行动呼吁:利用集体影响模式支持黑人母婴健康。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Maternal and Child Health Journal Pub Date : 2024-08-01 Epub Date: 2024-06-07 DOI:10.1007/s10995-024-03937-z
Fatma Diouf, Traci Thompson, Melissa Silesky, Erika Bonnevie
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引用次数: 0

摘要

这篇评论主张采用综合方法解决黑人孕产妇和婴儿的健康危机,利用以健康公平为中心的集体影响模式。与白人妇女相比,美国黑人妇女的孕产妇发病率和死亡率高得惊人。黑人妇女生早产儿和低出生体重儿的几率是白人妇女的两倍,使孕妇和婴儿面临各种健康风险。这一危机源于系统性的种族主义、医疗保健中的隐性偏见以及缺乏针对黑人孕妇的健康宣传。这种情况的紧迫性要求医疗保健提供者、地方和基层社区组织 (CBO) 以及数字健康传播者通过合作与协调,采取大胆而统一的应对措施。在集体影响模式中嵌入一个全面的黑人母婴健康运动,并由一个专门的骨干组织领导,将促进不同利益相关者的协调和参与。这些努力的核心应该是承认系统性种族主义导致了健康不平等的长期存在。因此,任何旨在改善健康成果的倡议都应优先考虑健康公平,重视并纳入黑人妇女的观点。这涉及到制定一个响应性战略,并将黑人女性放在内容创建、计划战略和评估的最前沿。通过医疗保健合作伙伴、社区组织和健康传播者的共同努力,我们可以产生比任何单一倡议都要大得多的影响。我们需要立即采取行动,消除系统性障碍,确保每一位黑人妇女和婴儿都能得到应有的护理和支持。美国黑人孕产妇的健康差异已得到广泛承认和研究。黑人妇女的孕产妇发病率和死亡率远高于白人妇女,这已是公认的事实,表明存在严重的医疗保健危机。本评论文章以集体影响模式为基础,强调各利益相关方之间的合作与协调,提出了一个全面的解决方案,为相关讨论做出了贡献。这种方法改变了过去各自为政的做法,旨在以健康公平为中心,采用多学科方法解决黑人孕产妇和婴儿健康这一紧迫问题。
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A Call to Action: Supporting Black Maternal and Infant Health Using the Collective Impact Model.

This commentary advocates for a comprehensive approach to addressing the Black maternal and infant health crisis, utilizing the collective impact model with health equity at its center. Black women in the United States face alarmingly high rates of maternal morbidity and mortality compared to white women. Black women are twice as likely to have premature and low birthweight babies than white women, exposing both the expectant woman and child to various health risks. This crisis stems from systemic racism, implicit bias in healthcare, and a lack of targeted health communications for pregnant Black women. The urgency of this situation requires a bold and unified response through collaboration and coordination among healthcare providers, local and grassroots community-based organizations (CBOs), and digital health communicators. A comprehensive Black maternal and infant health campaign embedded within the collective impact model and led by a dedicated backbone organization would facilitate the coordination and involvement of diverse stakeholders. Central to these efforts should be the acknowledgment that systemic racism perpetuates health inequities. Consequently, any initiatives to improve health outcomes should prioritize health equity by valuing and incorporating Black women's perspectives. This involves crafting a responsive strategy and placing Black women at the forefront of content creation, program strategy, and evaluation. Through a collaborative effort involving healthcare partners, CBOs, and health communicators, we can have an impact far more significant than any single initiative. Immediate action is needed to dismantle systemic barriers and ensure every Black woman and infant receives the care and support they deserve. Black maternal health disparities in the United States have been widely acknowledged and studied. It is well-established that Black women face significantly higher rates of maternal morbidity and mortality compared to their white counterparts, indicative of a severe healthcare crisis. This opinion piece contributes to the discourse by proposing a comprehensive solution grounded in the collective impact model, which emphasizes collaboration and coordination across various stakeholders. This approach represents a shift from past siloed efforts, aiming to tackle the urgent issue of Black maternal and infant health with a multidisciplinary approach centered on health equity.

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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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