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首页> 外文期刊>Journal of public health management and practice: JPHMP >Advancing Health Equity by Increasing Access to 17P
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Advancing Health Equity by Increasing Access to 17P

机译：通过增加获得17P的获得促进健康股权

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Preterm birth increases the risk for infant health problems, long-term developmental issues, and death.1 Because of glaring and avoidable geographic and racial disparities, the prevention of preterm births is an evidenced-based practice for promoting health equity. So far, only a few interventions have been found to effectively prevent such births among women with known risk factors. A synthetic form of progesterone, 17P, is one of these interventions. Unfortunately, access to 17P can be challenging, especially for those mothers who need it the most as the same societal factors that perpetuate disparities also inhibit access to this potentially lifesaving treatment. State and territorial health agencies can play a leadership role by identifying women who could benefit from this intervention, connecting them to care and treatment, facilitating Medicaid coverage, and delivering and administering injections in ways that improve accessibility. Preterm Birth Is a Health Equity Issue Nearly 1 in 10 infants is born preterm, defined as birth before 37 weeks of gestation, in the United States. Racial disparities in preterm birth are glaring: nonHispanic white infants are born preterm far less often (at a rate of 10.2%) than African American and Hispanic infants (16.3% and 11.3%, respectively).2 Studies have linked premature birth with long-term medical conditions and declining social achievement such as delays in achieving higher education and obtaining a well-paying job.3 Preventing preterm birth is critical to supporting long-term infant health and development.
机译：早产会增加婴儿健康问题的风险，长期发育问题和死亡。由于辉煌和避免的地理和种族差异，预防早产是促进卫生股权的一切实践。到目前为止，只有几个干预措施都只发现有效防止具有已知风险因素的女性的此类诞生。孕酮，17P的合成形式是这些干预之一。不幸的是，获得17P可能具有挑战性，特别是对于那些需要它的母亲，最多的母亲是延缓差异的相同社会因素也抑制了对这种潜在的救命治疗的访问。国家和领土卫生机构可以通过识别可以从这种干预中受益的妇女来发挥领导作用，将它们连接到护理和治疗，促进医疗补助范围，并以提高可访问性的方式提供和施用注射。早产是一个近1个婴儿的健康股权问题出生的早产，被定义为妊娠37周之前的出生，在美国。早产的种族差异都很耀眼：非西班牙幼稚的白婴儿出生的早产远远不如非洲裔美国和西班牙裔婴儿（分别为10.2％）（分别为16.3％和11.3％）.2研究与长期存在过早诞生期限医疗条件和拒绝实现高等教育的延误等社会成就，并获得了付出良好的工作。预防早产是支持长期婴儿健康和发展至关重要。

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