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Geographic Variation in Reproductive Health Among the Black Population in the US: An Analysis of Nativity, Region of Origin, and Division of Residence

Author

Listed:
  • Savannah Larimore

    (Washington University in St. Louis)

  • Mosi Ifatunji

    (University of Wisconsin)

  • Hedwig Lee

    (Washington University in St. Louis)

  • Jane Rafferty

    (University of Michigan)

  • James Jackson

    (University of Michigan)

  • Margaret T. Hicken

    (University of Michigan)

Abstract

Reproductive health outcomes are indicators of larger social processes and researchers have long documented inequalities in these outcomes among Blacks and Whites in the United States. However, we do not fully understand the underlying mechanisms responsible for these inequalities. We believe that this is partially due to the treatment of the Black population as a monolith, which masks underlying variation in health risks and outcomes. By examining the variation that exists beneath the average, we can begin to develop a better understanding of the potential sources of health inequalities between Blacks and other racialized populations. We provide an application of this perspective through a geographic examination of reproductive health outcomes within the Black population. Using national birth records data from 2013 to 2016, we examine differences in low birth weight, preterm birth, gestational hypertension, and gestational diabetes by nativity (i.e., US- or foreign-born), region of origin (e.g., Sub-Saharan Africa, the Caribbean), and current US division of residence (e.g., Middle Atlantic, South Atlantic) within the Black population. While foreign-born Blacks are at a lower risk for low birth weight, preterm birth, and gestational hypertension, they are at an elevated risk for gestational diabetes compared to US-born Blacks. Moreover, we find substantial variation in this general pattern across region of origin and division of residence in the US. These findings demonstrate the potential role of migration, context, and selectivity in the health of foreign-born Blacks and demonstrate that national averages mask geographic variation, limiting our understanding of the contributions of these and other social processes to the health of racialized groups in the US.

Suggested Citation

  • Savannah Larimore & Mosi Ifatunji & Hedwig Lee & Jane Rafferty & James Jackson & Margaret T. Hicken, 2021. "Geographic Variation in Reproductive Health Among the Black Population in the US: An Analysis of Nativity, Region of Origin, and Division of Residence," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(1), pages 33-59, February.
  • Handle: RePEc:kap:poprpr:v:40:y:2021:i:1:d:10.1007_s11113-020-09629-0
    DOI: 10.1007/s11113-020-09629-0
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    1. William Darity Jr & Dania Frank, 2003. "The Economics of Reparations," American Economic Review, American Economic Association, vol. 93(2), pages 326-329, May.
    2. Cynthia Feliciano, 2005. "Educational selectivity in U.S. Immigration: How do immigrants compare to those left behind?," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 131-152, February.
    3. Singh, G.K. & Yu, S.M., 1995. "Infant mortality in the United States: Trends, differentials, and projections, 1950 through 2010," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 957-964.
    4. Acevedo-Garcia, Dolores & Bates, Lisa M. & Osypuk, Theresa L. & McArdle, Nancy, 2010. "The effect of immigrant generation and duration on self-rated health among US adults 2003-2007," Social Science & Medicine, Elsevier, vol. 71(6), pages 1161-1172, September.
    5. Braveman, P.A. & Cubbin, C. & Egerter, S. & Williams, D.R. & Pamuk, E., 2010. "Socioeconomic disparities in health in the united States: What the patterns tell us," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 186-196.
    6. Acevedo-Garcia, Dolores & Soobader, Mah-J. & Berkman, Lisa F., 2007. "Low birthweight among US Hispanic/Latino subgroups: The effect of maternal foreign-born status and education," Social Science & Medicine, Elsevier, vol. 65(12), pages 2503-2516, December.
    7. Hicken, Margaret T. & Lee, Hedwig & Hing, Anna K., 2018. "The weight of racism: Vigilance and racial inequalities in weight-related measures," Social Science & Medicine, Elsevier, vol. 199(C), pages 157-166.
    8. Hamilton, Tod G. & Hummer, Robert A., 2011. "Immigration and the health of U.S. black adults: Does country of origin matter?," Social Science & Medicine, Elsevier, vol. 73(10), pages 1551-1560.
    9. Tod Hamilton, 2014. "Selection, Language Heritage, and the Earnings Trajectories of Black Immigrants in the United States," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 975-1002, June.
    10. Mustillo, S. & Krieger, N. & Gunderson, E.P. & Sidney, S. & McCreath, H. & Kiefe, C.I., 2004. "Self-reported experiences of racial discrimination and black-white differences in preterm and low-birthweight deliveries: The CARDIA study," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2125-2131.
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