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Explaining Racial Disparities in Infant Health in Brazil.
MedLine Citation:
PMID:  23409894     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. We sought to quantify how socioeconomic, health care, demographic, and geographic effects explain racial disparities in low birth weight (LBW) and preterm birth (PTB) rates in Brazil. Methods. We employed a sample of 8949 infants born between 1995 and 2009 in 15 cities and 7 provinces in Brazil. We focused on disparities in LBW (< 2500 g) and PTB (< 37 gestational weeks) prevalence between infants of African ancestry alone or African mixed with other ancestries, and European ancestry alone. We used a decomposition model to quantify the contributions of conceptually relevant factors to these disparities. Results. The model explained 45% to 94% of LBW and 64% to 94% of PTB disparities between the African ancestry groups and European ancestry. Differences in prenatal care use and geographic location were the most important contributors, followed by socioeconomic differences. The model explained the majority of the disparities for mixed African ancestry and part of the disparity for African ancestry alone. Conclusions. Public policies to improve children's health should target prenatal care and geographic location differences to reduce health disparities between infants of African and European ancestries in Brazil. (Am J Public Health. Published online ahead of print February 14, 2013: e1-e10. doi:10.2105/AJPH.2012.301021).
Authors:
Kwame A Nyarko; Jorge Lopez-Camelo; Eduardo E Castilla; George L Wehby
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-14
Journal Detail:
Title:  American journal of public health     Volume:  -     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Kwame A. Nyarko and George L. Wehby are with the Department of Health Management and Policy, University of Iowa, Iowa City. Jorge Lopez-Camelo and Eduardo E. Castilla are with Estudio Colaborativo Latino Americano de Malformaciones Congenitas (ECLAMC), Centro de Educación Médica e Investigación Clínica, Buenos Aires, Argentina, and ECLAMC, Laboratório de Epidemiologia de Malformações Congênitas, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
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