Disproportionate Preterm Delivery Among Black Women: a State-Level Analysis
Preterm delivery occurs at extraordinarily higher rates among Black women than among women of any other race or ethnicity. For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantiv...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2020-04, Vol.7 (2), p.290-297 |
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| creator | Santos, Palmira Joglekar, Gitanjali Faughnan, Kristen Darden, Jennifer Hendrich, Ann |
| description | Preterm delivery occurs at extraordinarily higher rates among Black women than among women of any other race or ethnicity. For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantive evidence that the preterm delivery disparity experienced by Black women is associated with ongoing distress caused by racism. Our study examines rates of preterm delivery for Black women in the USA to determine the level of risk associated with living in specific states. Using a logistic regression model, we examined the impact of the delivery state, controlling for known clinical, economic, and demographic risk factors. We found that 32 of the 35 states included in our analysis were associated with a statistically significantly increased risk of preterm delivery among Black women, as compared to the state with the lowest preterm delivery rate for Black women. These findings allowed us to organize states into a continuum of preterm delivery risk. Because of the harmful effects of preterm delivery and its disproportionate impact among Black women and infants, we recommend that a measure of preterm delivery be included in any state plan to assess, intervene in, and monitor racial disparities. |
| doi_str_mv | 10.1007/s40615-019-00657-x |
| format | Article |
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For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantive evidence that the preterm delivery disparity experienced by Black women is associated with ongoing distress caused by racism. Our study examines rates of preterm delivery for Black women in the USA to determine the level of risk associated with living in specific states. Using a logistic regression model, we examined the impact of the delivery state, controlling for known clinical, economic, and demographic risk factors. We found that 32 of the 35 states included in our analysis were associated with a statistically significantly increased risk of preterm delivery among Black women, as compared to the state with the lowest preterm delivery rate for Black women. These findings allowed us to organize states into a continuum of preterm delivery risk. Because of the harmful effects of preterm delivery and its disproportionate impact among Black women and infants, we recommend that a measure of preterm delivery be included in any state plan to assess, intervene in, and monitor racial disparities.</description><identifier>ISSN: 2197-3792</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-019-00657-x</identifier><identifier>PMID: 31768962</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; African Americans - statistics & numerical data ; Black people ; Body mass index ; Datasets ; Demography ; Diabetes ; Disease control ; Eclampsia ; Economic factors ; Epidemiology ; Ethnicity ; Female ; Gestational Age ; Humans ; Hypertension ; Impact analysis ; Infants ; Logistic Models ; Maternal Age ; Medicine ; Medicine & Public Health ; Obesity ; Pregnancy ; Pregnancy Complications - ethnology ; Premature birth ; Premature Birth - ethnology ; Psychological distress ; Quality of Life Research ; Race ; Race factors ; Racial differences ; Racial discrimination ; Racial inequality ; Racism ; Regression analysis ; Regression models ; Risk Factors ; Risk levels ; Smoking - ethnology ; Social Inequality ; Social Structure ; Socioeconomic Factors ; State intervention ; Variables ; Vital statistics ; Women ; Womens health ; Young Adult</subject><ispartof>Journal of racial and ethnic health disparities, 2020-04, Vol.7 (2), p.290-297</ispartof><rights>W. 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Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>Preterm delivery occurs at extraordinarily higher rates among Black women than among women of any other race or ethnicity. For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantive evidence that the preterm delivery disparity experienced by Black women is associated with ongoing distress caused by racism. Our study examines rates of preterm delivery for Black women in the USA to determine the level of risk associated with living in specific states. Using a logistic regression model, we examined the impact of the delivery state, controlling for known clinical, economic, and demographic risk factors. We found that 32 of the 35 states included in our analysis were associated with a statistically significantly increased risk of preterm delivery among Black women, as compared to the state with the lowest preterm delivery rate for Black women. These findings allowed us to organize states into a continuum of preterm delivery risk. Because of the harmful effects of preterm delivery and its disproportionate impact among Black women and infants, we recommend that a measure of preterm delivery be included in any state plan to assess, intervene in, and monitor racial disparities.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Black people</subject><subject>Body mass index</subject><subject>Datasets</subject><subject>Demography</subject><subject>Diabetes</subject><subject>Disease control</subject><subject>Eclampsia</subject><subject>Economic factors</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Impact analysis</subject><subject>Infants</subject><subject>Logistic Models</subject><subject>Maternal Age</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - 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Academic</collection><jtitle>Journal of racial and ethnic health disparities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Santos, Palmira</au><au>Joglekar, Gitanjali</au><au>Faughnan, Kristen</au><au>Darden, Jennifer</au><au>Hendrich, Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disproportionate Preterm Delivery Among Black Women: a State-Level Analysis</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>7</volume><issue>2</issue><spage>290</spage><epage>297</epage><pages>290-297</pages><issn>2197-3792</issn><eissn>2196-8837</eissn><abstract>Preterm delivery occurs at extraordinarily higher rates among Black women than among women of any other race or ethnicity. For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantive evidence that the preterm delivery disparity experienced by Black women is associated with ongoing distress caused by racism. Our study examines rates of preterm delivery for Black women in the USA to determine the level of risk associated with living in specific states. Using a logistic regression model, we examined the impact of the delivery state, controlling for known clinical, economic, and demographic risk factors. We found that 32 of the 35 states included in our analysis were associated with a statistically significantly increased risk of preterm delivery among Black women, as compared to the state with the lowest preterm delivery rate for Black women. These findings allowed us to organize states into a continuum of preterm delivery risk. Because of the harmful effects of preterm delivery and its disproportionate impact among Black women and infants, we recommend that a measure of preterm delivery be included in any state plan to assess, intervene in, and monitor racial disparities.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31768962</pmid><doi>10.1007/s40615-019-00657-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7623-8056</orcidid></addata></record> |
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| source | Ethnic NewsWatch (Alumni) |
| subjects | Adolescent Adult African Americans - statistics & numerical data Black people Body mass index Datasets Demography Diabetes Disease control Eclampsia Economic factors Epidemiology Ethnicity Female Gestational Age Humans Hypertension Impact analysis Infants Logistic Models Maternal Age Medicine Medicine & Public Health Obesity Pregnancy Pregnancy Complications - ethnology Premature birth Premature Birth - ethnology Psychological distress Quality of Life Research Race Race factors Racial differences Racial discrimination Racial inequality Racism Regression analysis Regression models Risk Factors Risk levels Smoking - ethnology Social Inequality Social Structure Socioeconomic Factors State intervention Variables Vital statistics Women Womens health Young Adult |
| title | Disproportionate Preterm Delivery Among Black Women: a State-Level Analysis |
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