Evidence map›Paper›PMID 29442278›Full record

ArticleMaternal and child health journal2018

Racial/Ethnic Inequities in Low Birth Weight and Preterm Birth: The Role of Multiple Forms of Stress.

Joanna Almeida, Laia Bécares, Kristin Erbetta, Vani R Bettegowda, Indu B Ahluwalia

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% 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

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Place-Based Structural Disadvantage, Lethal Police Violence, and Adverse Birth Outcomes Among Black Birthing People.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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  18. Social needs and healthcare utilization in NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  19. Article
  20. Racial and ethnic socioenvironmental inequity and neuroimaging in psychiatry: a brief review of the past and recommendations for the future.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review

6 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

5 authors at 4 institutions in 2 countries.

Joanna AlmeidaSimmons School of Social Work, Simmons College, Boston, MA, USA. Joanna.almeida@simmons.edu.ORCID http://orcid.org/0000-0003-3244-6923
Laia BécaresUniversity of Manchester, Manchester, UK.
Kristin ErbettaSimmons School of Social Work, Simmons College, Boston, MA, USA.
Vani R BettegowdaPerinatal Data Center, March of Dimes Foundation, White Plains, NY, USA.
Indu B AhluwaliaNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control & Prevention, Atlanta, GA, USA.
Simmons University · USCenters for Disease Control and Prevention · USMarch of Dimes · USUniversity of Manchester · GB

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Introduction Racial/ethnic inequities in low birth weight (LBW) and preterm birth (PTB) persist in the United States. Research has identified numerous risk factors for adverse birth outcomes; however, they do not fully explain the occurrence of, or inequalities in PTB/LBW. Stress has been proposed as one explanation for differences in LBW and PTB by race/ethnicity. Methods Using the Pregnancy Risk Assessment Monitoring System (PRAMS) data from 2012 to 2013 for 21 states and one city (n = 15,915) we used Poisson regression to estimate the association between acute, financial and relationship stressors and LBW and PTB, and to examine the contribution of these stressors individually and simultaneously to racial/ethnic differences in LBW and PTB. Results Adjusting for age and race/ethnicity, acute (p < 0.001), financial (p < 0.001) and relationship (p < 0.05) stressors were associated with increased risk of LBW, but only acute (p < 0.05) and financial (p < 0.01) stress increased risk of PTB. Across all models, non-Hispanic blacks had higher risk of LBW and PTB relative to non-Hispanic whites (IRR 1.87, 95% CI 1.55, 2.27 and IRR 1.46, 95% CI 1.18, 1.79). Accounting for the effects of stressors attenuated the risk of LBW and PTB by 17 and 22% respectively, but did not fully explain the increased likelihood of LBW and PTB among non-Hispanic blacks. Discussion Results of this study demonstrate that stress may increase the risk of LBW and PTB. While stressors may contribute to racial/ethnic differences in LBW and PTB, they do not fully explain them. Mitigating stress during pregnancy may help promote healthier birth outcomes and reduce racial/ethnic inequities in LBW and PTB.

Indexed as

IncomeInfant, Low Birth WeightAdultBlack or African AmericanFemaleHispanic or LatinoHumansInfant, NewbornInterpersonal RelationsPregnancyPregnancy OutcomePremature BirthRacial GroupsSocial ClassSocial SupportSocioeconomic FactorsAdverse birth outcomesLow birth weightPreterm birthPsychosocial stressorsRacial/ethnic inequities

Identifiers

PMID29442278
PMCPMC10998226
OpenAlexW2789109496

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.