Evidence map›Paper›PMID 8606905›Full record

ReviewPublic health reports (Washington, D.C. : 1974)

Racial disparities in preterm births. The role of urogenital infections.

K Fiscella

Open access · greenAbstract readReview
In one paragraph

Review in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 110 citations in OpenAlex.

  1. African ancestry, early life exposures, and respiratory morbidity in early childhood.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2012
    Trial
  2. Article
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  4. Article
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  7. Infant mortality in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  8. Article
  9. Article
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  11. Fetal membrane biomarker network diversity and disease functions induced by intra-amniotic pathogens.American journal of reproductive immunology (New York, N.Y. : 1989) · 2013
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Ethnic differences in infant mortality by cause of death.Journal of perinatology : official journal of the California Perinatal Association · 2008
    Article
  19. Epidemiology and causes of preterm birth.Lancet (London, England) · 2008
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

K FiscellaDepartment of Family Medicine, School of Medicine and Dentistry, University of Rochester, NY, USA.
University of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of urogenital infections on the racial gap between black and white women in preterm birth rates.

methodsA computer-assisted search of the medical literature was conducted through MEDLINE aided by a manual bibliographic search of published articles and relevant books. Estimates of the relative risk for preterm birth were extracted from published studies for the following infections: N. gonorrhea, syphilis, trichomoniasis, Chlamydia trachomatis, Group B streptococcal vaginal colonization, asymptomatic bacteriuria, genital mycoplasmas, and bacterial vaginosis. Estimates of the prevalence among black and white women by race for each of these infections were extracted from published studies. The attributable risk for preterm birth for selected infections was then calculated for the black and white populations and the impact on the racial gap in preterm births was estimated.

resultsOnly bacterial vaginosis and bacteriuria appear to be established risk factors for preterm births. Significantly higher rates of bacterial vaginosis among black women may account for nearly 30% of the racial gap in preterm births. Higher rates of bacteriuria among black women may account for roughly 5% of the gap.

conclusionAlthough these findings are limited by the reliability of published estimates of prevalence and relative risk for these infections, treatment of infections during pregnancy, particularly bacterial vaginosis, offers hope for reducing the racial gap in preterm births.

Indexed as

Black PeopleWhite PeopleBacteriuriaBlack or African AmericanFemaleFemale Urogenital DiseasesHumansObstetric Labor, PrematurePregnancyPregnancy Complications, InfectiousPrevalenceRisk FactorsUnited StatesVaginosis, Bacterial

Identifiers

PMID8606905
PMCPMC1381713
OpenAlexW2400880121

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.