ArticleClinical medicine insights. Women's health2019
Structural Racism and Severe Maternal Morbidity in New York State.
Article in Clinical medicine insights. Women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Structural racism and adverse maternal health outcomes: A systematic review.Health & place · 2022Pooled it
- Comprehensively addressing postpartum maternal health: a content and image review of commercially available mobile health apps.BMC pregnancy and childbirth · 2021Pooled it
- Developing an Intergenerational Model of Structural Racism Exposure among Women in Black Families in South Carolina, 1989-2020.Journal of racial and ethnic health disparities · 2026Article
- Structural Racism, Geographies of Opportunity, and Maternal Health Inequities: A Dynamic Conceptual Framework.Journal of racial and ethnic health disparities · 2026Article
- Postpartum severe maternal morbidity: A longitudinal analysis of the association with economic segregation and neighborhood deprivation in Georgia, USA 2016-2022.Social science & medicine (1982) · 2026Article
- 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
- Multilevel Factors Associated With Hospitalizations in the First-Year Postpartum Among Persons With Opioid Use Disorder.Substance use & addiction journal · 2025Article
- Discrimination, racism, and bias in childbirth pain management in the United States: a scoping review and directions for research and clinical care.International journal of obstetric anesthesia · 2025Article
- Maternal Vulnerability Index and Severe Maternal Morbidity.JAMA network open · 2025Article
- Strengthening equity and anti-racism in women's care: a quality improvement initiative reducing institutional maternal mortality in Brazil.International journal for equity in health · 2025Article
- Using spatial Bayesian models to estimate associations between structural racial discrimination and disparities in severe maternal morbidity.Social science & medicine (1982) · 2025Article
- "Remember, we don't have race categories here": contradictions and reflections on racism, environment, and health from an interview study among Black German researchers, educators, and care providers.Frontiers in public health · 2025Article
- Development and Refinement of a Chatbot for Birthing Individuals and Newborn Caregivers: Mixed Methods Study.JMIR pediatrics and parenting · 2024Article
- Instruments for racial health equity: a scoping review of structural racism measurement, 2019-2021.Epidemiologic reviews · 2024Article
- Structural gendered racism and preterm birth inequities in the United States.Social science & medicine (1982) · 2024Article
- "Mentally you don't function the same": a Qualitative Examination of the Normalization, Embodiment, and Psychological Impact of Everyday Racism.Journal of racial and ethnic health disparities · 2024Article
- Structural Racism, Mass Incarceration, and Racial and Ethnic Disparities in Severe Maternal Morbidity.JAMA network open · 2024Article
- Suboptimal factors in maternal and newborn care for refugees: Lessons learned from perinatal audits in the Netherlands.PloS one · 2024Article
- State-Level Indicators of Structural Racism and Severe Adverse Maternal Outcomes During Childbirth.Maternal and child health journal · 2024Article
- Affordable Care Act Medicaid expansions and maternal morbidity.Health economics · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
objectiveWe examined the association between county-level structural racism indicators and the odds of severe maternal morbidity (SMM) in New York State.
designWe merged individual-level hospitalization data from the New York State Department of Health Statewide Planning and Research Cooperative System (SPARCS) with county-level data from the American Community Survey and the Vera Institute of Justice from 2011 to 2013 (n = 244 854). Structural racism in each county included in our sample was constructed as the racial inequity (ratio of black to white population) in female educational attainment, female employment, and incarceration.
resultsMultilevel logistic regression analysis estimated the association between each of these structural racism indicators and SMM, accounting for individual- and hospital-level characteristics and clustering in facilities. In the models adjusted for individual- and hospital-level factors, county-level racial inequity in female educational attainment was associated with small but statistically significant higher odds of SMM (odds ratio [OR] = 1.17, 95% confidence interval [CI] = 1.47, 1.85). County-level structural racism indicators of female employment inequity and incarceration inequity were not statistically significant. Interaction terms examining potential effect measure modification by race with each structural racism indicator also indicated no statistical difference.
conclusionsStudies of maternal disparities should consider multiple dimensions of structural racism as a contributing cause to SMM and as an additional area for potential intervention.
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