Evidence map›Paper›PMID 34285869›Full record

ArticlePreventive medicine reports2021

Racial and ethnic disparities in birth Outcomes: A decomposition analysis of contributing factors.

Dejun Su, Kaeli Samson, Corrine Hanson, Ann L Anderson Berry, Yan Li, Lu Shi, Donglan Zhang

Abstract read
In one paragraph

Article in Preventive medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
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  6. Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?Journal of perinatology : official journal of the California Perinatal Association · 2025
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  11. Observational
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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

7 authors.

Dejun SuDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha NE, United States.
Kaeli SamsonDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha NE, United States.
Corrine HansonCollege of Allied Health Professions, University of Nebraska Medical Center, Omaha NE, United States.
Ann L Anderson BerryDepartment of Pediatrics, College of Medicine, University of Nebraska Medical Center, Omaha NE, United States.
Yan LiDepartment of Population Health Science and Policy, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Lu ShiDepartment of Public Health Sciences, Clemson University, Clemson SC, United States.
Donglan ZhangDepartment of Health Policy and Management, College of Public Health, University of Georgia, Athens GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study seeks to quantify and rank the contribution of selected factors to the observed racial/ethnic disparities in low-birth-weight births (LBWBs) and preterm births (PTBs). Based on vital statistics data on births to primiparous women and characteristics of mothers in the State of Nebraska during the period of 2005 to 2014 (n = 93,375), unadjusted and adjusted odds ratios were estimated to examine the association between selected variables and the odds of having LBWBs or PTBs. Fairlie decomposition analysis was performed to quantify the contribution of each selected factor to racial/ethnic differences in LBWB and PTB rates. The prevalence of PTBs was 9.1% among non-Hispanic White (NHW) women, as compared to 12.8% among non-Hispanic Black (NHB) women and 10.6% among Hispanic women. The corresponding prevalence of LBWBs in the three groups were 5.9%, 11.9%, and 7.2%, respectively. The higher educational attainment among NHW women, relative to NHB women accounted for 10% of the observed difference in LBWB rate between the two groups. Health insurance coverage was the second most important factor accounting for the observed disparities in birth outcomes. Addressing socioeconomic disadvantages in NHB and Hispanic women would be important for them to narrow their gaps with NHW women in LBWB and PTB prevalence. More research is needed to identify key factors leading to the disparities in birth outcomes between NHW and NHB women.

Indexed as

Birth outcomesFairlie decompositionLow-birth-weightMother’s educationMother’s health insurance coveragePreterm birthsRacial and ethnic disparities

Identifiers

PMID34285869
PMCPMC8273196

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Registered trials

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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.