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Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities.
Semin Perinatol. 2020 Aug; 44(5):151267.SP

Abstract

Perinatal health outcomes in the United States continue to worsen, with the greatest burden of inequity falling on Black birthing communities. Despite transdisciplinary literature citing structural racism as a root cause of inequity, interventions continue to be mostly physician-centered models of perinatal and reproductive healthcare (PRH). These models prioritize individual, biomedical risk identification and stratification as solutions to achieving equity, without adequately addressing the social and structural determinants of health. The objective of this review is to: (1) examine the association between the impact of structural and obstetric racism and patient-centered access to PRH, (2) define and apply reproductive justice (RJ) as a framework to combat structural and obstetric racism in PRH, and (3) describe and demonstrate how to use an RJ lens to critically analyze physician-led and community-informed PRH models. We conclude with recommendations for building a PRH workforce whose capacity is aligned with racial equity. Institutional alignment with a RJ praxis creates opportunities for advancing PRH workforce diversification and development and improving PRH experiences and outcomes for our patients, communities, and workforce.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Julian Z
Department of Obstetrics and Gynecology and Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL. Electronic address: zjulian@uabmc.edu.
Robles D
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco School of Medicine, San Francisco, CA.
Whetstone S
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco School of Medicine, San Francisco, CA.
Perritt JB
Independent Reproductive Health and Family Planning Specialist, Washington, DC, United States.
Jackson AV
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco School of Medicine, San Francisco, CA.
Hardeman RR
Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN.
Scott KA
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco School of Medicine, San Francisco, CA.

MeSH

Black or African AmericanCommunity ParticipationFemaleHealth EquityHealth Services AccessibilityHealth Status DisparitiesHealthcare DisparitiesHumansMaternal Health ServicesPatient-Centered CarePregnancyRacismReproductive Health ServicesReproductive RightsRisk AssessmentSocial Determinants of HealthSocial JusticeStakeholder Participation

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32684310

Citation

Julian, Zoë, et al. "Community-informed Models of Perinatal and Reproductive Health Services Provision: a Justice-centered Paradigm Toward Equity Among Black Birthing Communities." Seminars in Perinatology, vol. 44, no. 5, 2020, p. 151267.
Julian Z, Robles D, Whetstone S, et al. Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Semin Perinatol. 2020;44(5):151267.
Julian, Z., Robles, D., Whetstone, S., Perritt, J. B., Jackson, A. V., Hardeman, R. R., & Scott, K. A. (2020). Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Seminars in Perinatology, 44(5), 151267. https://doi.org/10.1016/j.semperi.2020.151267
Julian Z, et al. Community-informed Models of Perinatal and Reproductive Health Services Provision: a Justice-centered Paradigm Toward Equity Among Black Birthing Communities. Semin Perinatol. 2020;44(5):151267. PubMed PMID: 32684310.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. AU - Julian,Zoë, AU - Robles,Diana, AU - Whetstone,Sara, AU - Perritt,Jamila B, AU - Jackson,Andrea V, AU - Hardeman,Rachel R, AU - Scott,Karen A, Y1 - 2020/06/19/ PY - 2020/7/21/pubmed PY - 2021/9/2/medline PY - 2020/7/21/entrez SP - 151267 EP - 151267 JF - Seminars in perinatology JO - Semin Perinatol VL - 44 IS - 5 N2 - Perinatal health outcomes in the United States continue to worsen, with the greatest burden of inequity falling on Black birthing communities. Despite transdisciplinary literature citing structural racism as a root cause of inequity, interventions continue to be mostly physician-centered models of perinatal and reproductive healthcare (PRH). These models prioritize individual, biomedical risk identification and stratification as solutions to achieving equity, without adequately addressing the social and structural determinants of health. The objective of this review is to: (1) examine the association between the impact of structural and obstetric racism and patient-centered access to PRH, (2) define and apply reproductive justice (RJ) as a framework to combat structural and obstetric racism in PRH, and (3) describe and demonstrate how to use an RJ lens to critically analyze physician-led and community-informed PRH models. We conclude with recommendations for building a PRH workforce whose capacity is aligned with racial equity. Institutional alignment with a RJ praxis creates opportunities for advancing PRH workforce diversification and development and improving PRH experiences and outcomes for our patients, communities, and workforce. SN - 1558-075X UR - https://www.unboundmedicine.com/medline/citation/32684310/Community_informed_models_of_perinatal_and_reproductive_health_services_provision:_A_justice_centered_paradigm_toward_equity_among_Black_birthing_communities_ DB - PRIME DP - Unbound Medicine ER -