Neighborhood Context and the Nativity Advantage in Preterm Birth among Black Women in California, USA

Blebu, Bridgette

doi:10.1007/s11524-021-00572-9

Cited by 4 publications

(3 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twenty-two articles (36.7%) 21–42 considered exclusively neighborhood factors, and six of these articles used more than one metric to assess neighborhood measures. In total, 40 metrics of neighborhood-level racial discrimination were used (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Six studies (10%) deployed the NDI as described in the original proposal and validation. 24,28,31,33,34,41 For instance, Blebu et al 24 conducted a principal-component analysis to determine how each measure of deprivation contributed to variance in the sample and created a z-score transformed index score, with higher scores representing higher neighborhood deprivation. Modified versions of the NDI were also included.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Measures of Racism and Discrimination in Preterm Birth Studies

Balascio

Moore

Gongalla

et al. 2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Preterm birth (any birth at less than 37 weeks of gestation) disproportionally affects Black birthing people and is associated with adverse perinatal and fetal health outcomes. Racism increases the risk of preterm birth, but standardized measurement metrics are elusive. This narrative synthesis examines literature on measures of racial discrimination used in preterm birth research.DATA SOURCES: Six databases (CINAHL, Cochrane, EMBASE, PubMed [MEDLINE], Scopus, Web of Science) and ClinicalTrials.gov were searched. Search terms were categorized into three groups (racism terms, measurement terms, preterm birth terms) to identify original research articles that explored associations between racism and preterm birth. English-language, original research articles with U.S. populations were included.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Measures of Racism and Discrimination in Preterm Birth Studies

Balascio

Moore

Gongalla

et al. 2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…CHD survival has been previously associated with several factors, including race, insurance status, and adherence to medical care [ 8 – 11 ]. Furthermore, there is evidence that an individual’s surroundings can have an impact on their health outcomes and likelihood of follow-up, as has been shown in asthma and preterm births [ 12 – 14 ]. Recently, several geospatially linked variables have been validated and have shown to strongly associate with healthcare access and outcomes [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Outcomes Associated with Gaps in Care in Children with Congenital Heart Disease

Rosamilia,

Williams,

Bair

et al. 2024

Pediatr Cardiol

View full text Add to dashboard Cite

Adults with congenital heart disease (CHD) benefit from cardiology follow-up at recommended intervals of ≤ 2 years. However, benefit for children is less clear given limited studies and unclear current guidelines. We hypothesize there are identifiable risks for gaps in cardiology follow-up in children with CHD and that gaps in follow-up are associated with differences in healthcare utilization. Our cohort included children < 10 years old with CHD and a healthcare encounter from 2008 to 2013 at one of four North Carolina (NC) hospitals. We assessed associations between cardiology follow-up and demographics, lesion severity, healthcare access, and educational isolation (EI). We compared healthcare utilization based on follow-up. Overall, 60.4% of 6,969 children received cardiology follow-up within 2 years of initial encounter, including 53.1%, 58.1%, and 79.0% of those with valve, shunt, and severe lesions, respectively. Factors associated with gaps in care included increased drive time to a cardiology clinic (Hazard Ratio (HR) 0.92/15-min increase), EI (HR 0.94/0.2-unit increase), lesion severity (HR 0.48 for shunt/valve vs severe), and older age (HR 0.95/month if < 1 year old and 0.94/year if > 1 year old; p < 0.05). Children with a care gap subsequently had more emergency department (ED) visits (Rate Ratio (RR) 1.59) and fewer inpatient encounters and procedures (RR 0.51, 0.35; p < 0.05). We found novel factors associated with gaps in care for cardiology follow-up in children with CHD and altered health care utilization with a gap. Our findings demonstrate a need to mitigate healthcare barriers and generate clear cardiology follow-up guidelines for children with CHD.

show abstract

African immigrants’ favorable preterm birth rates challenge genetic etiology of the Black-White disparity in preterm birth

Braveman,

Heck,

Dominguez

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

BackgroundWe examined over a million California birth records for 2010 through 2021 to investigate whether disparities in preterm birth (PTB) by nativity and race support the widely held but hitherto unsubstantiated belief that genetic differences explain the persistent Black-White disparity in PTB.MethodsWe examined PTB rates and risk ratios among African-, Caribbean-, and U.S.-born Black women compared to U.S.-born White women. Multivariate analyses adjusted for maternal age, education, number of live births, delivery payer, trimester of prenatal care initiation, pre-pregnancy BMI, smoking, and prevalence of poverty in a woman’s residence census tract; and for paternal education.ResultsIn adjusted analyses, African-born Black women’s PTB rates were no different from those of U.S.-born White women.DiscussionThe results add to prior evidence making a genetic etiology for the racial disparity in PTB unlikely. If genetic differences tied to “race” explained the Black-White disparity in PTB among U.S.-born women, the African immigrants in this study would have had higher rates of PTB, not the lower rates observed. Multiple explanations for the observed patterns and their implications are discussed. Failure to distinguish causes of PTB from causes of the racial disparity in PTB have likely contributed to erroneous attribution of the racial disparity to genetic differences. Based on the literature, unmeasured experiences of racism, including racism-related stress and adverse environmental exposures, are plausible explanations for the PTB disparity between Black and White U.S.-born women. The favorable birth outcomes of African-born Black immigrants may reflect less exposure to racism during sensitive life periods, e.g., childhood, when they were in African countries, where Black people are in the racial majority.

show abstract

Neighborhood Context and the Nativity Advantage in Preterm Birth among Black Women in California, USA

Cited by 4 publications

References 35 publications

Measures of Racism and Discrimination in Preterm Birth Studies

Measures of Racism and Discrimination in Preterm Birth Studies

Risk Factors and Outcomes Associated with Gaps in Care in Children with Congenital Heart Disease

African immigrants’ favorable preterm birth rates challenge genetic etiology of the Black-White disparity in preterm birth

Contact Info

Product

Resources

About