Evidence map›Paper›PMID 38944756›Full record

ArticleAmerican journal of epidemiology2024

Slavery, homeownership, and contemporary perinatal outcomes in the southeast: a test of mediation and moderation.

Kaitlyn K Stanhope, Michael R Kramer, Izraelle McKinnon, Sierra Carter, Sheree L Boulet

Abstract readHistorical Article
In one paragraph

Article in American journal of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Kaitlyn K StanhopeDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, United States.ORCID 0000-0003-1540-3059
Michael R KramerDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia, United States.ORCID 0000-0002-6372-6170
Izraelle McKinnonDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia, United States.
Sierra CarterDepartment of Psychology, Georgia State College of Arts & Sciences, Atlanta, Georgia, United States.
Sheree L BouletDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, United States.ORCID 0000-0002-7638-7374

Funding

Investigating structural maternal health inequities among Black reproductive aged women in Georgia; a mixed methods and multi-level approachR01HD109005 · NICHD · EMORY UNIVERSITY · PI Sheree L Boulet · 2022 to 2026
$2.2M
Accumulation of stress and trauma across the life course and cardiometabolic risk during pregnancy and postpartumK99HL161355 · NHLBI · EMORY UNIVERSITY · PI STANHOPE, KAITLYN K · 2022 to 2023
$188k
A National Heart, Lung, and Blood Institute K99HL161355National Institute of Child Health and Development R01HD109005NHLBI NIH HHS K99 HL161355NICHD NIH HHS R01 HD109005
6 · The paper itself

Abstract

The objective of this study was to estimate the effect of geographic variation in historic slavery on perinatal outcomes (chronic hypertension, hypertensive disorders of pregnancy [HDP], very preterm birth [VPTB], or very low birth weight birth [VLBW]) among Black people living in states where slavery was legal in 1860; and to test mediation by Black homeownership. We linked data on the proportion of enslaved residents from the 1860 Census to natality data on outcomes (2013-2021) using resident county. The percentage of Black residents in a county who owned their home was a potential mediator. We fit log binomial models to estimate risk ratios (RRs) representing total and controlled direct effects (accounting for Black homeownership) of the proportion enslaved on outcomes, accounting for potential confounding, using marginal structural models. Among 2 443 198 included births, 8.8% (213 829) experienced HDP, 4.1% (100 549) chronic hypertension, 3.3% (81 072) VPTB, and 2.6% (62 538) VLBW. There was an increase in chronic hypertension and VPTB risk, but not HDP or VLBW, in counties with a 10% greater proportion of enslaved residents in 1860 (adjusted RR [95% CI], chronic hypertension: 1.06 [1.02-1.1]; VPTB: 1.02 [1.00-1.05]; HDP: 1.00 [0.98-1.02]; and VLBW: 1.01 [1.00-1.03]). There was not evidence of mediation by Black homeownership. We conclude that historic slavery remains relevant for perinatal health.

Indexed as

Black or African AmericanEnslavementPregnancy OutcomeAdultFemaleHistory, 19th CenturyHousingHumansHypertension, Pregnancy-InducedInfant, NewbornInfant, Very Low Birth WeightOwnershipPregnancyPremature Birthhypertensionpregnancypregnancy-inducedsystemic racism

Identifiers

PMID38944756
PMCPMC12096286

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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.