Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches

Author:

Montoya-Williams Diana1,Fraiman Yarden S.2,Peña Michelle-Marie1,Burris Heather H.1,Pursley DeWayne M.2

Affiliation:

1. Division of Neonatology, Children’s Hospital of Philadelphia, Philadelphia, PA

2. Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA

Abstract

Neonatal patients and families from historically marginalized and discriminated communities have long been documented to have differential access to health care, disparate health care, and as a result, inequitable health outcomes. Fundamental to these processes is an understanding of what race and ethnicity represent for patients and how different levels of racism act as social determinants of health. The NICU presents a unique opportunity to intervene with regard to the detrimental ways in which structural, institutional, interpersonal, and internalized racism affect the health of newborn infants. The aim of this article is to provide neonatal clinicians with a foundational understanding of race, racism, and antiracism within medicine, as well as concrete ways in which health care professionals in the field of neonatology can contribute to antiracism and health equity in their professional careers.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference103 articles.

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2. Moving beyond the statements: the need for action to address structural racism at predominantly white institutions;Burke;Internat J Multidisc Perspect Higher Educ.,2020

3. Khazanchi R , CrittendenF, HeffronAS, Cleveland ManchandaEC, SivashankerK, MaybankA. Beyond declarative advocacy: moving organized medicine and policy makers from position statements to anti-racist praxis. Available at: https://www.healthaffairs.org/do/10.1377/hblog20210219.107221/full/. Accessed October 11, 2021

4. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Social determinants of health. Available at: https://health.gov/healthypeople/objectives-and-data/social-determinants-health Accessed October 11, 2021

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