At the forefront of psychoneuroimmunology in pregnancy: Implications for racial disparities in birth outcomes PART 1: Behavioral risks factors

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:117

Article

Christian, Lisa M.^1,2,3,4 

[1] Ohio State Univ, Wexner Med Ctr, Dept Psychiat & Behav Hlth, Columbus, OH 43210 USA

[2] Ohio State Univ, Wexner Med Ctr, Inst Behav Med Res, Room 112,460 Med Ctr Dr, Columbus, OH 43210 USA

[3] Ohio State Univ, Dept Psychol, Columbus, OH USA

[4] Ohio State Univ, Dept Obstet & Gynecol, Wexner Med Ctr, Columbus, OH 43210 USA

关键词: Psychoneuroimmunology;    Stress;    Sleep;    Depression;    Anxiety;    Pregnancy;    Birth outcomes;    Racial disparities;   

DOI  :  10.1016/j.neubiorev.2019.04.009

来源: Elsevier

【 摘 要 】

Birth prior to full term is a substantial public health issue. In the US, similar to 400,000 babies per year are born preterm (< 37 weeks), while> 1 million are early term (37-38(6/7) weeks). Birth prior to full term confers risk both immediate and long term, including neonatal intensive care, decrements in school performance, and increased mortality risk from infancy through young adulthood. Risk for low birth weight and preterm birth are 1.5-2 times greater among African Americans versus Whites. Psychosocial stress related to being a member of a discriminated racial minority group contributes substantially to these racial disparities. Providing promising targets for intervention, depressed mood, anxiety, and poor sleep are each linked with exposure to chronic stress, including racial discrimination. A rigorous transdisciplinary approach addressing these gaps holds great promise for clinical impact in addressing racial disparities as well as ameliorating effects of stress on perinatal health more broadly. As will be reviewed in a companion paper, the mechanistic roles of physiological sequelae to stress - including neuroendocrine, inflammatory regulation, biological aging, and the microbiome - also require delineation.

【 授权许可】

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