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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Structural Racism and Severe Maternal Morbidity in New York State.

Sze Yan Liu1, Christina Fiorentini2, Zinzi Bailey3

  • 1Division of Epidemiological Services, New York City Department of Health and Mental Hygiene, Long Island City, NY, USA.

Clinical Medicine Insights. Women'S Health
|March 3, 2022
PubMed
Summary
This summary is machine-generated.

County-level racial inequity in female education is linked to increased severe maternal morbidity (SMM) odds. Addressing structural racism dimensions is crucial for reducing maternal health disparities.

Keywords:
multilevel regressionsevere maternal morbiditystructural racism

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Area of Science:

  • Public Health
  • Sociology
  • Health Disparities Research

Background:

  • Investigating the impact of structural racism on maternal health outcomes.
  • Understanding the relationship between county-level inequities and severe maternal morbidity (SMM).

Observation:

  • Utilized New York State hospitalization data (2011-2013) linked with county-level demographic and justice data.
  • Examined structural racism indicators: racial inequity in female educational attainment, employment, and incarceration.
  • Analyzed data for 244,854 hospitalizations using multilevel logistic regression.

Findings:

  • County-level racial inequity in female educational attainment showed a statistically significant association with higher odds of SMM (OR=1.17, 95% CI [1.47, 1.85]).
  • No statistically significant associations were found for county-level inequity in female employment or incarceration.
  • No significant interaction effects were observed between race and structural racism indicators.

Implications:

  • Structural racism, particularly educational inequity, is a significant factor contributing to severe maternal morbidity.
  • Future interventions should consider multiple dimensions of structural racism to address maternal health disparities.
  • Further research is needed to explore the complex pathways linking structural racism to SMM.