ArticleSocial science & medicine (1982)2010
Metropolitan isolation segregation and Black-White disparities in very preterm birth: a test of mediating pathways and variance explained.
Article in Social science & medicine (1982), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Exposure to Racism and Adverse Pregnancy Outcomes for Black Women: A Systematic Review and Meta-Analysis.Journal of immigrant and minority health · 2025Pooled it
- Measures of Racism and Discrimination in Preterm Birth Studies.Obstetrics and gynecology · 2023Pooled it
- Association of neighborhood context with offspring risk of preterm birth and low birthweight: A systematic review and meta-analysis of population-based studies.Social science & medicine (1982) · 2016Pooled it
- The social determinants of infant mortality and birth outcomes in Western developed nations: a cross-country systematic review.International journal of environmental research and public health · 2013Pooled it
- Disparities in Patterns of Preterm and Early Term Second Births Among Non-Hispanic Black and White Mothers.Paediatric and perinatal epidemiology · 2026Article
- Social-spatial residence patterns and adolescent mental health: Investigating the influences of residential segregation, neighborhood social cohesion, and race on persistent, distressing psychotic-like experiences in the United States.Social science & medicine (1982) · 2025Article
- School Segregation During Adolescence is Associated with Higher 30-Year Cardiovascular Risk of Black but not White Young Adults.Journal of racial and ethnic health disparities · 2025Article
- Slavery, homeownership, and contemporary perinatal outcomes in the southeast: a test of mediation and moderation.American journal of epidemiology · 2024Article
- Structural barriers to health care as risk factors for preterm and small-for-gestational-age birth among US-born Black and White mothers.Health & place · 2024Article
- The Price of Growing Up in a Low-Income Neighborhood: A Scoping Review of Associated Depressive Symptoms and Other Mood Disorders among Children and Adolescents.International journal of environmental research and public health · 2023Article
- Black-White disparities in maternal vulnerability and adverse pregnancy outcomes: an ecological population study in the United States, 2014-2018.Lancet regional health. Americas · 2023Article
- Racial and ethnic disparities in preterm birth: a mediation analysis incorporating mixtures of polybrominated diphenyl ethers.Frontiers in reproductive health · 2023Article
- Analysis of Residential Segregation and Racial and Ethnic Disparities in Severe Maternal Morbidity Before and During the COVID-19 Pandemic.JAMA network open · 2022Article
- Biomarkers of pre-pregnancy allostatic load and subsequent adverse birth outcomes.SSM - population health · 2022Article
- Perinatal Outcomes and Factors Associated with Ethnic Group in cases of Preterm Birth: the Multicenter Study on Preterm Birth in Brazil.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021Article
- Racial and Economic Neighborhood Segregation, Site of Delivery, and Morbidity and Mortality in Neonates Born Very Preterm.The Journal of pediatrics · 2021Article
- Revealing the variations in impact of economic segregation on preterm birth among disaggregated Asian ethnicities across MSAs in the United States: 2015-2017.SSM - population health · 2021Article
- More Than Shelter: Housing for Urban Maternal and Infant Health.International journal of environmental research and public health · 2021Review
- Spatial Variation in Very Preterm Birth to Hispanic Women Across the United States: The Role of Intensified Immigration Enforcement.Ethnicity & disease · 2021Article
- The Diverging Impacts of Segregation on Obesity Risk by Nativity and Neighborhood Poverty Among Hispanic Americans.Journal of racial and ethnic health disparities · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Residential isolation segregation (a measure of residential inter-racial exposure) has been associated with rates of preterm birth (<37 weeks gestation) experienced by Black women. Epidemiologic differences between very preterm (<32 weeks gestation) and moderately preterm births (32-36 weeks) raise questions about whether this association is similar across gestational ages, and through what pathways it might be mediated. Hierarchical Bayesian models were fit to answer three questions: is the isolation-prematurity association similar for very and moderately preterm birth; is this association mediated by maternal chronic disease, socioeconomic status, or metropolitan area crime and poverty rates; and how much of the geographic variation in Black-White very preterm birth disparities is explained by isolation segregation? Singleton births to Black and White women in 231 U.S. metropolitan statistical areas in 2000-2002 were analyzed and isolation segregation was calculated for each. We found that among Black women, isolation is associated with very preterm birth and moderately preterm birth. The association may be partially mediated by individual level socioeconomic characteristics and metropolitan level violent crime rates. There is no association between segregation and prematurity among White women. Isolation segregation explains 28% of the geographic variation in Black-White very preterm birth disparities. Our findings highlight the importance of isolation segregation for the high-burden outcome of very preterm birth, but unexplained excess risk for prematurity among Black women is substantial.
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