Environmental contributions to disparities in pregnancy outcomes.


Journal Article (Review)

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.

Full Text

Duke Authors

Cited Authors

  • Miranda, ML; Maxson, P; Edwards, S

Published Date

  • January 2009

Published In

Volume / Issue

  • 31 /

Start / End Page

  • 67 - 83

PubMed ID

  • 19846592

Pubmed Central ID

  • 19846592

Electronic International Standard Serial Number (EISSN)

  • 1478-6729

International Standard Serial Number (ISSN)

  • 0193-936X

Digital Object Identifier (DOI)

  • 10.1093/epirev/mxp011


  • eng