Evidence map›Paper›PMID 26313046›Full record

ArticleAmerican journal of public health2015

Explaining racial disparities in infant health in Brazil.

Kwame A Nyarko, Jorge Lopez-Camelo, Eduardo E Castilla, George L Wehby

Open access · greenAbstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 35 citations in OpenAlex.

  1. Temporal and spatial analysis of low birth weight cases in Sergipe.Revista latino-americana de enfermagem · 2026
    Article
  2. Racial inequality in perinatal outcomes in two Brazilian birth cohorts.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kwame A NyarkoKwame 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.
Jorge Lopez-CameloKwame 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.
Eduardo E CastillaKwame 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.
George L WehbyKwame 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.
Instituto Nacional de Biodiversidad · EC

Funding

Effects of oral clefts on birth outcomes and cleft risks due to maternal smokingR03DE018394 · NIDCR · UNIVERSITY OF IOWA · PI WEHBY, GEORGE L · 2007 to 2008
$295k
Identifying determinants of birth outcomes in South AmericaR03TW008110 · FIC · UNIVERSITY OF IOWA · PI WEHBY, GEORGE L · 2010 to 2012
$118k
FIC NIH HHS 5R03 TW 008110FIC NIH HHS R03 TW008110NIDCR NIH HHS 1R03 DE018394NIDCR NIH HHS R03 DE018394
6 · The paper itself

Abstract

objectivesWe 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.

methodsWe 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.

resultsThe 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.

conclusionsPublic 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.

Indexed as

Health Status DisparitiesInfant, Low Birth WeightBlack PeopleBrazilFemaleHealth Services AccessibilityHumansInfant, NewbornMalePremature BirthPrenatal CarePrevalenceRacial GroupsSocioeconomic FactorsWhite People

Identifiers

PMID26313046
PMCPMC4561610
OpenAlexW2177330859

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.