Evidence map›Paper›PMID 31193960›Full record

ArticleSSM - population health2019

Racial and ethnic disparities in adverse birth outcomes: Differences by racial residential segregation.

Renee Mehra, Danya E Keene, Trace S Kershaw, Jeannette R Ickovics, Joshua L Warren

Open access · goldAbstract read
In one paragraph

Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
10.1field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 47 citations in OpenAlex.

  1. Racialized Economic Segregation and Disparities in the Risk of Stillbirth.Journal of racial and ethnic health disparities · 2026
    Article
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  12. The Affordable Rental Housing Crisis and Population Health Equity: a Multidimensional and Multilevel Framework.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Review
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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 1 institution in 1 country.

Renee MehraDepartment of Chronic Disease Epidemiology, Yale School of Public Health, 60 College St, New Haven, CT 06510, United States.
Danya E KeeneDepartment of Social and Behavioral Sciences, Yale School of Public Health, 60 College St, New Haven, CT 06510, United States.
Trace S KershawDepartment of Social and Behavioral Sciences, Yale School of Public Health, 60 College St, New Haven, CT 06510, United States.
Jeannette R IckovicsDepartment of Social and Behavioral Sciences, Yale School of Public Health, 60 College St, New Haven, CT 06510, United States.
Joshua L WarrenDepartment of Biostatistics, Yale School of Public Health, 60 College St, New Haven, CT, 06510, United States.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Racial and ethnic disparities in adverse birth outcomes have persistently been wide and may be explained by individual and area-level factors. Our primary objective was to determine if county-level black-white segregation modified the association between maternal race/ethnicity and adverse birth outcomes using birth records from the National Center for Health Statistics (2012). Based on maternal residence at birth, county-level black-white racial residential segregation was calculated along five dimensions of segregation: evenness, exposure, concentration, centralization, and clustering. We conducted a two-stage analysis: (1) county-specific logistic regression to determine whether maternal race and ethnicity were associated with preterm birth and term low birth weight; and (2) Bayesian meta-analyses to determine if segregation moderated these associations. We found greater black-white and Hispanic-white disparities in preterm birth in racially isolated counties (exposure) relative to non-isolated counties. We found reduced Hispanic-white disparities in term low birth weight in racially concentrated and centralized counties relative to non-segregated counties. Area-level poverty explained most of the moderating effect of segregation on disparities in adverse birth outcomes, suggesting that area-level poverty is a mediator of these associations. Segregation appears to modify racial/ethnic disparities in adverse birth outcomes. Therefore, policy interventions that reduce black-white racial isolation, or buffer the poor social and economic correlates of segregation, may help to reduce disparities in preterm birth and term low birth weight.

Indexed as

Bayesian meta-analysisCrI, credible intervalHealth disparitiesOR, odds ratioPreterm birthRacial residential segregationSD, standard deviationTerm low birth weight

Identifiers

PMID31193960
PMCPMC6545386
OpenAlexW2947395602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.