ArticleHealth affairs scholar2024
How structural racism, neighborhood deprivation, and maternal characteristics contribute to inequities in birth outcomes.
Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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
9 citing papers in PubMed.
- Place-Based Structural Disadvantage, Lethal Police Violence, and Adverse Birth Outcomes Among Black Birthing People.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Maternal mycoestrogen exposure in relation to timing of birth and placental corticotropin releasing hormone concentrations in a U.S. pregnancy cohort.Reproductive toxicology (Elmsford, N.Y.) · 2026Article
- Structural and individualized racism drives racial disparities in chronic low back pain: A cross-sectional serial mediation analysis.The journal of pain · 2026Article
- The Association Between Structural Disadvantage and Adverse Birth Outcomes: Analyzing Preterm Birth and Low Birth Weight Using the Structural Racism Effect Index.Journal of racial and ethnic health disparities · 2026Article
- Implementation Barriers to Incorporating a Community-Based Doula Program to Improve Birth Outcomes for Black Patients in an Academic Medical Center.Journal of racial and ethnic health disparities · 2026Article
- Persistent ethnic inequities in infant mortality in Peru, 2019-2024: a repeated cross-sectional analysis of ENDES birth histories.Population health metrics · 2026Article
- The association between social vulnerability and racial disparities in preterm birth.Pregnancy (Hoboken, N.J.) · 2026Article
- An Interpersonal Physiological Pathway Framework Linking Racism and Well-Being in Black American Families.Developmental psychobiology · 2025Review
- Child, Parent, and Contextual Correlates of School Readiness Among Children With Low Birth Weight.Academic pediatrics · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Decades of disparities in health between infants born to Black and White mothers have persisted in recent years, despite policy initiatives to improve maternal and reproductive health for Black mothers. Although scholars have increasingly recognized the critical role that structural racism plays in driving health outcomes for Black people, measurement of this relationship remains challenging. This study examines trends in preterm birth and low birth weight between 2007 and 2018 separately for births to Black and White mothers. Using a multivariate regression model, we evaluated potential factors, including an index of racialized disadvantage as well as community- and individual-level factors that serve as proxy measures for structural racism, that may contribute to White-Black differences in infant health. Finally, we assessed whether unequal effects of these factors may explain differences in birth outcomes. We found that differences in the effects of these factors appear to explain about half of the underlying disparity in infant health.
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Registered trials
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.