Document Detail


Explaining racial disparities in infant health in Brazil.
MedLine Citation:
PMID:  23409894     Owner:  NLM     Status:  MEDLINE    
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.
Authors:
Kwame A Nyarko; Jorge Lopez-Camelo; Eduardo E Castilla; George L Wehby
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2013-02-14
Journal Detail:
Title:  American journal of public health     Volume:  103     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-08-08     Completed Date:  2013-11-13     Revised Date:  2014-09-02    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1675-84     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Continental Ancestry Group / statistics & numerical data
Brazil / epidemiology
Continental Population Groups / statistics & numerical data*
European Continental Ancestry Group / statistics & numerical data
Female
Health Status Disparities*
Humans
Infant
Infant Welfare / statistics & numerical data*
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Male
Maternal Age
Middle Aged
Prenatal Care / utilization
Socioeconomic Factors
Young Adult
Grant Support
ID/Acronym/Agency:
1R03 DE018394/DE/NIDCR NIH HHS; 5R03 TW 008110/TW/FIC NIH HHS; R03 DE018394/DE/NIDCR NIH HHS; R03 TW008110/TW/FIC NIH HHS
Comments/Corrections

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