ArticleSSM - population health2016
The interplay of race, socioeconomic status and neighborhood residence upon birth outcomes in a high black infant mortality community.
Article in SSM - population health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic evidence map on the association between exposure to personal care products and fetal growth.Environment international · 2026Pooled it
- Applying mixtures methodology to analyze how exposure to structural racism and economic disadvantage affect perinatal health outcomes: an ECHO study.American journal of epidemiology · 2026Article
- Article
- A National Study of the Associations between Hormonal Modulators in Hydraulic Fracturing Fluid Chemicals and Birth Outcomes in the United States of America: A County-Level Analysis.Environmental health perspectives · 2024Article
- Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort.International journal of environmental research and public health · 2023Article
- Neonatal mortality and disparities within the military health system.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- The Black-White Disparity in Preterm Birth: Race or Racism?The Milbank quarterly · 2023Article
- Factors that influence treatment decisions: A qualitative study of racially and ethnically diverse patients with low- and very-low risk prostate cancer.Cancer medicine · 2023Article
- County-level jail incarceration, community economic distress, rurality, and preterm birth among women in the US South.Journal of clinical and translational science · 2023Article
- Associations between low Apgar scores and mortality by race in the United States: A cohort study of 6,809,653 infants.PLoS medicine · 2022Article
- Associations between combined exposure to environmental hazards and social stressors at the neighborhood level and individual perinatal outcomes in the ECHO-wide cohort.Health & place · 2022Article
- Reconsidering the Utility of Race-Specific Lung Function Prediction Equations.American journal of respiratory and critical care medicine · 2022Observational
- Developmental Origins of Pregnancy-Related Morbidity and Mortality in Black U.S. Women.Frontiers in public health · 2022Article
- Racial/ethnic and educational inequities in restrictive abortion policy variation and adverse birth outcomes in the United States.BMC health services research · 2021Article
- Maternal region of origin and Small for gestational age: a cross-sectional analysis of Victorian perinatal data.BMC pregnancy and childbirth · 2021Article
- Hair Cortisol Concentration and Perceived Chronic Stress in Low-Income Urban Pregnant and Postpartum Black Women.Journal of racial and ethnic health disparities · 2021Article
- Explaining the Black-White Disparity in Preterm Birth: A Consensus Statement From a Multi-Disciplinary Scientific Work Group Convened by the March of Dimes.Frontiers in reproductive health · 2021Review
- Family Income and Gang Presence in the Neighborhood: Diminished Returns of Black Families.Urban science (Basel, Switzerland) · 2020Article
- Socioeconomic Status, Preeclampsia Risk and Gestational Length in Black and White Women.Journal of racial and ethnic health disparities · 2019Article
- Neighborhood Poverty and Pediatric Intensive Care Use.Pediatrics · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study examined the interrelationship of race and socioeconomic status (SES) upon infant birthweight at the individual and neighborhood levels within a Midwestern US county marked by high Black infant mortality. The study conducted a multi-level analysis utilizing individual birth records and census tract datasets from 2010, linked through a spatial join with ArcGIS 10.0. The maternal population of 2861 Black and White women delivering infants in 2010, residing in 57 census tracts within the county, constituted the study samples. The main outcome was infant birthweight. The predictors, race and SES were dichotomized into Black and White, low-SES and higher-SES, at both the individual and census tract levels. A two-part Bayesian model demonstrated that individual-level race and SES were more influential birthweight predictors than community-level factors. Specifically, Black women had 1.6 higher odds of delivering a low birthweight (LBW) infant than White women, and low-SES women had 1.7 higher odds of delivering a LBW infant than higher-SES women. Moderate support was found for a three-way interaction between individual-level race, SES and community-level race, such that Black women achieved equity with White women (4.0% Black LBW and 4.1% White LBW) when they each had higher-SES and lived in a racially congruous neighborhood (e.g., Black women lived in disproportionately Black neighborhood and White women lived in disproportionately White neighborhood). In sharp contrast, Black women with higher-SES who lived in a racially incongruous neighborhood (e.g., disproportionately White) had the worst outcomes (14.5% LBW). Demonstrating the layered influence of personal and community circumstances upon health, in a community with substantial racial disparities, personal race and SES independently contribute to birth outcomes, while environmental context, specifically neighborhood racial congruity, is associated with mitigated health risk.
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Registered trials
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.