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The role of socioeconomic factors in Black-White disparities in preterm birth

Author

Listed:
  • Braveman, P.A.
  • Heck, K.
  • Egerter, S.
  • Marchi, K.S.
  • Dominguez, T.P.
  • Cubbin, C.
  • Fingar, K.
  • Pearson, J.A.
  • Curtis, M.

Abstract

Objectives. We investigated the role of socioeconomic factors in Black-White disparities in preterm birth (PTB). Methods. We used the population-based California Maternal and Infant Health Assessment survey and birth certificate data on 10 400 US-born Black and White California residents who gave birth during 2003 to 2010 to examine rates and relative likelihoods of PTB among Black versus White women, with adjustment for multiple socioeconomic factors and covariables. Results. Greater socioeconomic advantage was generally associated with lower PTB rates among White but not Black women. There were no significant Black-White disparities within the most socioeconomically disadvantaged subgroups; Black-White disparities were seen only within more advantaged subgroups. Conclusions. Socioeconomic factors play an important but complex role in PTB disparities. The absence of Black-White disparities in PTB within certain socioeconomic subgroups, alongside substantial disparities within others, suggests that social factors moderate the disparity. Further research should explore social factors suggested by the literature-including life course socioeconomic experiences and racism-related stress, and the biological pathways through which they operate-as potential contributors to PTB among Black and White women with different levels of social advantage. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Braveman, P.A. & Heck, K. & Egerter, S. & Marchi, K.S. & Dominguez, T.P. & Cubbin, C. & Fingar, K. & Pearson, J.A. & Curtis, M., 2015. "The role of socioeconomic factors in Black-White disparities in preterm birth," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 694-702.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302008_3
    DOI: 10.2105/AJPH.2014.302008
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    Cited by:

    1. Paula Braveman & Katherine Heck & Susan Egerter & Tyan Parker Dominguez & Christine Rinki & Kristen S Marchi & Michael Curtis, 2017. "Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-17, October.
    2. M. Luke Smith & Rachel R. Hardeman, 2020. "Association of Summer Heat Waves and the Probability of Preterm Birth in Minnesota: An Exploration of the Intersection of Race and Education," IJERPH, MDPI, vol. 17(17), pages 1-12, September.
    3. Altman, Molly R. & Oseguera, Talita & McLemore, Monica R. & Kantrowitz-Gordon, Ira & Franck, Linda S. & Lyndon, Audrey, 2019. "Information and power: Women of color's experiences interacting with health care providers in pregnancy and birth," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    4. Chae, David H. & Clouston, Sean & Martz, Connor D. & Hatzenbuehler, Mark L. & Cooper, Hannah L.F. & Turpin, Rodman & Stephens-Davidowitz, Seth & Kramer, Michael R., 2018. "Area racism and birth outcomes among Blacks in the United States," Social Science & Medicine, Elsevier, vol. 199(C), pages 49-55.
    5. Tiffany Green & Tod Hamilton, 2019. "Maternal educational attainment and infant mortality in the United States: Does the gradient vary by race/ethnicity and nativity?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(25), pages 713-752.
    6. McLemore, Monica R. & Altman, Molly R. & Cooper, Norlissa & Williams, Shanell & Rand, Larry & Franck, Linda, 2018. "Health care experiences of pregnant, birthing and postnatal women of color at risk for preterm birth," Social Science & Medicine, Elsevier, vol. 201(C), pages 127-135.
    7. Fielding-Singh, Priya & Dmowska, Amelia, 2022. "Obstetric gaslighting and the denial of mothers’ realities," Social Science & Medicine, Elsevier, vol. 301(C).
    8. Paris Ekeke & Dara D. Mendez & Toby D. Yanowitz & Janet M. Catov, 2020. "Racial Differences in the Biochemical Effects of Stress in Pregnancy," IJERPH, MDPI, vol. 17(19), pages 1-15, September.
    9. Anna Merklinger-Gruchala & Maria Kapiszewska, 2019. "The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    10. Makayla Palmer, 2020. "Preconception subsidized insurance: Prenatal care and birth outcomes by race/ethnicity," Health Economics, John Wiley & Sons, Ltd., vol. 29(9), pages 1013-1030, September.
    11. Cubbin, Catherine & Kim, Yeonwoo & Vohra-Gupta, Shetal & Margerison, Claire, 2020. "Longitudinal measures of neighborhood poverty and income inequality are associated with adverse birth outcomes in Texas," Social Science & Medicine, Elsevier, vol. 245(C).
    12. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    13. Jennifer B. Kane & Claire Margerison-Zilko, 2017. "Theoretical Insights into Preconception Social Conditions and Perinatal Health: The Role of Place and Social Relationships," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(5), pages 639-669, October.

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