS 数据库中进行了系统性回顾。我们筛选了 1970 年至 2023 年间发表的 4526 篇同行评审文章，这些文章报告了与产妇发病率和/或出生结果相关的结果。经过筛选，我们对 22 篇文章进行了资格评估，最终纳入 7 篇研究进行数据提取和分析：结果：现有研究虽然有限，但揭示了非裔拉美人与其他种族和族裔同龄人相比，在出生体重异常（LBW 和 SGA）和早产率方面的差异。与在国外出生的非洲裔拉美人相比，在美国出生的非洲裔拉美人也普遍存在这些差异：通过批判性地研究当前的经验证据，我们可以更深入地了解交叉性如何影响非裔拉美人的围产期健康结果。通过加强研究来了解这些结果的根本原因，对于预防和减少非裔拉美人（尤其是在美国出生的非裔拉美人）的不良孕产妇和儿童健康状况至关重要。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.