Minority Health Archive

Environmental contributions to disparities in pregnancy outcomes.

Miranda, Marie Lynn and Maxson, Pamela and Edwards, Sharon (2009) Environmental contributions to disparities in pregnancy outcomes. Epidemiologic reviews, 31 (1). pp. 67-83. ISSN 1478-6729

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    One of the most persistent disparities in American health status is the pronounced difference in birth outcomes between non-Hispanic black and non-Hispanic white women. Poor pregnancy outcomes have a substantial impact on mortality, morbidity, and health care costs. Increasing evidence indicates that environmental exposures are associated with poor birth outcomes. This paper reviews the latest research on how environmental exposures affect pregnancy outcomes and then discusses how these exposures may be embedded within a context of significant social and host factor stress. The analysis suggests that environmental, social, and host factors are cumulatively stressing non-Hispanic black women and that this cumulative stress may be a cause of the persistent disparities in pregnancy outcomes.

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    Item Type: Article
    Additional Information: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/uk/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Uncontrolled Keywords: environment, environmental pollution, health status, disparities, infant,low birth weight, pregnancy outcome, premature birth, public health
    Subjects: Health > Disparities
    Health > Prenatal & Pediatric Health
    Health > Public Health > Health Risk Factors > Stress
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    Depositing User: Users 141 not found.
    Date Deposited: 19 Jul 2011 10:48
    Last Modified: 26 Jul 2011 13:08
    Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2773

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