The Role of Race in Pregnancy, Hypertension, and Long-Term Outcomes.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2025-03-20 DOI:10.1007/s11886-025-02224-9

Jacqueline Levene, Alyssa Chang, Anisha Reddy, Alisse Hauspurg, Esa M Davis, Malamo Countouris

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Abstract

Purpose of review: This review aims to discuss racial and ethnic differences in the prevalence of hypertensive disorders of pregnancy (HDP), disparities in peripartum and postpartum outcomes, and strategies to improve health equity.

Recent findings: Racial disparities in HDP are significant contributors to maternal morbidity and mortality. The prevalence of preeclampsia has increased over the last 20 years, with the highest prevalence among non-Hispanic Black, non-Hispanic American Indian and Alaska Native individuals. Black birthing individuals are at increased risk for cardiovascular-related morbidity and mortality, particularly from complications of HDP. Factors such as social determinants of health and systemic racism have a significant impact on disparities in maternal and fetal outcomes related to HDP. System changes and provider implicit bias training can help address systemic racism. Interventions aimed at improving access to care, such as telehealth and home blood pressure monitoring, as well as incorporating health system navigators that provide peripartum and postpartum support can improve outcomes and promote health equity.

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综述目的：本综述旨在讨论妊娠期高血压疾病（HDP）发病率的种族和民族差异、围产期和产后结果的差异以及改善健康公平的策略：最新研究结果：妊娠高血压疾病的种族差异是导致孕产妇发病率和死亡率的重要原因。在过去 20 年中，先兆子痫的发病率有所上升，其中非西班牙裔黑人、非西班牙裔美国印第安人和阿拉斯加原住民的发病率最高。黑人分娩者心血管相关发病率和死亡率的风险增加，尤其是 HDP 并发症。健康的社会决定因素和系统性种族主义等因素对与 HDP 相关的孕产妇和胎儿预后差异有重大影响。系统变革和提供者隐性偏见培训有助于解决系统性种族主义问题。旨在改善医疗服务获取途径的干预措施，如远程医疗和家庭血压监测，以及纳入提供围产期和产后支持的医疗系统导航员，可以改善预后并促进健康公平。

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

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.