Racial and ethnic disparities in outcomes after NICU discharge: An equity-focused model

Semin Perinatol. 2022 Dec;46(8):151659. doi: 10.1016/j.semperi.2022.151659. Epub 2022 Aug 27.

Abstract

Significant racial and ethnic disparities exist in birth outcomes and complications related to prematurity. However, little is known about racial and ethnic variations in health outcomes after premature infants are discharged from the neonatal intensive care unit (NICU). We propose a novel, equity-focused conceptual model to guide future evaluations of post-discharge outcomes that centers on a multi-dimensional, comprehensive view of health, which we call thriving. We then apply this model to existing literature on post-discharge inequities, revealing a need for rigorous analysis of drivers and strength-based, longitudinal outcomes.

Keywords: Race; breastfeeding; development; ethnicity; health care utilization; health equity; preterm infants.

MeSH terms

  • Aftercare
  • Ethnicity
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature, Diseases*
  • Intensive Care Units, Neonatal*
  • Patient Discharge
  • Racial Groups