Why Do Black Women Experience Higher Rates of Preterm Birth?

Abstract

Purpose of the Review

The goal of this review is to describe how a woman’s exposures and experiences lead to Black-white disparities in preterm.

Recent Findings

Studies in the last 10 years have increased knowledge in areas that may explain disparities, in particular social factors such as racism and stress, as well as how social factors at the neighborhood level may intersect with those at the individual level. The biologic pathways linking the social environment to disparities in preterm birth is also becoming better understood. Study designs and measures may need to adapt to effectively study disparities.

Summary

While there is much greater appreciation for the potential importance of the social environment across the life course, more research is needed on methods to best study these factors, particularly in measurement, as well as pathways linking these factors to preterm birth in Black women.

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