Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/15531 |
Resumo: | Objective: to identify and analyze the scientific production on the evolution of COVID-19 in pregnant/puerperal women according to skin color/race. Methodology: this is an Integrative Literature Review (ILR), with a search in the EMBASE, LILACS, PUBMED/MEDLINE and Web of Science databases conducted in February 2021. From the PICO strategy the research question was constructed: Is there evidence that black pregnant women/puerperal women with COVID-19, treated in a hospital setting, when compared to white pregnant women, evolve with more severity (need for admission to the Intensive Care Unit/death)? The terms indexed in the structured vocabulary of the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH terms) were used: "COVID-19" OR "2019-nCoV" AND "Pregnant Woman" OR "Prenatal Care" OR "pregnancy" AND "Race" OR "Racial Groups" OR "Racism" OR "Social Inequities" OR "African American" AND "Hospitalization" OR "Inpatient Unit" AND "Death" OR "Causes of Death" OR "Maternal Death" OR "Intensive Care Units". Results: Six studies were identified, conducted in the United States of America (three studies), United Kingdom (one study), and Brazil (two studies), and only one of them was classified as level of evidence 4, the others as level 6. All studies were observational, often with small samples and varied ethnic groups, not allowing effective conclusions. Two Brazilian studies that used secondary, population-based databases found black race/color to be a risk factor for severe COVID-19. Conclusion: With the studies analyzed, it was not possible to establish a clear relationship between race/color and negative outcomes (need for admission to the intensive care unit/death) of COVID-19 among pregnant/puerperal women. |
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Effects of COVID-19 among black and mulatto pregnant women: Integrative literature reviewEfectos del COVID-19 entre las embarazadas negras y mulatas: Revisión de literatura integradoraEfeitos da COVID-19 entre gestantes pretas e pardas: Revisão integrativa da literaturaCOVID-19GestanteRacismoRazaMuerte. COVID-19Pregnant WomanRaceRacismDeath.COVID-19GestanteRaçaRacismoMorte.Objective: to identify and analyze the scientific production on the evolution of COVID-19 in pregnant/puerperal women according to skin color/race. Methodology: this is an Integrative Literature Review (ILR), with a search in the EMBASE, LILACS, PUBMED/MEDLINE and Web of Science databases conducted in February 2021. From the PICO strategy the research question was constructed: Is there evidence that black pregnant women/puerperal women with COVID-19, treated in a hospital setting, when compared to white pregnant women, evolve with more severity (need for admission to the Intensive Care Unit/death)? The terms indexed in the structured vocabulary of the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH terms) were used: "COVID-19" OR "2019-nCoV" AND "Pregnant Woman" OR "Prenatal Care" OR "pregnancy" AND "Race" OR "Racial Groups" OR "Racism" OR "Social Inequities" OR "African American" AND "Hospitalization" OR "Inpatient Unit" AND "Death" OR "Causes of Death" OR "Maternal Death" OR "Intensive Care Units". Results: Six studies were identified, conducted in the United States of America (three studies), United Kingdom (one study), and Brazil (two studies), and only one of them was classified as level of evidence 4, the others as level 6. All studies were observational, often with small samples and varied ethnic groups, not allowing effective conclusions. Two Brazilian studies that used secondary, population-based databases found black race/color to be a risk factor for severe COVID-19. Conclusion: With the studies analyzed, it was not possible to establish a clear relationship between race/color and negative outcomes (need for admission to the intensive care unit/death) of COVID-19 among pregnant/puerperal women.Objetivo: identificar y analizar la producción científica sobre la evolución de la COVID-19 en gestantes/puérperas del cuerpo de la pelea/raza. Metodología: se trata de una Revisión Integradora de Literatura (RIL), con una búsqueda en las bases de datos EMBASE, LILACS, PUBMED/MEDLINE y Web of Science realizada en febrero de 2021. Sobre la base de la estrategia PICO, se construyó la pregunta de investigación: ¿Existen pruebas de que las mujeres negras embarazadas/puerperas con COVID-19, tratadas en un entorno hospitalario, en comparación con las mujeres blancas embarazadas, evolucionan con mayor gravedad (necesidad de ingreso en la Unidad de Cuidados Intensivos/muerte)? Se utilizaron los términos indexados en el vocabulario estructurado de los Descriptores en Ciencias de la Salud (DeCS) y los Encabezamientos de Materia Médica (términos MeSH): "COVID-19" OR "2019-nCoV" AND "Pregnant Woman" OR "Prenatal Care" OR "pregnancy" AND "Race" OR "Racial Groups" OR "Racism" OR "Social Inequities" OR "African American" AND "Hospitalization" OR "Inpatient Unit" AND "Death" OR "Causes of Death" OR "Maternal Death" OR "Intensive Care Units". Resultados: Se identificaron seis estudios, realizados en Estados Unidos de América (tres estudios), Reino Unido (un estudio) y Brasil (dos estudios) y sólo uno de ellos fue clasificado como nivel de evidencia 4, los demás como nivel 6. Todos los estudios fueron observacionales, a menudo con muestras pequeñas y grupos étnicos variados, lo que no permite obtener conclusiones eficaces. Dos estudios brasileños que utilizaron bases de datos secundarias basadas en la población encontraron que la raza/color negro es un factor de riesgo de COVID-19 grave. Conclusión: con los estudios analizados, no fue posible establecer una relación clara entre raza/color y resultados negativos (necesidad de ingreso en la unidad de cuidados intensivos/muerte) de COVID-19 entre las mujeres embarazadas/puerperas.Objetivo: identificar e analisar a produção científica sobre a evolução da COVID-19 em gestantes/puérperas segundo cor da pele/raça. Metodologia: trata-se de Revisão Integrativa da Literatura (RIL), com busca nas bases de dados EMBASE, LILACS, portal PUBMED/MEDLINE e Web of Science realizada em fevereiro de 2021. A partir da estratégia PICO foi construída a pergunta de pesquisa: Há evidências que gestantes/puérperas pretas com COVID-19, tratadas em ambiente hospitalar, quando comparadas às gestantes brancas, evoluem com mais gravidade (necessidade de internação em Unidade de Terapia Intensiva/Óbito)? Foram utilizados os termos indexados no vocabulário estruturado dos Descritores em Ciências da Saúde (DeCS) e Medical Subject Headings (MeSH terms): “COVID-19” OR “2019-nCoV” AND “Gestante” OR “Cuidado pré-natal” OR “gravidez” AND “Raça” OR “Grupos Raciais” OR “Racismo” OR “Iniquidades Sociais” OR “Afro-americano” AND “Hospitalização” OR “Unidade de Internação” AND “Morte” OR “Causas de Morte” OR “Morte Materna” OR “Unidades de Terapia Intensiva”. Resultados: foram identificados seis estudos, realizados nos Estados Unidos da América (três estudos), Reino Unido (um estudo) e Brasil (dois estudos) e apenas um deles foi classificado com nível de evidência 4, sendo os demais de nível 6. Todos os estudos eram observacionais, muitas vezes com amostras pequenas e grupos étnicos variados, não permitindo conclusões efetivas. Dois estudos brasileiros que utilizaram banco de dados secundários e de base populacional encontraram a raça/cor preta como fator de risco para COVID-19 grave. Conclusão: com os estudos analisados, não foi possível estabelecer clara relação entre raça/cor e desfechos negativos (necessidade de internação em Unidade de Terapia Intensiva/óbito) da COVID-19 entre gestantes/puérperas.Research, Society and Development2021-05-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1553110.33448/rsd-v10i6.15531Research, Society and Development; Vol. 10 No. 6; e6710615531Research, Society and Development; Vol. 10 Núm. 6; e6710615531Research, Society and Development; v. 10 n. 6; e67106155312525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/15531/13782Copyright (c) 2021 Gustavo Gonçalves dos Santos; Luis Henrique de Andrade; Anna Paula Frassom da Silva Magaton; Cristina Maria Garcia de Lima Paradahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Gustavo Gonçalves dos Andrade, Luis Henrique de Parada, Cristina Maria Garcia de Lima Magaton, Anna Paula Frassom da Silva 2021-06-10T22:51:46Zoai:ojs.pkp.sfu.ca:article/15531Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:36:20.186496Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review Efectos del COVID-19 entre las embarazadas negras y mulatas: Revisión de literatura integradora Efeitos da COVID-19 entre gestantes pretas e pardas: Revisão integrativa da literatura |
title |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
spellingShingle |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review Santos, Gustavo Gonçalves dos COVID-19 Gestante Racismo Raza Muerte. COVID-19 Pregnant Woman Race Racism Death. COVID-19 Gestante Raça Racismo Morte. |
title_short |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
title_full |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
title_fullStr |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
title_full_unstemmed |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
title_sort |
Effects of COVID-19 among black and mulatto pregnant women: Integrative literature review |
author |
Santos, Gustavo Gonçalves dos |
author_facet |
Santos, Gustavo Gonçalves dos Andrade, Luis Henrique de Parada, Cristina Maria Garcia de Lima Magaton, Anna Paula Frassom da Silva |
author_role |
author |
author2 |
Andrade, Luis Henrique de Parada, Cristina Maria Garcia de Lima Magaton, Anna Paula Frassom da Silva |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Gustavo Gonçalves dos Andrade, Luis Henrique de Parada, Cristina Maria Garcia de Lima Magaton, Anna Paula Frassom da Silva |
dc.subject.por.fl_str_mv |
COVID-19 Gestante Racismo Raza Muerte. COVID-19 Pregnant Woman Race Racism Death. COVID-19 Gestante Raça Racismo Morte. |
topic |
COVID-19 Gestante Racismo Raza Muerte. COVID-19 Pregnant Woman Race Racism Death. COVID-19 Gestante Raça Racismo Morte. |
description |
Objective: to identify and analyze the scientific production on the evolution of COVID-19 in pregnant/puerperal women according to skin color/race. Methodology: this is an Integrative Literature Review (ILR), with a search in the EMBASE, LILACS, PUBMED/MEDLINE and Web of Science databases conducted in February 2021. From the PICO strategy the research question was constructed: Is there evidence that black pregnant women/puerperal women with COVID-19, treated in a hospital setting, when compared to white pregnant women, evolve with more severity (need for admission to the Intensive Care Unit/death)? The terms indexed in the structured vocabulary of the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH terms) were used: "COVID-19" OR "2019-nCoV" AND "Pregnant Woman" OR "Prenatal Care" OR "pregnancy" AND "Race" OR "Racial Groups" OR "Racism" OR "Social Inequities" OR "African American" AND "Hospitalization" OR "Inpatient Unit" AND "Death" OR "Causes of Death" OR "Maternal Death" OR "Intensive Care Units". Results: Six studies were identified, conducted in the United States of America (three studies), United Kingdom (one study), and Brazil (two studies), and only one of them was classified as level of evidence 4, the others as level 6. All studies were observational, often with small samples and varied ethnic groups, not allowing effective conclusions. Two Brazilian studies that used secondary, population-based databases found black race/color to be a risk factor for severe COVID-19. Conclusion: With the studies analyzed, it was not possible to establish a clear relationship between race/color and negative outcomes (need for admission to the intensive care unit/death) of COVID-19 among pregnant/puerperal women. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15531 10.33448/rsd-v10i6.15531 |
url |
https://rsdjournal.org/index.php/rsd/article/view/15531 |
identifier_str_mv |
10.33448/rsd-v10i6.15531 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/15531/13782 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 6; e6710615531 Research, Society and Development; Vol. 10 Núm. 6; e6710615531 Research, Society and Development; v. 10 n. 6; e6710615531 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052806789595136 |