Evidence map›Paper›PMID 31357209›Full record

ReviewPediatric research2020

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families.

Andrew F Beck, Erika M Edwards, Jeffrey D Horbar, Elizabeth A Howell, Marie C McCormick, DeWayne M Pursley

Abstract readReview
In one paragraph

Review in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Implicit Racial Bias in Evaluation of Neonatal Opioid Withdrawal Syndrome.Journal of racial and ethnic health disparities · 2025
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Disparities in delivery hospital risk-adjusted outcomes for very low birthweight infants: the role of NICU volume and level of care.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  11. Article
  12. From NICU to home: meeting the mental health needs of families after discharge.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  13. Review
  14. Article
  15. Inequities in prenatal neonatology consultation in high-mortality neonatal populations.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Andrew F BeckDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Erika M EdwardsVermont Oxford Network, Burlington, VT, USA. eedwards@vtoxford.org.
Jeffrey D HorbarVermont Oxford Network, Burlington, VT, USA.
Elizabeth A HowellBlavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marie C McCormickDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
DeWayne M PursleyDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

A Dashboard of Racial/Ethnic Disparity in Care Provided by NICUsR01HD083368 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN · 2016 to 2020
$3.2M
Pathways to Reduce Infant DeathsR01HD078565 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2015 to 2020
$2.7M
Social Disparities in NICU CareR01HD084667 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN · 2016 to 2019
$2.4M
Hospital Quality and Racial/Ethnic Disparities in Severe Maternal MorbidityR01MD007651 · NIMHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2014 to 2018
$2.1M
Inpatient Asthma Care for Children: Adding a Place-Based, Community-Focused ApproK23AI112916 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI BECK, ANDREW FINKEL · 2014 to 2018
$721k
NIAID NIH HHS K23 AI112916NICHD NIH HHS R01 HD078565NICHD NIH HHS R01 HD083368NICHD NIH HHS R01 HD084667NIMHD NIH HHS L60 MD000765NIMHD NIH HHS R01 MD007651
6 · The paper itself

Abstract

Racism, segregation, and inequality contribute to health outcomes and drive health disparities across the life course, including for newborn infants and their families. In this review, we address their effects on the health and well-being of newborn infants and their families with a focus on preterm birth. We discuss three causal pathways: increased risk; lower-quality care; and socioeconomic disadvantages that persist into infancy, childhood, and beyond. For each pathway, we propose specific interventions and research priorities that may remedy the adverse effects of racism, segregation, and inequality. Infants and their families will not realize the full benefit of advances in perinatal and neonatal care until we, collectively, accept our responsibility for addressing the range of determinants that shape long-term outcomes.

Indexed as

Health Status DisparitiesSocial Determinants of HealthSocial SegregationChildChild DevelopmentChild, PreschoolFamily HealthFemaleHealthcare DisparitiesHealth Services AccessibilityHumansInfantInfant, NewbornInfant, PostmaturePregnancyPremature Birth

Identifiers

PMID31357209
PMCPMC6960093

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.