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<p>The coronavirus disease 2019 (COVID-19) pandemic created a unique set of challenges within the USA. The combination of the pandemic and long-standing systemic racism has generated greater maternal health disparities in minoritized populations, especially Black birthing individuals, creating a syndemic. This systematic review evaluated studies conducted between March 2020 and December 2024 to examine how Black birthing individuals’ lives were impacted by the COVID-19 pandemic and systemic racism. Studies were included if (1) Black birthing individuals’ experiences were examined; (2) these experiences were a focus of the study; (3) they were peer-reviewed, empirical articles; and (4) data was collected after March 2020. Utilizing PRISMA guidelines, we conducted a systematic review of the published literature up to December 2024 using PubMed, PsycINFO, Web of Science, and EBSCOhost and examined peer-reviewed articles that met inclusion criteria. Four authors independently screened studies and abstracted data. A total of 843 articles were screened, and from the 50 studies that were included in this paper, two overarching areas were identified: (1) societal-level themes and (2) individual- and interpersonal-level themes. Within these two areas, seven total subthemes were identified: (1a) <i>Restrictions</i>; (1b) <i>Medical Mistrust and Healthcare Discrimination</i>; (1c) <i>Delivery, Birth, and Postpartum Experiences</i>; (1d) <i>Police Brutality and Community Violence</i>; (2a) <i>Health and Well-Being</i>; (2b) <i>Financial, Housing, Food, and Work-Related Challenges</i>; and (2c) <i>Caregiving and Family Relationships.</i> Our findings emphasize the need for research to understand Black birthing individuals’ experiences and to use these findings to create comprehensive targeted approaches.</p>

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Examining the Impact of the Syndemic on Black Birthing Individuals in the USA: a Systematic Review

  • 期刊论文

  • 发表日期：

    2025年2月24日

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  • Kate Wisniewski,
  • Nicole Henry,
  • Ashlee Yates Flanagan,
  • Ayomide Popoola,
  • Nakaja Weaver,
  • Lauren Iglio,
  • Christina Alexandre,
  • Deiriai Myers,
  • Tiffany Tieu,
  • Rebecca Waller,
  • Sara L. Kornfield,
  • Raquel E. Gur,
  • Florence Momplaisir,
  • Wanjikũ F. M. Njoroge

摘要

The coronavirus disease 2019 (COVID-19) pandemic created a unique set of challenges within the USA. The combination of the pandemic and long-standing systemic racism has generated greater maternal health disparities in minoritized populations, especially Black birthing individuals, creating a syndemic. This systematic review evaluated studies conducted between March 2020 and December 2024 to examine how Black birthing individuals’ lives were impacted by the COVID-19 pandemic and systemic racism. Studies were included if (1) Black birthing individuals’ experiences were examined; (2) these experiences were a focus of the study; (3) they were peer-reviewed, empirical articles; and (4) data was collected after March 2020. Utilizing PRISMA guidelines, we conducted a systematic review of the published literature up to December 2024 using PubMed, PsycINFO, Web of Science, and EBSCOhost and examined peer-reviewed articles that met inclusion criteria. Four authors independently screened studies and abstracted data. A total of 843 articles were screened, and from the 50 studies that were included in this paper, two overarching areas were identified: (1) societal-level themes and (2) individual- and interpersonal-level themes. Within these two areas, seven total subthemes were identified: (1a) Restrictions; (1b) Medical Mistrust and Healthcare Discrimination; (1c) Delivery, Birth, and Postpartum Experiences; (1d) Police Brutality and Community Violence; (2a) Health and Well-Being; (2b) Financial, Housing, Food, and Work-Related Challenges; and (2c) Caregiving and Family Relationships. Our findings emphasize the need for research to understand Black birthing individuals’ experiences and to use these findings to create comprehensive targeted approaches.