| Black-white preterm birth disparity: a marker of inequality. | |
| | |
MedLine Citation:
|
PMID: 18940633 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The racial disparity in preterm birth (PTB) is a persistent feature of perinatal epidemiology. Its consistency is not only an outcome of reproductive interest but may function as a persistent inequality to which women are exposed over time. Herein we sought to analyze exposure to area-level PTB disparity and its association with individual-level PTB risk. METHODS: Using geocoded birth records (1999-2001) and year 2000 census data for Wake County, North Carolina, we created a tract-level PTB disparity variable for each woman in our study area, comprising all births in her tract excluding her birth. Multilevel random intercept models for exposure to neighborhood PTB disparity and odds of PTB were fit. RESULTS: Exposure to area-level PTB disparity was associated with increased odds of PTB for all women. After adjustment for maternal and neighborhood covariates, odds of delivering preterm increased by 25%, 26%, and 36% for the second, third, and fourth quartiles of exposure to PTB disparity (odds ratio [OR]=1.25, 95% confidence interval [CI]: 1.00-1.57; OR=1.26, 95% CI: 1.01-1.58; and OR=1.36, 95% CI: 1.06-1.75, respectively). CONCLUSIONS: Exposure to persistent inequality, in the form of PTB disparity, appears associated with individual-level PTB risk. Knowing where PTB disparity is greatest has implications for PTB prevention policy efforts to buffer adverse conditions. |
| | |
Authors:
|
Lynne C Messer; Jay S Kaufman; Pauline Mendola; Barbara A Laraia |
Related Documents
:
|
17338843 - Effect of the sars outbreak on visits to a community hospital emergency department. 18591303 - Delivery mode and severe intraventricular hemorrhage in single, very low birth weight, ... 9692603 - Nosocomial outbreak of colonization and infection with stenotrophomonas maltophilia in ... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Annals of epidemiology Volume: 18 ISSN: 1873-2585 ISO Abbreviation: Ann Epidemiol Publication Date: 2008 Nov |
Date Detail:
|
Created Date: 2008-10-22 Completed Date: 2008-11-26 Revised Date: 2011-05-02 |
Medline Journal Info:
|
Nlm Unique ID: 9100013 Medline TA: Ann Epidemiol Country: United States |
Other Details:
|
Languages: eng Pagination: 851-8 Citation Subset: IM |
Affiliation:
|
Health Inequalities Program, Center for Health Policy, Duke Global Health Institute, Duke University, Durham, NC 27708, USA. lynne.messer@duke.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult African Americans* European Continental Ancestry Group* Female Health Status Disparities* Humans Infant, Newborn Middle Aged North Carolina / epidemiology Odds Ratio Pregnancy Premature Birth / ethnology*, etiology Residence Characteristics Socioeconomic Factors |
| Grant Support | |
ID/Acronym/Agency:
|
K01 HD047122-01A1/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The association of hip circumference with incident hip fracture in a cohort of postmenopausal women:...
Next Document: Anatomy and physiology of feeding and swallowing: normal and abnormal.