Racial residential segregation and racial disparities in stillbirth in the United States

被引：41

作者：

Williams, Andrew D. ^{[1
]}

Wallace, Maeve ^{[2
]}

Nobles, Carrie ^{[1
]}

Mendola, Pauline ^{[1
]}

机构：

[1] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Div Intramural Populat Hlth Res, Epidemiol Branch, 6710B Rockledge, Bethesda, MD 20892 USA

[2] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Global Community Hlth & Behav Sci, 1440 Canal St,Suite 2210, New Orleans, LA 70117 USA

来源：

HEALTH & PLACE | 2018年 / 51卷

基金：

美国国家卫生研究院;

关键词：

Racial residential segregation; Stillbirth; Racial disparities; Structural racism; INFANT-MORTALITY; STRUCTURAL RACISM; RISK-FACTORS; JIM-CROW; HEALTH; POPULATION; RATES; INEQUITIES; PREGNANCY; POVERTY;

D O I：

10.1016/j.healthplace.2018.04.005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We examined whether current and/or persistent racial residential segregation is associated with black-white stillbirth disparities among 49,969 black and 71,785 white births from the Consortium on Safe Labor (2002-2008). Black-white segregation was measured using the dissimilarity index and the isolation index, categorized into population-based tertiles. Using hierarchical logistic models, we found low and decreasing levels of segregation were associated with decreased odds of stillbirth, with blacks benefitting more than whites. Decreasing segregation may prevent approximately 900 stillbirths annually among U.S. blacks. Reducing structural racism, segregation in particular, could help reduce black-white stillbirth disparities.

引用

页码：208 / 216

页数：9

共 48 条

[1] Future directions in residential segregation and health research: A multilevel approach [J].

Acevedo-Garcia, D ;

Lochner, KA ;

Osypuk, TL ;

Subramanian, SV .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (02) :215-221

[2]

Almond DV, 2006, 0704 MIT

[3] Does Segregation Lead to Lower Birth Weight? An Instrumental Variable Approach [J].

Austin, Nichole ;

Harper, Sam ;

Strumpf, Erin .

EPIDEMIOLOGY, 2016, 27 (05) :682-689

[4] Structural racism and health inequities in the USA: evidence and interventions [J].

Bailey, Zinzi D. ;

Krieger, Nancy ;

Agenor, Madina ;

Graves, Jasmine ;

Linos, Natalia ;

Bassett, Mary T. .

LANCET, 2017, 389 (10077) :1453-1463

[5] SEPARATE BLACK-AND-WHITE INFANT-MORTALITY MODELS - DIFFERENCES IN THE IMPORTANCE OF STRUCTURAL VARIABLES [J].

BIRD, ST .

SOCIAL SCIENCE & MEDICINE, 1995, 41 (11) :1507-1512

[6] What is Health Equity: And How Does a Life-Course Approach Take Us Further Toward It? [J].

Braveman, Paula .

MATERNAL AND CHILD HEALTH JOURNAL, 2014, 18 (02) :366-372

[7]

Brown Robert A., 2012, SOCIAL EC DETERMINAN

[8]

Bureau U. S. C., 2017, POP HOUS UN AR DENS

[9] The convergence in black-white infant mortality rates during the 1960's [J].

Chay, KY ;

Greenstone, M .

AMERICAN ECONOMIC REVIEW, 2000, 90 (02) :326-332

[10] Evaluation of observation-fused regional air quality model results for population air pollution exposure estimation [J].

Chen, Gang ;

Li, Jingyi ;

Ying, Qi ;

Sherman, Seth ;

Perkins, Neil ;

Rajeshwari, Sundaram ;

Mendola, Pauline .

SCIENCE OF THE TOTAL ENVIRONMENT, 2014, 485 :563-574

← 1 2 3 4 5 →