Perceived racism or racial discrimination and the risk of adverse obstetric outcomes: a systematic review
São Paulo med. j
;
140(5): 705-718, Sept.-Oct. 2022. tab, graf
Artículo
en Inglés
|
LILACS-Express
| LILACS
| ID: biblio-1410205
ABSTRACT
ABSTRACT BACKGROUND:
Racial disparities are differences among distinct subgroups of the human species; biologically, there are no scientifically proven reasons for them to exist.OBJECTIVE:
To assess the impact of racism or racial discrimination on obstetric outcomes. DESIGN ANDSETTING:
Systematic review conducted at a tertiary/academic hospital.METHODS:
The Cochrane Library, SCOPUS/EMBASE, PubMed, Web of Science and ClinicalTrials.gov databases were searched from inception to June 2020. Studies presenting any type of racial discrimination, or any manifestation of racism that was perceived by women of any age in an obstetric scenario were included. Studies that only assessed racial disparities without including direct racism were excluded. The secondary outcomes evaluated included quality of antenatal care, intra and postpartum care, preterm birth and birthweight. The Risk of Bias In Non-randomized Studies - of Interventions (ROBINS-I) scale was used to assess the quality of evidence from non-randomized studies.RESULTS:
A total of 508 records were retrieved and 29 were selected for qualitative synthesis. No meta-analysis could be performed due to the high heterogeneity across studies. Perceived racism was associated as a risk factor in 7/10 studies focusing on pregnancy and postpartum maternal outcomes, five studies on preterm birth, one study on small for gestational age and two studies on low birthweight. Overall, among the 29 studies, the risk of bias was classified as moderate.CONCLUSIONS:
Perceived racism presented an association with poor obstetric outcomes. Anti-racist measures are needed in order to address the problems that are causing patients to perceive or experience racism. SYSTEMATIC REVIEW REGISTRATION PROSPERO database, CRD42020194382
Texto completo:
Disponible
Índice:
LILACS (Américas)
Tipo de estudio:
Ensayo Clínico Controlado
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Estudio de etiología
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Estudio pronóstico
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Investigación cualitativa
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Factores de riesgo
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Revisiones Sistemáticas Evaluadas
Idioma:
Inglés
Revista:
São Paulo med. j
Asunto de la revista:
Cirurgia Geral
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Cincia
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Ginecologia
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Medicina
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Medicina Interna
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Obstetr¡cia
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Pediatria
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Sa£de Mental
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Sa£de P£blica
Año:
2022
Tipo del documento:
Artículo
/
Documento de proyecto
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
Saint Francis Hospital and Medical Center-Trinity Health of New England/US
/
Universidade Estadual de Campinas/BR
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