Evidence map›Paper›PMID 35468220›Full record

ArticleHealth services research2022

Multidimensional structural racism predicts birth outcomes for Black and White Minnesotans.

Tongtan Chantarat, David C Van Riper, Rachel R Hardeman

Open access · hybridAbstract read
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
22.9field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 62 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Tongtan ChantaratDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.ORCID 0000-0001-9951-4391
David C Van RiperMinnesota Population Center, Institute for Social Research and Data Innovation, Minneapolis, Minnesota, USA.ORCID 0000-0002-2110-2925
Rachel R HardemanDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.ORCID 0000-0003-3913-5933
University of Minnesota · USMinnesota Department of Natural Resources · US

Funding

NATIONAL SPATIOTEMPORAL POPULATION RESEARCH INFRASTRUCTURER01HD057929 · NICHD · UNIVERSITY OF MINNESOTA · PI Steven M. Manson, Jonathan P Schroeder · 2008 to 2026
$10.8M
Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
NICHD NIH HHS P2C HD041023
6 · The paper itself

Abstract

objectiveThe objective of this study is to determine the linkage between multidimensional structural racism typologies and preterm birth (PTB), low birthweight (LBW), and small-for-gestational-age (SGA) birth among infants of White, US-born Black, and foreign-born Black pregnant people in Minnesota. DATA SOURCES: The measures of structural racism were based on the 2017 American Community Survey 5-year estimates and the 2017 jail incarceration data from the Vera Institute of Justice. Birth outcomes of infants born in 2018 were based on birth records from the Minnesota Department of Health. STUDY

designWe conducted a latent class analysis to identify multidimensional structural racism typologies in 2017 and related these typologies to birth outcomes of pregnant people who gave birth in Minnesota in 2018 using Vermunt's 3-step approach. Racial group-specific age-adjusted risks of PTB, LBW, and SGA by structural racism typologies were estimated. DATA COLLECTION: Study data were from public sources. PRINCIPAL

findingsOur analysis identified three multidimensional structural racism typologies in Minnesota in 2017. These typologies can have high structural racism in some dimensions but low in others. The interactive patterns among various dimensions cannot simply be classified as "high" (i.e., high structural racism in all dimensions), "medium," or "low." The risks of PTB, LBW, and SGA for US-born Black pregnant Minnesotans were always higher than for their White counterparts regardless of the typologies in which they lived during pregnancy. Furthermore, these excess risks among US-born Black pregnant people did not vary significantly across the typologies. We did not find clear patterns when comparing the predicted risks for infants of US- and foreign-born Black pregnant people.

conclusionMultidimensional structural racism increases the risks of adverse birth outcomes for US-born Black Minnesotans. Policy interventions to dismantle structural racism and eliminate birth inequities must be multi-sectoral as changes in one or a few dimensions, but not all, will unlikely reduce birth inequities.

Indexed as

Premature BirthRacismBirth CertificatesChild, PreschoolFemaleHumansInfantInfant, Low Birth WeightInfant, NewbornMinnesotaPregnancySystemic Racismbirth outcomeslatent constructmeasurementracial inequitiesstructural racism

Identifiers

PMID35468220
PMCPMC9108042
OpenAlexW4224314220

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.