Pathways to maternal health inequities: Structural racism, sleep, and physiological stress

IF 8.8 2区 医学 Q1 IMMUNOLOGY
Lisa M. Christian , Ryan L. Brown , Judith E. Carroll , Julian F. Thayer , Tené T. Lewis , Shannon L. Gillespie , Christopher P. Fagundes
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引用次数: 0

Abstract

Racial inequities in health are vast and well-documented, particularly regarding maternal and infant health. Sleep health, including but not limited to duration and quality, is central to overall health and well-being. However, research has not adequately addressed how racism embedded in structures and systems, in addition to individual experiences, may affect maternal health by impacting sleep. In this critical review, we aim to 1) synthesize findings, emphasizing collaborative studies within our group, 2) highlight gaps in knowledge, and 3) propose a theoretical framework and methodological approach for moving the field forward. Specifically, we focus on findings and future directions linking perinatal sleep, cardiovascular and immune function, and racial disparities in maternal health. Because too few studies look beyond individual-level determinants of sleep deficiencies among Black Americans, we assert a critical need for research that bridges multiple levels of analysis (e.g., individual, community, society) and provides recommendations for specific health parameters that researchers in this area can target. Although the need to understand and address perinatal health disparities is clear, the goal of identifying multilevel mechanisms underlying how racism in one’s environment and daily life may interact to affect health extends far beyond pregnancy research.
孕产妇健康不平等的途径:结构性种族主义、睡眠和生理压力。
种族在健康方面的不平等是巨大的,也是有据可查的,尤其是在母婴健康方面。睡眠健康,包括但不限于睡眠时间和质量,对整体健康和幸福至关重要。然而,除了个人经历之外,研究还没有充分探讨结构和系统中的种族主义如何通过影响睡眠来影响孕产妇的健康。在这篇重要综述中,我们旨在:1)综合研究结果,强调我们小组内的合作研究;2)突出知识差距;3)提出理论框架和方法论,以推动该领域的发展。具体来说,我们将重点放在将围产期睡眠、心血管和免疫功能以及孕产妇健康中的种族差异联系起来的研究结果和未来方向上。由于很少有研究关注美国黑人睡眠不足的个人层面以外的决定因素,我们认为亟需开展连接多个分析层面(如个人、社区、社会)的研究,并为该领域研究人员可针对的具体健康参数提供建议。虽然了解和解决围产期健康差异的必要性是显而易见的,但确定环境和日常生活中的种族主义如何相互作用影响健康的多层次机制这一目标远远超出了妊娠研究的范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
29.60
自引率
2.00%
发文量
290
审稿时长
28 days
期刊介绍: Established in 1987, Brain, Behavior, and Immunity proudly serves as the official journal of the Psychoneuroimmunology Research Society (PNIRS). This pioneering journal is dedicated to publishing peer-reviewed basic, experimental, and clinical studies that explore the intricate interactions among behavioral, neural, endocrine, and immune systems in both humans and animals. As an international and interdisciplinary platform, Brain, Behavior, and Immunity focuses on original research spanning neuroscience, immunology, integrative physiology, behavioral biology, psychiatry, psychology, and clinical medicine. The journal is inclusive of research conducted at various levels, including molecular, cellular, social, and whole organism perspectives. With a commitment to efficiency, the journal facilitates online submission and review, ensuring timely publication of experimental results. Manuscripts typically undergo peer review and are returned to authors within 30 days of submission. It's worth noting that Brain, Behavior, and Immunity, published eight times a year, does not impose submission fees or page charges, fostering an open and accessible platform for scientific discourse.
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