Acknowledging and Addressing Allostatic Load in Pregnancy Care.
Allostatic load
Health disparities
Infant morbidity and mortality
Maternal morbidity and mortality
Weathering hypothesis
Journal
Journal of racial and ethnic health disparities
ISSN: 2196-8837
Titre abrégé: J Racial Ethn Health Disparities
Pays: Switzerland
ID NLM: 101628476
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
10
01
2020
accepted:
06
04
2020
revised:
18
03
2020
pubmed:
10
5
2020
medline:
17
11
2021
entrez:
9
5
2020
Statut:
ppublish
Résumé
The USA is one of the few countries in the world in which maternal and infant morbidity and mortality continue to increase, with the greatest disparities observed among non-Hispanic Black women and their infants. Traditional explanations for disparate outcomes, such as personal health behaviors, socioeconomic status, health literacy, and access to healthcare, do not sufficiently explain why non-Hispanic Black women continue to die at three to four times the rate of White women during pregnancy, childbirth, or postpartum. One theory gaining prominence to explain the magnitude of this disparity is allostatic load or the cumulative physiological effects of stress over the life course. People of color disproportionally experience social, structural, and environmental stressors that are frequently the product of historic and present-day racism. In this essay, we present the growing body of evidence implicating the role of elevated allostatic load in adverse pregnancy outcomes among women of color. We argue that there is a moral imperative to assign additional resources to reduce the effects of elevated allostatic load before, during, and after pregnancy to improve the health of women and their children.
Identifiants
pubmed: 32383045
doi: 10.1007/s40615-020-00757-z
pii: 10.1007/s40615-020-00757-z
pmc: PMC7647942
mid: NIHMS1592334
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
69-79Subventions
Organisme : NHGRI NIH HHS
ID : K01 HG009542
Pays : United States
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