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

被引：34
|
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
收藏
页码：208 / 216
页数：9
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