ArticlePloS one2017
Social disadvantage and the black-white disparity in spontaneous preterm delivery among California births.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Trial
- The Association Between Structural Disadvantage and Adverse Birth Outcomes: Analyzing Preterm Birth and Low Birth Weight Using the Structural Racism Effect Index.Journal of racial and ethnic health disparities · 2026Article
- The probability of preterm or early term second live births in the southern U.S. State of Georgia, 2011-2020.BMC pregnancy and childbirth · 2025Article
- Persistence of Racial and Ethnic Disparities in Adverse Maternal and Birth Outcomes Among Physicians.O&G open · 2025Article
- Association of maternal education, neighborhood deprivation, and racial segregation with gestational age at birth by maternal race/ethnicity and United States Census region in the ECHO cohorts.Frontiers in public health · 2023Article
- 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
- Multilevel social factors and NICU quality of care in California.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Associations between historical redlining and birth outcomes from 2006 through 2015 in California.PloS one · 2020Article
- Ethnic differences in singleton preterm birth in England and Wales, 2006-12: Analysis of national routinely collected data.Paediatric and perinatal epidemiology · 2019Article
- Short interpregnancy interval as a risk factor for preterm birth in non-Hispanic Black and White women in California.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Aberrant structural and functional connectivity and neurodevelopmental impairment in preterm children.Journal of neurodevelopmental disorders · 2018Review
- Social Adversity and Cognitive, Language, and Motor Development of Very Preterm Children from 2 to 5 Years of Age.The Journal of pediatrics · 2018Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
We examined the contribution of social disadvantage to the black-white disparity in preterm birth. Analyses included linked vital and hospital discharge records from 127,358 black and 615,721 white singleton California births from 2007-11. Odds ratios (OR) were estimated by 4 logistic regression models for 2 outcomes: early (<32 wks) and moderate (32-36 wks) spontaneous preterm birth (ePTB, mPTB), stratified by 2 race-ethnicity groups (blacks and whites). We then conducted a potential impact analysis. The OR for less than high school education (vs. college degree) was 1.8 (95% confidence interval 1.6, 2.1) for ePTB among whites but smaller for the other 3 outcome groups (ORs 1.3-1.4). For all 4 groups, higher census tract poverty was associated with increased odds (ORs 1.03-1.05 per 9% change in poverty). Associations were less noteworthy for the other variables (payer, and tract percent black and Gini index of income inequality). Setting 3 factors (education, poverty, payer) to 'favorable' values was associated with lower predicted probability of ePTB (25% lower among blacks, 31% among whites) but a 9% higher disparity, compared to probabilities based on observed values; for mPTB, respective percentages were 28% and 13% lower probability, and 17% lower disparity. Results suggest that social determinants contribute to preterm delivery and its disparities, and that future studies should focus on ePTB and more specific factors related to social circumstances.
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