Racial and ethnic disparities in birth Outcomes: A decomposition analysis of contributing factors

Su, Dejun; Samson, Kaeli; Hanson, Corrine; Berry, Ann L. Anderson; Li, Yan; Shi, Lu; Zhang, Donglan

doi:10.1016/j.pmedr.2021.101456

Cited by 13 publications

(10 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…to the observed disparities in PTB and LBW between non-Hispanic White and non-Hispanic Black women, followed by health insurance coverage. 65 Southern rural residents, when compared as groups, encounter barriers unique to living in remote regions. They are more likely to be 29,66,67 Low socioeconomic status, limited access, and/or nonavailability of care in Georgia [14][15][16][17]25 may shape lifestyle choices and contribute to chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, maternal educational attainment significantly lowered the odds of PTB and LBW, and lack of health insurance increased the odds. Another recent study demonstrated that education can contribute about 10% to the observed disparities in PTB and LBW between non‐Hispanic White and non‐Hispanic Black women, followed by health insurance coverage 65 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sociodemographic disparities in preterm birth and low birthweight in the State of Georgia: Results from the 2017‐2018 Pregnancy Risk Assessment Monitoring System

Kondracki

Reddick

Smith

et al. 2022

The Journal of Rural Health

View full text Add to dashboard Cite

Purpose To update the overall prevalence of preterm birth (PTB) (<37 weeks gestation) and low birthweight (LBW) (<2,500 g) in the State of Georgia, including rural and urban counties. Methods A sample was drawn from the 2017‐2018 Georgia Pregnancy Risk Assessment Monitoring System (PRAMS). In the complete‐case data of singleton births (n=1,258), we estimated the weighted percentage prevalence of PTB, LBW, early/late PTB, and moderately/very LBW subcategories in association with maternal sociodemographic characteristics, and the prevalence stratified by rural/urban county of residence. Univariate and multivariate logistic regression models were fitted to estimate the odds ratios (ORs) of PTB and LBW adjusting for selected covariates. Logistic regression results from multiple imputation by chained equations (MICE) were used for comparison. Findings The overall rate for PTB was 9.3% and 6.8% for LBW and among them, 2.3% were early PTB, 7.0% were late PTB, 5.4% were moderately LBW (MLBW), and 1.3% were very LBW (VLBW). Non‐Hispanic Black women had the highest prevalence of PTB, LBW, early PTB, MLBW, and VLBW, as well as PTB and LBW in urban counties and LBW in rural counties. The odds of PTB (aOR 1.38; 95% CI: 0.81, 2.35) and LBW (aOR 2.68; 95% CI: 1.32, 5.43) were also higher among non‐Hispanic Black relative to non‐Hispanic White women and among women who received adequate‐plus prenatal care compared to inadequate prenatal care. Conclusions Socioeconomic and health disparities created by disadvantage should be a focus of state policy to improve neonatal outcomes in the State of Georgia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sociodemographic disparities in preterm birth and low birthweight in the State of Georgia: Results from the 2017‐2018 Pregnancy Risk Assessment Monitoring System

Kondracki

Reddick

Smith

et al. 2022

The Journal of Rural Health

View full text Add to dashboard Cite

show abstract

“…Race is a social construct that has been associated with both distance decay and birth outcomes in prior research. 24,25 Metropolitan compared with nonmetropolitan county of residence was defined using the Urban Influence Code developed by the U.S. Department of Agriculture, which differentiates counties based on the population size of the county's metro area or the size and proximity to the nearest metro area. 26 Data were missing on at least one model variable in 49,833 (7.5%) of the birth records.…”

Section: Methodsmentioning

confidence: 99%

Association of Driving Distance to Maternity Hospitals and Maternal and Perinatal Outcomes

Minion

Brooks

Méndez

et al. 2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…Racial segregation in Douglas County, Nebraska, continued to exist in 2010, where the Non-Hispanic Black population is still clustered towards the north and the Hispanic/Latino population in the south [20]. Despite growing evidence on the race/ethnic disparities in Douglas County, Nebraska [21], there has been a limited focus on the disparities associated with pediatric asthma. Additionally, the existing literature either focused on the potential role of SDoH on differential environmental exposure or outcomes.…”

Section: Introductionmentioning

confidence: 99%

Role of social determinants of health in differential respiratory exposure and health outcomes among children

et al. 2023

View full text Add to dashboard Cite

Background Attributes defining the Social Determinants of Health (SDoH) are associated with disproportionate exposures to environmental hazards and differential health outcomes among communities. The dynamics between SDoH, disproportionate environmental exposures, and differential health outcomes are often specific to micro-geographic areas. Methods This study focused on children less than 20 years of age who lived in Douglas County, Nebraska, during 2016–2019. To assess the role of SDoH in differential exposures, we evaluated the association between SDoH metrics and criteria pollutant concentrations and the association between SDoH and pediatric asthma exacerbations to quantify the role of SDoH in differential pediatric asthma outcomes. The Bayesian Poisson regression model with spatial random effects was used to evaluate associations. Results We identified significant positive associations between the annual mean concentration of criteria pollutants (carbon monoxide, particulate matter2.5, nitrogen dioxide, sulfur dioxide) with race (Non-Hispanic Black and Hispanic/Latino), financial stability, and literacy. Additionally, there were significant positive associations between higher rates of pediatric asthma emergency department visits and neighborhoods with more Non-Hispanic Black children, children without health insurance coverage, and households without access to a vehicle. Conclusions Non-Hispanic Black and Hispanic/Latino children living in Douglas County, NE experience disproportionately higher exposure to criteria pollutant concentrations. Additionally, higher rates of asthma exacerbations among Non-Hispanic Black children could be due to reduced access to respiratory care that is potentially the result of financial instability and vehicle access. These results could inform city planners and health care providers to mitigate respiratory risks among these higher at-risk populations.

show abstract

Racial and ethnic disparities in birth Outcomes: A decomposition analysis of contributing factors

Cited by 13 publications

References 47 publications

Sociodemographic disparities in preterm birth and low birthweight in the State of Georgia: Results from the 2017‐2018 Pregnancy Risk Assessment Monitoring System

Sociodemographic disparities in preterm birth and low birthweight in the State of Georgia: Results from the 2017‐2018 Pregnancy Risk Assessment Monitoring System

Association of Driving Distance to Maternity Hospitals and Maternal and Perinatal Outcomes

Role of social determinants of health in differential respiratory exposure and health outcomes among children

Contact Info

Product

Resources

About