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.
Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches
AUTHOR DISCLOSURES: Dr Montoya-Williams is supported by an NICHD grant (K23HD102526). Dr Peña is supported by an NIH grant (T32HL098054-11 Training in Critical Care Health Policy Research). Dr Fraiman is supported by AHRQ (T32HS000063) as part of the Harvard-wide Pediatric Health Services Research Fellowship Program. Drs Burris and Pursley have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
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Diana Montoya-Williams, Yarden S. Fraiman, Michelle-Marie Peña, Heather H. Burris, DeWayne M. Pursley; Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches. Neoreviews January 2022; 23 (1): e1–e12. https://doi.org/10.1542/neo.23-1-e1
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