Evidence map›Paper›PMID 28818300›Full record

ReviewSeminars in perinatology2017

Birth outcome racial disparities: A result of intersecting social and environmental factors.

Heather H Burris, Michele R Hacker

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 1% 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

137 citing papers in PubMed, 2 syntheses or guidelines pooled it, 229 citations in OpenAlex.

  1. Pooled it
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  12. Observational
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  14. Article
  15. Environmental Risk and Adverse Perinatal Health Indicators in New York City: A Geospatial Hotspot Analysis.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  16. Postpartum care receipt among parents of infants admitted to a freestanding children's hospital neonatal intensive care unit (NICU).Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  17. Article
  18. Article
  19. Current approaches and advances in placental toxicology.Trends in endocrinology and metabolism: TEM · 2026
    Review
  20. Periconceptual Caffeine Intake and Adverse Pregnancy Outcomes: Results From the nuMoM2b Cohort.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article

77 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Heather H BurrisDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Department of Obstetrics, Gynecology and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA. Electronic address: heburris@bidmc.harvard.edu.
Michele R HackerDepartment of Obstetrics, Gynecology and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA.
Beth Israel Deaconess Medical Center · USHarvard University · US

Funding

The Toxic Environment and the Epigenetics of Fetal GrowthK23ES022242 · NIEHS · CHILDREN'S HOSP OF PHILADELPHIA · PI BURRIS, HEATHER HERSON · 2013 to 2017
$790k
NIEHS NIH HHS K23 ES022242
6 · The paper itself

Abstract

Adverse birth outcomes such as preterm birth, low-birth weight, and infant mortality continue to disproportionately affect black and poor infants in the United States. Improvements in healthcare quality and access have not eliminated these disparities. The objective of this review was to consider societal factors, including suboptimal education, income inequality, and residential segregation, that together lead to toxic environmental exposures and psychosocial stress. Many toxic chemicals, as well as psychosocial stress, contribute to the risk of adverse birth outcomes and black women often are more highly exposed than white women. The extent to which environmental exposures combine with stress and culminate in racial disparities in birth outcomes has not been quantified but is likely substantial. Primary prevention of adverse birth outcomes and elimination of disparities will require a societal approach to improve education quality, income equity, and neighborhoods.

Indexed as

Environmental ExposureHealth Status DisparitiesIncomeInfant, Low Birth WeightSocial ClassSocial SegregationHousingHumansInfantInfant MortalityInfant, NewbornPremature BirthResidence CharacteristicsStress, PsychologicalEnvironmental healthLow birth weightPreterm birthPsychosocial stressRacial disparitiesSocial epidemiology

Identifiers

PMID28818300
PMCPMC5657505
OpenAlexW2748789850

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.