ArticleThe Journal of pediatrics2021
Racial and Economic Neighborhood Segregation, Site of Delivery, and Morbidity and Mortality in Neonates Born Very Preterm.
Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Article
- Racialized economic concentration predicts storm-related injuries and deaths in the United States, 2005-2022.Nature communications · 2026Article
- Racialized Economic Segregation and Disparities in the Risk of Stillbirth.Journal of racial and ethnic health disparities · 2026Article
- Upstream Factors Associated With Hospitalization in Black- and Minority-Serving Hospitals.JAMA network open · 2026Observational
- Residential and Transplant Center Neighborhood Segregation and Live Donor Liver Transplant.JAMA network open · 2026Article
- The Interaction of Racial-Ethnic and Economic Concentration and its Association with Premature Mortality in U.S. Neighborhoods.Journal of racial and ethnic health disparities · 2026Article
- Social determinants of health and outcome of extremely preterm infants: A Swiss population-based study.PloS one · 2026Article
- Associations of language barriers with very preterm children's behavioural and socio-emotional problems across Europe.Pediatric research · 2026Article
- A Standard Measure of Structural Racism, Do We Have One? Can We Have One? A Narrative Review of Commonly Used Measures and Domains of Use.Journal of racial and ethnic health disparities · 2025Review
- A Review of the Public Health Literature Examining the Roles of Socioeconomic Status and Race/Ethnicity on Health Outcomes in the United States.Journal of racial and ethnic health disparities · 2025Review
- Measures of Structural Racism and Black-White Disparity in Stillbirth Rates in New York City, 2009-2018: A Population-Based Cross-Sectional Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- The impact of neighborhood-level racial and economic segregation on low-risk cesarean delivery among Black, White, and Biracial (Black/White) individuals.BMC pregnancy and childbirth · 2025Article
- The association between residential segregation and stillbirths in Brazil-a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- The Impact of Neighborhood-level Racial and Economic Segregation on Low-Risk Cesarean Delivery among Black, White, and Biracial (Black/White) Individuals.Research square · 2025Article
- County Incarceration Rate and Stroke Death: A Cross-Sectional Study of the Influence of Physical Environment, Health Care Access, and Community Mental Distress.Journal of the American Heart Association · 2025Article
- Association Between Changes in Racial Residential and School Segregation and Trends in Racial Health Disparities, 2000-2020: A Life Course Perspective.Journal of racial and ethnic health disparities · 2025Article
- Measuring Spatial Social Polarization in Public Health Research: A Scoping Review of Methods and Applications.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Short Duration of Antenatal Corticosteroid Exposure and Outcomes in Extremely Preterm Infants.JAMA network open · 2025Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo assess the influence of racial and economic residential segregation of home or hospital neighborhood on very preterm birth morbidity and mortality in neonates born very preterm. STUDY
designWe constructed a retrospective cohort of n = 6461 infants born <32 weeks using 2010-2014 New York City vital statistics-hospital data. We calculated racial and economic Index of Concentration at the Extremes for home and hospital neighborhoods. Neonatal mortality and morbidity was defined as death and/or severe neonatal morbidity. We estimated relative risks for Index of Concentration at the Extremes measures and neonatal mortality and morbidity using log binomial regression and the risk-adjusted contribution of delivery hospital using Fairlie decomposition.
resultsInfants whose mothers live in neighborhoods with the greatest relative concentration of Black residents had a 1.6 times greater risk of neonatal mortality and morbidity than those with the greatest relative concentration of White residents (95% CI 1.2-2.1). Delivery hospital explained more than one-half of neighborhood differences. Infants with both home and hospital in high-concentration Black neighborhoods had a 38% adjusted risk of neonatal mortality and morbidity compared with 25% of those with both home and hospital high-concentration White neighborhoods (P = .045).
conclusionsStructural racism influences very preterm birth neonatal mortality and morbidity through both the home and hospital neighborhood. Quality improvement interventions should incorporate a framework that includes neighborhood context.
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