Evidence map›Paper›PMID 39304729›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

The "Other" race category on birth certificates and its impact on analyses of preterm birth inequity.

Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Kayla R HollowaySchool of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2990-8541
Joshua RadackDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alejandra BarretoDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Barbara H ChaiyachatiDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7324-6245
Diana Montoya-WilliamsDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5882-1181
Angela M EllisonDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Heather H BurrisDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. burrish@chop.edu.ORCID http://orcid.org/0000-0003-4510-9547

Funding

Clinical and biologic health trajectories after early life adversityK08MH129657 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI Barbara Hirschman Chaiyachati · 2022 to 2026
$905k
Maternal Resilience to Stress, Neonatal Outcomes, and Racial/Ethnic Health DisparitiesK23HD102526 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI MONTOYA-WILLIAMS, DIANA C · 2021 to 2025
$793k
NICHD NIH HHS K23 HD102526NIMH NIH HHS K08 MH129657U.S. Department of Health & Human Services | National Institutes of Health (NIH) K08MH129657U.S. Department of Health & Human Services | National Institutes of Health (NIH) K23HD102526
6 · The paper itself

Abstract

objectiveNot all individuals self-identify with race categories on birth certificates, selecting "Other" and writing in identities. Our hypothesis was that curating write-in responses in the "Other" race category would contribute to understanding preterm birth inequities.

methodsWe analyzed Pennsylvania birth certificates (2006-2014). Two independent coders reviewed each write-in response among those who selected "Other" race. We compared preterm birth rates across subpopulations within "Other" race category using a Monte Carlo simulated Chi-square test.

resultsAmong 1,196,125 singleton births, 72,891 (6.1%) exclusively selected "Other" race; Hispanic more often than non-Hispanic individuals (54.5% vs 0.7%), p < 0.0001). Only 545 (0.8%) of Hispanic individuals wrote in responses aligned with preestablished race categories compared to 2,601 (33.2%) of non-Hispanic individuals. Preterm birth rates varied significantly across identities within the "Other" group (P < 0.001).

conclusionUtilizing combinations of self-identified race, ethnicity, and continental origin may facilitate public health efforts focused on birth outcome equity.

Indexed as

Birth CertificatesPremature BirthRacial GroupsAdultFemaleHispanic or LatinoHumansInfant, NewbornMonte Carlo MethodPennsylvaniaPregnancy

Identifiers

PMID39304729
PMCPMC11890957

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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.