ArticleAmerican journal of public health2012
Factors that mediate racial/ethnic disparities in US fetal death rates.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Racial Discrimination and Adverse Birth Outcomes: An Integrative Review.Journal of midwifery & women's health · 2016Pooled it
- Level III neonatal intensive care unit heterogeneity in patients, services, and outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- The Impact of Race and Ethnicity on Congenital Diaphragmatic Hernia 1-Year Mortality.Pediatric pulmonology · 2025Article
- The association of maternal country/region of origin and nativity with infant mortality rate among Hispanic preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Stillbirth After Adolescent and Young Adult Cancer: A Population-Based Study.Journal of the National Cancer Institute · 2022Article
- The Unequal Impact of the COVID-19 Pandemic on Infant Health.Demography · 2022Article
- The Hispanic/Latinx Perinatal Paradox in the United States: A Scoping Review and Recommendations to Guide Future Research.Journal of immigrant and minority health · 2021Article
- Ethnic disparities in stillbirth risk in Yunnan, China: a prospective cohort study, 2010-2018.BMC public health · 2021Article
- Socioeconomic Mediators of Racial and Ethnic Disparities in Congenital Heart Disease Outcomes: A Population-Based Study in California.Journal of the American Heart Association · 2018Article
- Socioeconomic Factors Explain Racial Disparities in Invasive Community-Associated Methicillin-Resistant Staphylococcus aureus Disease Rates.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Article
- The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes.Pediatric research · 2016Review
- Perinatal Disparities Between American Indians and Alaska Natives and Other US Populations: Comparative Changes in Fetal and First Day Mortality, 1995-2008.Maternal and child health journal · 2015Observational
- Morbidity and mortality associated with mode of delivery for breech periviable deliveries.American journal of obstetrics and gynecology · 2015Article
- Trends in childbirth before 39 weeks' gestation without medical indication.Medical care · 2014Article
- Instrumental variable methods for causal inference.Statistics in medicine · 2014Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe sought to determine the importance of socioeconomic factors, maternal comorbid conditions, antepartum and intrapartum complications of pregnancy, and fetal factors in mediating racial disparities in fetal deaths. METHODS. We undertook a mediation analysis on a retrospective cohort study of hospital-based deliveries with a gestational age between 23 and 44 weeks in California, Missouri, and Pennsylvania from 1993 to 2005 (n = 7,104,674).
resultsAmong non-Hispanic Black women and Hispanic women, the fetal death rate was higher than among non-Hispanic White women (5.9 and 3.6 per 1000 deliveries, respectively, vs 2.6 per 1000 deliveries; P < .01). For Black women, fetal factors mediated the largest percentage (49.6%; 95% confidence interval [CI] = 42.7, 54.7) of the disparity in fetal deaths, whereas antepartum and intrapartum factors mediated some of the difference in fetal deaths for both Black and Asian women. Among Hispanic women, socioeconomic factors mediated 35.8% of the disparity in fetal deaths (95% CI = 25.8%, 46.2%).
conclusionsThe factors that mediate racial/ethnic disparities in fetal death differ depending on the racial/ethnic group. Interventions targeting mediating factors specific to racial/ethnic groups, such as improved access to care, may help reduce US fetal death disparities.
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