Abstract：
BACKGROUND: The rate of preterm birth (PTB) is high in the United States and Black infants remain disproportionately affected, with the disparity between Black and White infant deaths greater today than it was under antebellum slavery.
OBJECTIVE: The National Institute on Minority Health and Disparities Research Framework reflects a unique set of determinants relevant to the understanding and promotion of minority health.
METHODS: We have applied this framework to better understand the effects of PTB on Black parents and the distribution of the social determinants of health, including structural determinants and root causes of inequities.
CONCLUSIONS: This adaptation shows the intersection in maternal and infant health that shapes individuals\' experiences, drives disparities and impacts perinatal outcomes in critical periods over the lifecourse.
CONCLUSIONS: In our efforts to achieve health equity, it is imperative that we study the underlying mechanisms and recognize that policies, institutional structures, and social factors are drivers of racism.
OBJECTIVE: The National Institute on Minority Health and Disparities Research Framework reflects a unique set of determinants relevant to the understanding and promotion of minority health.
METHODS: We have applied this framework to better understand the effects of PTB on Black parents and the distribution of the social determinants of health, including structural determinants and root causes of inequities.
CONCLUSIONS: This adaptation shows the intersection in maternal and infant health that shapes individuals\' experiences, drives disparities and impacts perinatal outcomes in critical periods over the lifecourse.
CONCLUSIONS: In our efforts to achieve health equity, it is imperative that we study the underlying mechanisms and recognize that policies, institutional structures, and social factors are drivers of racism.
摘要：
背景：在美国，早产（PTB）率很高，黑人婴儿仍然受到不成比例的影响，今天黑人和白人婴儿死亡的差距比战前奴隶制下的差距更大。
目标：国家少数民族健康与差异研究所研究框架反映了一套与理解和促进少数民族健康相关的独特决定因素。
方法：我们已经应用此框架来更好地了解PTB对黑人父母的影响以及健康的社会决定因素的分布，包括结构决定因素和不平等的根本原因。
结论：这种适应显示了母婴健康的交集，塑造了个人的经验，在生命周期的关键时期驱动差异并影响围产期结局。
结论：在我们实现健康公平的努力中，我们必须研究潜在的机制，并认识到政策，体制结构，社会因素是种族主义的驱动因素。
目标：国家少数民族健康与差异研究所研究框架反映了一套与理解和促进少数民族健康相关的独特决定因素。
方法：我们已经应用此框架来更好地了解PTB对黑人父母的影响以及健康的社会决定因素的分布，包括结构决定因素和不平等的根本原因。
结论：这种适应显示了母婴健康的交集，塑造了个人的经验，在生命周期的关键时期驱动差异并影响围产期结局。
结论：在我们实现健康公平的努力中，我们必须研究潜在的机制，并认识到政策，体制结构，社会因素是种族主义的驱动因素。
