A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Abstract
:1. Introduction
2. Social Determinants of Health
3. SDoH and the Life Course
4. Maternal Health Disparities
4.1. Individual Factors
4.2. Interpersonal Factors
4.3. Community Factors
4.3.1. Residential Segregation and Neighborhood Deprivation
4.3.2. Rural/Urban Residence
4.3.3. Environmental Factors
4.4. Societal Factors
4.4.1. Hospital Care
4.4.2. Insurance Coverage Expansions
4.4.3. Paid Maternity Leave Policies
5. Infant Health Disparities
5.1. Individual Factors
5.2. Interpersonal Factors
5.3. Community Factors
5.3.1. Residential Segregation and Neighborhood Deprivation
5.3.2. Rural/Urban Residence
5.3.3. Environmental Factors
5.4. Societal Factors
6. Maternal and Infant Health Disparities: Research Gaps
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
- Douthard, R.A.; Martin, I.K.; Chapple-McGruder, T.; Langer, A.; Chang, S.U.S. Maternal Mortality Within a Global Context: Historical Trends, Current State, and Future Directions. J. Womens Health 2021, 30, 168–177. [Google Scholar] [CrossRef] [PubMed]
- Petersen, E.E.; Davis, N.L.; Goodman, D.; Cox, S.; Syverson, C.; Seed, K.; Shapiro-Mendoza, C.; Callaghan, W.M.; Barfield, W. Racial/Ethnic Disparities in Pregnancy-Related Deaths—United States, 2007-2016. MMWR Morb. Mortal Wkly. Rep. 2019, 68, 762–765. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- MacDorman, M.F.; Thoma, M.; Declcerq, E.; Howell, E.A. Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016‒2017. Am. J. Public Health 2021, 111, 1673–1681. [Google Scholar] [CrossRef] [PubMed]
- Singh, G.K. Trends and Social Inequalities in Maternal Mortality in the United States, 1969–2018. Int. J. MCH AIDS 2021, 10, 29–42. [Google Scholar] [CrossRef]
- Hirshberg, A.; Srinivas, S.K. Epidemiology of maternal morbidity and mortality. Semin. Perinatol. 2017, 41, 332–337. [Google Scholar] [CrossRef]
- Kilpatrick, S.K.; Ecker, J.L. Severe maternal morbidity: Screening and review. Am. J. Obs. Gynecol. 2016, 215, B17–B22. [Google Scholar] [CrossRef]
- Centers for Disease Control and Prevention. Severe Maternal Morbidity Indicators and Corresponding ICD Codes during Delivery Hospitalizations; Centers For Disease Control and Prevention: Atlanta, GA, USA, 2019.
- Creanga, A.A.; Bateman, B.T.; Kuklina, E.V.; Callaghan, W.M. Racial and ethnic disparities in severe maternal morbidity: A multistate analysis, 2008–2010. Am. J. Obstet. Gynecol. 2014, 210, 435.e1–435.e8. [Google Scholar] [CrossRef]
- Singh, G.K.; Yu, S.M. Infant Mortality in the United States, 1915–2017: Large Social Inequalities have Persisted for Over a Century. Int. J. MCH AIDS 2019, 8, 19–31. [Google Scholar] [CrossRef]
- Ely, D.M.; Driscoll, A.K. Infant Mortality in the United States, 2018: Data from the Period Linked Birth/Infant Death File. National Vital Statistics Reports: From the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2020; Volume 69, pp. 1–18.
- Younge, N.; Goldstein, R.F.; Bann, C.M.; Hintz, S.R.; Patel, R.M.; Smith, P.B.; Bell, E.F.; Rysavy, M.A.; Duncan, A.F.; Vohr, B.R.; et al. Survival and Neurodevelopmental Outcomes among Periviable Infants. N. Engl. J. Med. 2017, 376, 617–628. [Google Scholar] [CrossRef] [Green Version]
- United Health Foundation. America’s Health Rankings Annual Report; United Health Foundation: Minnetonka, MN, USA, 2018. [Google Scholar]
- MacDorman, M.F.; Mathews, T. Understanding Racial and Ethnic Disparities in US Infant Mortality Rates; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2011.
- Wallace, M.; Crear-Perry, J.; Richardson, L.; Tarver, M.; Theall, K. Separate and unequal: Structural racism and infant mortality in the US. Health Place 2017, 45, 140–144. [Google Scholar] [CrossRef]
- Ely, D.; Hoyert, D. Differences between Rural and Urban Areas in Mortality Rates for the Leading Causes of Infant Death: United States, 2013–2015. NCHS Data Brief; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2018.
- Matoba, N.; Collins, J.W. Racial disparity in infant mortality. Semin. Perinatol. 2017, 41, 354–359. [Google Scholar] [CrossRef]
- Martin, J.A.; Hamilton, B.E.; Osterman, M.J.; Driscoll, A.K. Births: Final Data for 2019. National Vital Statistics Reports: From the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2021; Volume 70, pp. 1–51.
- Solar, O.; Irwin, A. A Conceptual Framework for Action on the Social Determinants of Health; WHO Document Production Services; WHO: Geneva, Switzerland, 2010. [Google Scholar]
- Centers for Disease Control and Prevention. Social Determinants of Health: Know what Affects Health. Available online: https://www.cdc.gov/socialdeterminants/ (accessed on 29 September 2021).
- ACOG Committee on Health Care for Underserved Women. Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Obstet. Gynecol. 2018, 131, E43–E48. [Google Scholar] [CrossRef]
- U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion. Healthy People 2030. Available online: https://health.gov/healthypeople/objectives-and-data/social-determinants-health (accessed on 29 September 2021).
- Alvidrez, J.; Castille, D.; Laude-Sharp, M.; Rosario, A.; Tabor, D. The National Institute on Minority Health and Health Disparities Research Framework. Am. J. Public Health 2019, 109, S16–S20. [Google Scholar] [CrossRef]
- Nelson, D.B.; Moniz, M.H.; Davis, M.M. Population-level factors associated with maternal mortality in the United States, 1997–2012. BMC Public Health 2018, 18, 1007. [Google Scholar] [CrossRef]
- Jones, C.P. Toward the Science and Practice of Anti-Racism: Launching a National Campaign Against Racism. Ethn. Dis. 2018, 28, 231–234. [Google Scholar] [CrossRef]
- Priest, N.; Williams, D.R. Structural Racism: A Call to Action for Health and Health Disparities Research. Ethn. Dis. 2021, 31, 285–288. [Google Scholar] [CrossRef]
- Crear-Perry, J.; Correa-de-Araujo, R.; Lewis Johnson, T.; McLemore, M.R.; Neilson, E.; Wallace, M. Social and Structural Determinants of Health Inequities in Maternal Health. J. Womens Health 2021, 30, 230–235. [Google Scholar] [CrossRef]
- Bonilla-Silva, E. Rethinking racism: Toward a structural interpretation. Am. Sociol. Rev. 1997, 62, 465–480. [Google Scholar] [CrossRef]
- Gee, G.C.; Ford, C.L. Structural racism and health inequities: Old Issues, New Directions. Du Bois Rev. 2011, 8, 115–132. [Google Scholar] [CrossRef] [Green Version]
- Taylor, J.K. Structural racism and maternal health among Black women. J. Law Med. Ethics 2020, 48, 506–517. [Google Scholar] [CrossRef]
- Powell, J.A. Structural racism: Building upon the insights of John Calmore. NCL Rev. 2007, 86, 791. [Google Scholar]
- Krieger, N.; Van Wye, G.; Huynh, M.; Waterman, P.D.; Maduro, G.; Li, W.; Gwynn, R.C.; Barbot, O.; Bassett, M.T. Structural racism, historical redlining, and risk of preterm birth in New York City, 2013–2017. Am. J. Public Health 2020, 110, 1046–1053. [Google Scholar] [CrossRef]
- Nardone, A.L.; Casey, J.A.; Rudolph, K.E.; Karasek, D.; Mujahid, M.; Morello-Frosch, R. Associations between historical redlining and birth outcomes from 2006 through 2015 in California. PLoS ONE 2020, 15, e0237241. [Google Scholar] [CrossRef]
- Howe, C.G.; Farzan, S.F.; Garcia, E.; Jursa, T.; Iyer, R.; Berhane, K.; Chavez, T.A.; Hodes, T.L.; Grubbs, B.H.; Funk, W.E.; et al. Arsenic and birth outcomes in a predominately lower income Hispanic pregnancy cohort in Los Angeles. Environ. Res. 2020, 184, 109294. [Google Scholar] [CrossRef]
- Howe, C.G.; Henn, B.C.; Eckel, S.P.; Farzan, S.F.; Grubbs, B.H.; Chavez, T.A.; Hodes, T.L.; Faham, D.; Al-Marayati, L.; Lerner, D.; et al. Prenatal Metal Mixtures and Birth Weight for Gestational Age in a Predominately Lower-Income Hispanic Pregnancy Cohort in Los Angeles. Environ. Health Perspect. 2020, 128, 117001. [Google Scholar] [CrossRef] [PubMed]
- Howell, E.A. Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin. Obstet. Gynecol. 2018, 61, 387–399. [Google Scholar] [CrossRef] [PubMed]
- Boyles, A.L.; Beverly, B.E.; Fenton, S.E.; Jackson, C.L.; Jukic, A.M.Z.; Sutherland, V.L.; Baird, D.D.; Collman, G.W.; Dixon, D.; Ferguson, K.K. Environmental factors involved in maternal morbidity and mortality. J. Women’s Health 2021, 30, 245–252. [Google Scholar] [CrossRef] [PubMed]
- Laraia, B.A.; Messer, L.; Kaufman, J.S.; Dole, N.; Caughy, M.; O’Campo, P.; Savitz, D.A. Direct observation of neighborhood attributes in an urban area of the US south: Characterizing the social context of pregnancy. Int. J. Health Geogr. 2006, 5, 11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Reagan, P.B.; Salsberry, P.J. Race and ethnic differences in determinants of preterm birth in the USA: Broadening the social context. Soc. Sci. Med. 2005, 60, 2217–2228. [Google Scholar] [CrossRef]
- Giurgescu, C.; Misra, D.P. Structural Racism and Maternal Morbidity among Black Women. West. J. Nurs. Res. 2022, 44, 3–4. [Google Scholar] [CrossRef]
- Fishman, S. An extended evaluation of the weathering hypothesis for birthweight. Demogr. Res. 2020, 43, 929–968. [Google Scholar] [CrossRef]
- Cohen, P.N. Maternal age and infant mortality for white, black, and Mexican mothers in the United States. Sociol. Sci. 2016, 3, 32–38. [Google Scholar] [CrossRef] [Green Version]
- Braveman, P.; Egerter, S.; Williams, D.R. The Social Determinants of Health: Coming of Age. Annu. Rev. Public Health 2011, 32, 381–398. [Google Scholar] [CrossRef] [Green Version]
- Marmot, M. Achieving health equity: From root causes to fair outcomes. Lancet 2007, 370, 1153–1163. [Google Scholar] [CrossRef]
- Gee, G.C.; Walsemann, K.M.; Brondolo, E. A life course perspective on how racism may be related to health inequities. Am. J. Public Health 2012, 102, 967–974. [Google Scholar] [CrossRef]
- Jones, N.L.; Gilman, S.E.; Cheng, T.L.; Drury, S.S.; Hill, C.V.; Geronimus, A.T. Life Course Approaches to the Causes of Health Disparities. Am. J. Public Health 2019, 109, S48–S55. [Google Scholar] [CrossRef]
- Halfon, N.; Larson, K.; Lu, M.; Tullis, E.; Russ, S. Lifecourse Health Development: Past, Present and Future. Matern. Child Health J. 2014, 18, 344–365. [Google Scholar] [CrossRef] [Green Version]
- Fuentes-Afflick, E.; Perrin, J.M.; Moley, K.H.; Díaz, Á.; McCormick, M.C.; Lu, M.C. Optimizing Health and Well-Being For Women And Children: Commentary highlights interventions and recommends key improvements in programs and policies to optimize health and well-being among women and children in the United States. Health Aff. 2021, 40, 212–218. [Google Scholar] [CrossRef]
- Godfrey, K.M.; Barker, D.J.P. Fetal programming and adult health. Public Health Nutr. 2001, 4, 611–624. [Google Scholar] [CrossRef]
- Kwon, E.J.; Kim, Y.J. What is fetal programming?: A lifetime health is under the control of in utero health. Obs. Gynecol. Sci. 2017, 60, 506–519. [Google Scholar] [CrossRef]
- Braveman, P. What is health equity: And how does a life-course approach take us further toward it? Matern. Child Health J. 2014, 18, 366–372. [Google Scholar] [CrossRef]
- Barker, D.; Eriksson, J.; Forsén, T.; Osmond, C. Fetal origins of adult disease: Strength of effects and biological basis. Int. J. Epidemiol. 2002, 31, 1235–1239. [Google Scholar] [CrossRef] [Green Version]
- Seckl, J.R.; Holmes, M.C. Mechanisms of Disease: Glucocorticoids, their placental metabolism and fetal ‘programming’ of adult pathophysiology. Nat. Clin. Pract. Endocrinol. Metab. 2007, 3, 479–488. [Google Scholar] [CrossRef]
- Lu, M.C. Reducing maternal mortality in the United States. JAMA 2018, 320, 1237–1238. [Google Scholar] [CrossRef]
- Wang, E.; Glazer, K.B.; Howell, E.A.; Janevic, T.M. Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States: A Systematic Review. Obs. Gynecol. 2020, 135, 896–915. [Google Scholar] [CrossRef] [PubMed]
- Berg, C.J.; Callaghan, W.M.; Syverson, C.; Henderson, Z. Pregnancy-related mortality in the United States, 1998 to 2005. Obs. Gynecol. 2010, 116, 1302–1309. [Google Scholar] [CrossRef] [PubMed]
- Rosenberg, D.; Geller, S.E.; Studee, L.; Cox, S.M. Disparities in mortality among high risk pregnant women in Illinois: A population based study. Ann. Epidemiol. 2006, 16, 26–32. [Google Scholar] [CrossRef] [PubMed]
- Bauman, B.L.; Ko, J.Y.; Cox, S.; D’Angelo, D.V.; Warner, L.; Folger, S.; Tevendale, H.D.; Coy, K.C.; Harrison, L.; Barfield, W.D. Vital signs: Postpartum depressive symptoms and provider discussions about perinatal depression—United States, 2018. Morb. Mortal. Wkly. Rep. 2020, 69, 575. [Google Scholar] [CrossRef]
- Zhou, J.; Ko, J.Y.; Haight, S.C.; Tong, V.T. Treatment of Substance Use Disorders Among Women of Reproductive Age by Depression and Anxiety Disorder Status, 2008–2014. J. Womens Health 2019, 28, 1068–1076. [Google Scholar] [CrossRef]
- Linares, D.E.; Azuine, R.E.; Singh, G.K. Social Determinants of Health Associated with Mental Health Among U.S. Mothers with Children Aged 0-5 Years. J. Womens Health 2020, 29, 1039–1051. [Google Scholar] [CrossRef]
- Trost, S.L.; Beauregard, J.L.; Smoots, A.N.; Ko, J.Y.; Haight, S.C.; Moore Simas, T.A.; Byatt, N.; Madni, S.A.; Goodman, D. Preventing Pregnancy-Related Mental Health Deaths: Insights From 14 US Maternal Mortality Review Committees, 2008–2017. Health Aff. 2021, 40, 1551–1559. [Google Scholar] [CrossRef]
- Wallace, M.; Gillispie-Bell, V.; Cruz, K.; Davis, K.; Vilda, D. Homicide During Pregnancy and the Postpartum Period in the United States, 2018-2019. Obs. Gynecol. 2021, 138, 762–769. [Google Scholar] [CrossRef]
- Petrosky, E.; Blair, J.M.; Betz, C.J.; Fowler, K.A.; Jack, S.P.; Lyons, B.H. Racial and ethnic differences in homicides of adult women and the role of intimate partner violence—United States, 2003–2014. MMWR. Morb. Mortal. Wkly. Rep. 2017, 66, 741. [Google Scholar] [CrossRef] [Green Version]
- Alhusen, J.L.; Ray, E.; Sharps, P.; Bullock, L. Intimate partner violence during pregnancy: Maternal and neonatal outcomes. J. Womens Health 2015, 24, 100–106. [Google Scholar] [CrossRef] [Green Version]
- Davis, N.L.; Smoots, A.N.; Goodman, D.A. Pregnancy-Related Deaths: Data from 14 US Maternal Mortality Review Committees. Education 2019, 40, 2–8. [Google Scholar]
- Glazer, K.B.; Zeitlin, J.; Howell, E.A. Intertwined disparities: Applying the maternal-infant dyad lens to advance perinatal health equity. Semin. Perinatol. 2021, 45, 151410. [Google Scholar] [CrossRef]
- Lewis, G.; Drife, J.O. Why mothers die: Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1994–1996; Stationery Office: London, UK, 1998. [Google Scholar]
- Berg, C.J.; Harper, M.A.; Atkinson, S.M.; Bell, E.A.; Brown, H.L.; Hage, M.L.; Mitra, A.G.; Moise, K.J.; Callaghan, W.M. Preventability of pregnancy-related deaths: Results of a state-wide review. Obstet. Gynecol. 2005, 106, 1228–1234. [Google Scholar] [CrossRef]
- Smedley, B.D.; Stith, A.Y.; Colburn, L.; Evans, C.H. Increasing racial and ethnic diversity among physicians: An intervention to address health disparities? In The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions: Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W. Nickens, MD; National Academies Press: Washington, DC, USA, 2001. [Google Scholar]
- Howell, E.A.; Zeitlin, J. Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Semin. Perinatol. 2017, 41, 266–272. [Google Scholar] [CrossRef]
- Grady, S.C.; Ramírez, I.J. Mediating medical risk factors in the residential segregation and low birthweight relationship by race in New York City. Health Place 2008, 14, 661–677. [Google Scholar] [CrossRef]
- Mayne, S.L.; Yellayi, D.; Pool, L.R.; Grobman, W.A.; Kershaw, K.N. Racial Residential Segregation and Hypertensive Disorder of Pregnancy Among Women in Chicago: Analysis of Electronic Health Record Data. Am. J. Hypertens 2018, 31, 1221–1227. [Google Scholar] [CrossRef] [Green Version]
- Dyer, L.; Chambers, B.D.; Crear-Perry, J.; Theall, K.P.; Wallace, M. The Index of Concentration at the Extremes (ICE) and Pregnancy-Associated Mortality in Louisiana, 2016-2017. Matern. Child Health J. 2021, 1–9. [Google Scholar] [CrossRef]
- Snelgrove, J.W.; Lam, M.; Watson, T.; Richard, L.; Fell, D.B.; Murphy, K.E.; Rosella, L.C. Neighbourhood material deprivation and severe maternal morbidity: A population-based cohort study in Ontario, Canada. BMJ Open 2021, 11, e046174. [Google Scholar] [CrossRef]
- Timmermans, S.; Bonsel, G.J.; Steegers-Theunissen, R.P.; Mackenbach, J.P.; Steyerberg, E.W.; Raat, H.; Verbrugh, H.A.; Tiemeier, H.W.; Hofman, A.; Birnie, E.; et al. Individual accumulation of heterogeneous risks explains perinatal inequalities within deprived neighbourhoods. Eur. J. Epidemiol. 2011, 26, 165–180. [Google Scholar] [CrossRef] [Green Version]
- Janevic, T.; Zeitlin, J.; Egorova, N.; Hebert, P.L.; Balbierz, A.; Howell, E.A. Neighborhood Racial And Economic Polarization, Hospital Of Delivery, And Severe Maternal Morbidity. Health Aff. 2020, 39, 768–776. [Google Scholar] [CrossRef]
- Kozhimannil, K.B.; Interrante, J.D.; Henning-Smith, C.; Admon, L.K. Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–2015. Health Aff. 2019, 38, 2077–2085. [Google Scholar] [CrossRef]
- Hansen, A.C.; Slavova, S.; O’Brien, J.M. Rural residency as a risk factor for severe maternal morbidity. J. Rural Health 2021, 38, 161–170. [Google Scholar] [CrossRef]
- American College of Obstetricians and Gynecologists. Health Disparities in Rural Women; American College of Obstetricians and Gynecologists: Chicago, IL, USA, 2014; Volume 586. [Google Scholar]
- Hung, P.; Henning-Smith, C.E.; Casey, M.M.; Kozhimannil, K.B. Access to Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004–2014. Health Aff. 2017, 36, 1663–1671. [Google Scholar] [CrossRef]
- Thomas, S.R.; Holmes, G.M.; Pink, G.H. To What Extent Do Community Characteristics Explain Differences in Closure among Financially Distressed Rural Hospitals? J. Health Care Poor Underserved 2016, 27, 194–203. [Google Scholar] [CrossRef]
- Centers for Medicare & Medicaid Services. Improving Access to Maternal Health Care in Rural Communities; CMS: Baltimore, MD, USA, 2020. [Google Scholar]
- Pedersen, M.; Stayner, L.; Slama, R.; Sørensen, M.; Figueras, F.; Nieuwenhuijsen, M.J.; Raaschou-Nielsen, O.; Dadvand, P. Ambient air pollution and pregnancy-induced hypertensive disorders: A systematic review and meta-analysis. Hypertension 2014, 64, 494–500. [Google Scholar] [CrossRef] [Green Version]
- Hu, C.Y.; Gao, X.; Fang, Y.; Jiang, W.; Huang, K.; Hua, X.G.; Yang, X.J.; Chen, H.B.; Jiang, Z.X.; Zhang, X.J. Human epidemiological evidence about the association between air pollution exposure and gestational diabetes mellitus: Systematic review and meta-analysis. Environ. Res. 2020, 180, 108843. [Google Scholar] [CrossRef]
- Davis, H.T.; Aelion, C.M.; Liu, J.; Burch, J.B.; Cai, B.; Lawson, A.B.; McDermott, S. Potential sources and racial disparities in the residential distribution of soil arsenic and lead among pregnant women. Sci. Total Environ. 2016, 551–552, 622–630. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Palmer, K.T.; Bonzini, M.; Harris, E.C.; Linaker, C.; Bonde, J.P. Work activities and risk of prematurity, low birth weight and pre-eclampsia: An updated review with meta-analysis. Occup. Environ. Med. 2013, 70, 213–222. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cai, C.; Vandermeer, B.; Khurana, R.; Nerenberg, K.; Featherstone, R.; Sebastianski, M.; Davenport, M.H. The impact of occupational activities during pregnancy on pregnancy outcomes: A systematic review and metaanalysis. Am. J. Obs. Gynecol. 2020, 222, 224–238. [Google Scholar] [CrossRef] [PubMed]
- Cai, C.; Vandermeer, B.; Khurana, R.; Nerenberg, K.; Featherstone, R.; Sebastianski, M.; Davenport, M.H. The impact of occupational shift work and working hours during pregnancy on health outcomes: A systematic review and meta-analysis. Am. J. Obs. Gynecol. 2019, 221, 563–576. [Google Scholar] [CrossRef]
- Dave, D.M.; Yang, M. Maternal and fetal health effects of working during pregnancy. Rev. Econ. Househ. 2020, 20, 1–46. [Google Scholar]
- U. S. Department of Labor Bureau of Labor Statistics. Labor Force Characteristics by Race and Ethnicity; U.S. Department of Labor Bureau of Labor Statistics: Washington, DC, USA, 2018.
- Chung-Bridges, K.; Muntaner, C.; Fleming, L.E.; Lee, D.J.; Arheart, K.L.; LeBlanc, W.G.; Christ, S.L.; McCollister, K.E.; Caban, A.J.; Davila, E.P. Occupational segregation as a determinant of US worker health. Am. J. Ind. Med. 2008, 51, 555–567. [Google Scholar] [CrossRef]
- Bailey, Z.D.; Krieger, N.; Agénor, M.; Graves, J.; Linos, N.; Bassett, M.T. Structural racism and health inequities in the USA: Evidence and interventions. Lancet 2017, 389, 1453–1463. [Google Scholar] [CrossRef]
- Feagin, J.; Bennefield, Z. Systemic racism and U.S. health care. Soc. Sci. Med. 2014, 103, 7–14. [Google Scholar] [CrossRef]
- Howell, E.A.; Egorova, N.N.; Janevic, T.; Balbierz, A.; Zeitlin, J.; Hebert, P.L. Severe Maternal Morbidity Among Hispanic Women in New York City: Investigation of Health Disparities. Obs. Gynecol. 2017, 129, 285–294. [Google Scholar] [CrossRef] [Green Version]
- Howell, E.A.; Egorova, N.; Balbierz, A.; Zeitlin, J.; Hebert, P.L. Black-white differences in severe maternal morbidity and site of care. Am. J. Obs. Gynecol. 2016, 214, e121–e127. [Google Scholar] [CrossRef] [Green Version]
- Reid, L.D.; Creanga, A.A. Severe maternal morbidity and related hospital quality measures in Maryland. J. Perinatol. 2018, 38, 997–1008. [Google Scholar] [CrossRef]
- Howell, E.A.; Egorova, N.N.; Balbierz, A.; Zeitlin, J.; Hebert, P.L. Site of delivery contribution to black-white severe maternal morbidity disparity. Am. J. Obs. Gynecol. 2016, 215, 143–152. [Google Scholar] [CrossRef] [Green Version]
- Creanga, A.A.; Bateman, B.T.; Mhyre, J.M.; Kuklina, E.; Shilkrut, A.; Callaghan, W.M. Performance of racial and ethnic minority-serving hospitals on delivery-related indicators. Am. J. Obs. Gynecol. 2014, 211, e616–e641. [Google Scholar] [CrossRef]
- Burris, H.H.; Passarella, M.; Handley, S.C.; Srinivas, S.K.; Lorch, S.A. Black-White disparities in maternal in-hospital mortality according to teaching and Black-serving hospital status. Am. J. Obs. Gynecol. 2021, 225, e81–e83. [Google Scholar] [CrossRef]
- Lee, W.C.; Phillips, C.D.; Ohsfeldt, R.L. Do rural and urban women experience differing rates of maternal rehospitalizations? Rural Remote Health 2015, 15, 3335. [Google Scholar] [CrossRef]
- Papillon-Smith, J.; Imam, B.; Patenaude, V.; Abenhaim, H.A. Population-based study on the effect of socioeconomic factors and race on management and outcomes of 35,535 inpatient ectopic pregnancies. J. Minim. Invasive Gynecol. 2014, 21, 914–920. [Google Scholar] [CrossRef]
- Main, E.K. Reducing maternal mortality and severe maternal morbidity through state-based quality improvement initiatives. Clin. Obstet. Gynecol. 2018, 61, 319–331. [Google Scholar] [CrossRef]
- Shah, V.; Warre, R.; Lee, S.K. Quality improvement initiatives in neonatal intensive care unit networks: Achievements and challenges. Acad. Pediatrics 2013, 13, S75–S83. [Google Scholar] [CrossRef]
- Kumar, N.R.; Borders, A.; Simon, M.A. Postpartum Medicaid extension to address racial inequity in maternal mortality. Am. J. Public Health 2021, 111, 202–204. [Google Scholar] [CrossRef]
- Building, U.S. Capacity to Review and Prevent Maternal Deaths. Report from Nine Maternal Mortality Review Committees; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2018.
- Courtemanche, C.; Marton, J.; Ukert, B.; Yelowitz, A.; Zapata, D. Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non-Expansion States. J. Policy Anal. Manag. 2017, 36, 178–210. [Google Scholar] [CrossRef]
- Robbins, C.; Boulet, S.L.; Morgan, I.; D’Angelo, D.V.; Zapata, L.B.; Morrow, B.; Sharma, A.; Kroelinger, C.D. Disparities in Preconception Health Indicators—Behavioral Risk Factor Surveillance System, 2013–2015, and Pregnancy Risk Assessment Monitoring System, 2013–2014. MMWR Surveill. Summ. 2018, 67, 1–16. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Clark, M.; Bargeron, E.; Corcoran, A. Medicaid Expansion Narrows Maternal Health Coverage Gaps, But Racial Disparities Persist. Georget. Univ. Cent. Child. Fam. Sept. 2021, 13, 1–21. [Google Scholar]
- Eliason, E.L. Adoption of Medicaid Expansion Is Associated with Lower Maternal Mortality. Women’s Health Issues 2020, 30, 147–152. [Google Scholar] [CrossRef] [PubMed]
- Laughlin, L.L. Maternity Leave and Employment Patterns of First-Time Mothers: 1961–2008; US Department of Commerce, Economics and Statistics Administration, US: Jeffersonville, IN, USA, 2011.
- Simonetta, J. Family and Medical Leave in 2012; Abt Associates: Rockville, MD, USA, 2012. [Google Scholar]
- Addati, L.; Cassirer, N.; Gilchrist, K. Maternity and Paternity at Work: Law and Practice Across the World; International Labour Office: Geneva, Switzerland, 2014. [Google Scholar]
- Aitken, Z.; Garrett, C.C.; Hewitt, B.; Keogh, L.; Hocking, J.S.; Kavanagh, A.M. The maternal health outcomes of paid maternity leave: A systematic review. Soc. Sci. Med. 2015, 130, 32–41. [Google Scholar] [CrossRef] [PubMed]
- Dagher, R.K.; McGovern, P.M.; Dowd, B.E. Maternity leave duration and postpartum mental and physical health: Implications for leave policies. J. Health Polit. Policy Law 2014, 39, 369–416. [Google Scholar] [CrossRef]
- ACOG Committee Opinion. No. 736: Optimizing Postpartum Care. Obs. Gynecol. 2018, 131, e140–e150. [Google Scholar] [CrossRef]
- Butikofer, A.; Riise, J.; Skira, M. The Impact of Paid Maternity Leave on Maternal Health; HEDG, c/o Department of Economics, University of York: York, UK, 2018. [Google Scholar]
- Donovan, S.A. Paid Family Leave in the United States; Congressional Research Service Report: Boca Raton, FL, USA, 2019. [Google Scholar]
- National Partnership for Women and Families. Black Women’s Maternal Health: A Multifaceted Approach to Addressing Persistent and Dire Health Disparities; National Partnership for Women and Families: Washington, DC, USA, 2018.
- Rossin-Slater, M.; Ruhm, C.J.; Waldfogel, J. The effects of California’s paid family leave program on mothers’ leave-taking and subsequent labor market outcomes. J. Policy Anal. Manag. 2013, 32, 224–245. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Russell, R.B.; Green, N.S.; Steiner, C.A.; Meikle, S.; Howse, J.L.; Poschman, K.; Dias, T.; Potetz, L.; Davidoff, M.J.; Damus, K. Cost of hospitalization for preterm and low birth weight infants in the United States. Pediatrics 2007, 120, e1–e9. [Google Scholar] [CrossRef] [Green Version]
- Sigurdson, K.; Mitchell, B.; Liu, J.; Morton, C.; Gould, J.B.; Lee, H.C.; Capdarest-Arest, N.; Profit, J. Racial/Ethnic Disparities in Neonatal Intensive Care: A Systematic Review. Pediatrics 2019, 144, e20183114. [Google Scholar] [CrossRef]
- Ravi, D.; Iacob, A.; Profit, J. Unequal care: Racial/ethnic disparities in neonatal intensive care delivery. Semin. Perinatol. 2021, 45, 151411. [Google Scholar] [CrossRef]
- Linares, D.E.; Kandasamy, V.; Vladutiu, C.J. Lifecourse factors associated with flourishing among US children aged 1–5 years. Child Care Health Dev. 2022, 48, 298–310. [Google Scholar] [CrossRef]
- Hilmert, C.J.; Dominguez, T.P.; Schetter, C.D.; Srinivas, S.K.; Glynn, L.M.; Hobel, C.J.; Sandman, C.A. Lifetime racism and blood pressure changes during pregnancy: Implications for fetal growth. Health Psychol. 2014, 33, 43. [Google Scholar] [CrossRef] [Green Version]
- Green, T.; Hamilton, T. Maternal educational attainment and infant mortality in the United States: Does the gradient vary by race/ethnicity and nativity? Demogr. Res. 2019, 41, 713–752. [Google Scholar] [CrossRef]
- Collins, J.W.; David, R.J.; Handler, A.; Wall, S.; Andes, S. Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination. Am. J. Public Health 2004, 94, 2132–2138. [Google Scholar] [CrossRef]
- Luo, Z.-C.; Wilkins, R.; Kramer, M.S. Effect of neighbourhood income and maternal education on birth outcomes: A population-based study. CMAJ 2006, 174, 1415–1420. [Google Scholar] [CrossRef] [Green Version]
- Schoendorf, K.C.; Hogue, C.J.; Kleinman, J.C.; Rowley, D. Mortality among infants of black as compared with white college-educated parents. N. Engl. J. Med. 1992, 326, 1522–1526. [Google Scholar] [CrossRef]
- Braveman, P.A.; Heck, K.; Egerter, S.; Marchi, K.S.; Dominguez, T.P.; Cubbin, C.; Fingar, K.; Pearson, J.A.; Curtis, M. The role of socioeconomic factors in Black-White disparities in preterm birth. Am. J. Public Health 2015, 105, 694–702. [Google Scholar] [CrossRef]
- Gillispie-Bell, V. The contrast of color: Why the Black community continues to suffer health disparities. Obstet. Gynecol. 2021, 137, 220–224. [Google Scholar] [CrossRef]
- Enciso, J.M. Teaching culturally competent healthcare in neonatal-perinatal medicine. Semin. Perinatol. 2020, 44, 151239. [Google Scholar] [CrossRef]
- Profit, J.; Gould, J.B.; Bennett, M.; Goldstein, B.A.; Draper, D.; Phibbs, C.S.; Lee, H.C. Racial/Ethnic Disparity in NICU Quality of Care Delivery. Pediatrics 2017, 140, e20170918. [Google Scholar] [CrossRef] [Green Version]
- Horbar, J.D.; Edwards, E.M.; Greenberg, L.T.; Profit, J.; Draper, D.; Helkey, D.; Lorch, S.A.; Lee, H.C.; Phibbs, C.S.; Rogowski, J.; et al. Racial Segregation and Inequality in the Neonatal Intensive Care Unit for Very Low-Birth-Weight and Very Preterm Infants. JAMA Pediatrics 2019, 173, 455–461. [Google Scholar] [CrossRef] [PubMed]
- Sigurdson, K.; Morton, C.; Mitchell, B.; Profit, J. Disparities in NICU quality of care: A qualitative study of family and clinician accounts. J. Perinatol. 2018, 38, 600–607. [Google Scholar] [CrossRef] [PubMed]
- Greenwood, B.N.; Hardeman, R.R.; Huang, L.; Sojourner, A. Physician-patient racial concordance and disparities in birthing mortality for newborns. Proc. Natl. Acad. Sci. USA 2020, 117, 21194–21200. [Google Scholar] [CrossRef] [PubMed]
- LaVeist, T.A. Linking residential segregation to the infant-mortality race disparity in US cities. Sociol. Soc. Res. 1989, 73, 90–94. [Google Scholar]
- Polednak, A.P. Trends in US urban black infant mortality, by degree of residential segregation. Am. J. Public Health 1996, 86, 723–726. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Polednak, A.P. Black-white differences in infant mortality in 38 standard metropolitan statistical areas. Am. J. Public Health 1991, 81, 1480–1482. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- LaVeist, T.A. Segregation, poverty, and empowerment: Health consequences for African Americans. Milbank Q. 1993, 71, 41–64. [Google Scholar] [CrossRef] [Green Version]
- Mehra, R.; Boyd, L.M.; Ickovics, J.R. Racial residential segregation and adverse birth outcomes: A systematic review and meta-analysis. Soc. Sci. Med. 2017, 191, 237–250. [Google Scholar] [CrossRef]
- Huynh, M.; Spasojevic, J.; Li, W.; Maduro, G.; Van Wye, G.; Waterman, P.D.; Krieger, N. Spatial social polarization and birth outcomes: Preterm birth and infant mortality—New York City, 2010–2014. Scand. J. Public Health 2017, 46, 157–166. [Google Scholar] [CrossRef] [Green Version]
- Pearl, M.; Ahern, J.; Hubbard, A.; Laraia, B.; Shrimali, B.P.; Poon, V.; Kharrazi, M. Life-course neighbourhood opportunity and racial-ethnic disparities in risk of preterm birth. Paediatr. Perinat. Epidemiol. 2018, 32, 412–419. [Google Scholar] [CrossRef]
- Kruger, D.J.; Munsell, M.A.; French-Turner, T. Using a life history framework to understand the relationship between neighborhood structural deterioration and adverse birth outcomes. J. Soc. Evol. Cult. Psychol. 2011, 5, 260. [Google Scholar] [CrossRef] [Green Version]
- Sealy-Jefferson, S.; Butler, B.; Price-Spratlen, T.; Dailey, R.K.; Misra, D.P. Neighborhood-Level Mass Incarceration and Future Preterm Birth Risk among African American Women. J. Urban Health 2020, 97, 271–278. [Google Scholar] [CrossRef] [Green Version]
- Ehrenthal, D.B.; Kuo, H.-H.D.; Kirby, R.S. Infant mortality in rural and nonrural counties in the United States. Pediatrics 2020, 146, e20200464. [Google Scholar] [CrossRef]
- Womack, L.S.; Rossen, L.M.; Hirai, A.H. Urban–Rural Infant Mortality Disparities by Race and Ethnicity and Cause of Death. Am. J. Prev. Med. 2020, 58, 254–260. [Google Scholar] [CrossRef]
- Vilda, D.; Hardeman, R.; Dyer, L.; Theall, K.P.; Wallace, M. Structural racism, racial inequities and urban–rural differences in infant mortality in the US. J. Epidemiol. Community Health 2021, 75, 788–793. [Google Scholar] [CrossRef]
- Ebisu, K.; Bell, M.L. Airborne PM2.5 chemical components and low birth weight in the northeastern and mid-Atlantic regions of the United States. Environ. Health Perspect. 2012, 120, 1746–1752. [Google Scholar] [CrossRef] [Green Version]
- Darrow, L.A.; Klein, M.; Flanders, W.D.; Waller, L.A.; Correa, A.; Marcus, M.; Mulholland, J.A.; Russell, A.G.; Tolbert, P.E. Ambient air pollution and preterm birth: A time-series analysis. Epidemiology 2009, 20, 689–698. [Google Scholar] [CrossRef] [Green Version]
- Bell, M.L.; Ebisu, K. Environmental inequality in exposures to airborne particulate matter components in the United States. Environ. Health Perspect. 2012, 120, 1699–1704. [Google Scholar] [CrossRef]
- Salihu, H.M.; Ghaji, N.; Mbah, A.K.; Alio, A.P.; August, E.M.; Boubakari, I. Particulate pollutants and racial/ethnic disparity in feto-infant morbidity outcomes. Matern. Child Health J. 2012, 16, 1679–1687. [Google Scholar] [CrossRef]
- Woodruff, T.J.; Parker, J.D.; Schoendorf, K.C. Fine particulate matter (PM2.5) air pollution and selected causes of postneonatal infant mortality in California. Environ. Health Perspect. 2006, 114, 786–790. [Google Scholar] [CrossRef] [Green Version]
- Andrews, K.W.; Savitz, D.A.; Hertz-Picciotto, I. Prenatal lead exposure in relation to gestational age and birth weight: A review of epidemiologic studies. Am. J. Ind. Med. 1994, 26, 13–32. [Google Scholar] [CrossRef]
- Falcón, M.; Viñas, P.; Luna, A. Placental lead and outcome of pregnancy. Toxicology 2003, 185, 59–66. [Google Scholar] [CrossRef]
- Taylor, C.M.; Golding, J.; Emond, A.M. Adverse effects of maternal lead levels on birth outcomes in the ALSPAC study: A prospective birth cohort study. BJOG 2015, 122, 322–328. [Google Scholar] [CrossRef] [Green Version]
- Centers for Disease Control and Prevention. Fourth National Exposure Report, Updated Tables; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2014.
- Patel, A.P.; Jagai, J.S.; Messer, L.C.; Gray, C.L.; Rappazzo, K.M.; Deflorio-Barker, S.A.; Lobdell, D.T. Associations between environmental quality and infant mortality in the United States, 2000–2005. Arch. Public Health 2018, 76, 60. [Google Scholar] [CrossRef] [Green Version]
- Bonzini, M.; Coggon, D.; Palmer, K.T. Risk of prematurity, low birthweight and pre-eclampsia in relation to working hours and physical activities: A systematic review. Occup. Environ. Med. 2007, 64, 228–243. [Google Scholar] [CrossRef] [Green Version]
- Mozurkewich, E.L.; Luke, B.; Avni, M.; Wolf, F.M. Working conditions and adverse pregnancy outcome: A meta-analysis. Obs. Gynecol. 2000, 95, 623–635. [Google Scholar] [CrossRef]
- Saurel-Cubizolles, M.J.; Zeitlin, J.; Lelong, N.; Papiernik, E.; Di Renzo, G.C.; Bréart, G. Employment, working conditions, and preterm birth: Results from the Europop case-control survey. J. Epidemiol. Community Health 2004, 58, 395–401. [Google Scholar] [CrossRef]
- Snijder, C.A.; Roeleveld, N.; Te Velde, E.; Steegers, E.A.; Raat, H.; Hofman, A.; Jaddoe, V.W.; Burdorf, A. Occupational exposure to chemicals and fetal growth: The Generation R Study. Hum. Reprod. 2012, 27, 910–920. [Google Scholar] [CrossRef] [Green Version]
- Gisselmann, M.D.; Hemström, O. The contribution of maternal working conditions to socio-economic inequalities in birth outcome. Soc. Sci. Med. 2008, 66, 1297–1309. [Google Scholar] [CrossRef]
- Dooley, D.; Prause, J. Birth Weight and Mothers’ Adverse Employment Change. J. Health Soc. Behav. 2005, 46, 141–155. [Google Scholar] [CrossRef]
- Wallace, M.E.; Green, C.; Richardson, L.; Theall, K.; Crear-Perry, J. “Look at the Whole Me”: A Mixed-Methods Examination of Black Infant Mortality in the US through Women’s Lived Experiences and Community Context. Int. J. Environ. Res. Public Health 2017, 14, 727. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Reece, J. More Than Shelter: Housing for Urban Maternal and Infant Health. Int. J. Environ. Res. Public Health 2021, 18, 3331. [Google Scholar] [CrossRef] [PubMed]
- Bovell-Ammon, A.; Yentel, D.; Koprowski, M.; Wilkinson, C.; Sandel, M. Housing is health: A renewed call for federal housing investments in affordable housing for families with children. Acad. Pediatrics 2021, 21, 19–23. [Google Scholar] [CrossRef] [PubMed]
- Scharber, H. Does “out of work” get into the womb? Exploring the relationship between unemployment and adverse birth outcomes. J. Health Soc. Behav. 2014, 55, 266–282. [Google Scholar] [CrossRef] [PubMed]
- Khan, M.S. Paid family leave and children health outcomes in OECD countries. Child Youth Serv. Rev. 2020, 116, 105259. [Google Scholar] [CrossRef]
- Nandi, A.; Hajizadeh, M.; Harper, S.; Koski, A.; Strumpf, E.C.; Heymann, J. Increased Duration of Paid Maternity Leave Lowers Infant Mortality in Low- and Middle-Income Countries: A Quasi-Experimental Study. PLoS Med. 2016, 13, e1001985. [Google Scholar] [CrossRef] [Green Version]
- Hamad, R.; Modrek, S.; White, J.S. Paid Family Leave Effects on Breastfeeding: A Quasi-Experimental Study of US Policies. Am. J. Public Health 2019, 109, 164–166. [Google Scholar] [CrossRef]
- Bhatt, C.B.; Beck-Sagué, C.M. Medicaid expansion and infant mortality in the United States. Am. J. Public Health 2018, 108, 565–567. [Google Scholar] [CrossRef]
- Soneji, S.; Beltrán-Sánchez, H. Association of special supplemental nutrition program for women, infants, and children with preterm birth and infant mortality. JAMA Netw. Open 2019, 2, e1916722. [Google Scholar] [CrossRef] [Green Version]
- Hamad, R.; Collin, D.F.; Baer, R.J.; Jelliffe-Pawlowski, L.L. Association of Revised WIC Food Package with Perinatal and Birth Outcomes: A Quasi-Experimental Study. JAMA Pediatrics 2019, 173, 845–852. [Google Scholar] [CrossRef]
- Li, K.; Wen, M.; Reynolds, M.; Zhang, Q. WIC Participation and Breastfeeding after the 2009 WIC Revision: A Propensity Score Approach. Int. J. Environ. Res. Public Health 2019, 16, 2645. [Google Scholar] [CrossRef] [Green Version]
- U.S. Department of Agriculture. Supplemental Nutrition Program for Women, Infants, and Children (WIC). Available online: https://www.fns.usda.gov/wic (accessed on 12 May 2021).
- Testa, A.; Jackson, D.B. Race, ethnicity, WIC participation, and infant health disparities in the United States. Ann. Epidemiol. 2021, 58, 22–28. [Google Scholar] [CrossRef]
- Alzubi, J.; Nayyar, A.; Kumar, A. Machine learning from theory to algorithms: An overview. In Journal of Physics: Conference Series; IOP Publishing: Bristol, UK, 2018; p. 012012. [Google Scholar]
- Geller, D.; Harrington, M.; Huang, G. National Survey of WIC Participants II: Participant Characteristics Report; US Department of Agriculture: Washington, DC, USA, 2012.
- Brown, C.C.; Moore, J.E.; Felix, H.C.; Stewart, M.K.; Bird, T.M.; Lowery, C.L.; Tilford, J.M. Association of State Medicaid Expansion Status with Low Birth Weight and Preterm Birth. JAMA 2019, 321, 1598–1609. [Google Scholar] [CrossRef] [Green Version]
- Villar, J.; Ariff, S.; Gunier, R.B.; Thiruvengadam, R.; Rauch, S.; Kholin, A.; Roggero, P.; Prefumo, F.; do Vale, M.S.; Cardona-Perez, J.A.; et al. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women with and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study. JAMA Pediatrics 2021, 175, 817–826. [Google Scholar] [CrossRef]
- Hoyert, D. Maternal Mortality Rates in the United States, 2020; National Center for Health Statistics: Hyattsville, MD, USA, 2022.
- Ragavan, M.I.; Marcil, L.E.; Garg, A. Climate Change as a Social Determinant of Health. Pediatrics 2020, 145, e20193169. [Google Scholar] [CrossRef]
- Brodie, N.; Silberholz, E.A. Progress in understanding climate change’s effects on children and youth. Curr. Opin. Pediatrics 2021, 33, 684–690. [Google Scholar] [CrossRef]
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Dagher, R.K.; Linares, D.E. A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality. Children 2022, 9, 394. https://doi.org/10.3390/children9030394
Dagher RK, Linares DE. A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality. Children. 2022; 9(3):394. https://doi.org/10.3390/children9030394
Chicago/Turabian StyleDagher, Rada K., and Deborah E. Linares. 2022. "A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality" Children 9, no. 3: 394. https://doi.org/10.3390/children9030394