结构性种族主义和美国早产的基于地点的措施的动态变化
Abhery Das1, Joan A Casey2,3, Alison Gemmill4
1Health Policy and Administration, University of Illinois Chicago, Chicago, Illinois, USA abhery@uic.edu.
Journal of epidemiology and community health
|June 17, 2024
概括
通过极端度指数 (ICE) 测量,减少基于地点的结构性种族主义,与所有婴儿的早产风险降低有关,特别是非西班牙裔黑人和非西班牙裔白人人口. 集中贫困率的下降先于围产期健康状况的改善.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 结构性种族主义制度在种族/民族群体之间创造和延续不平等.
- 以前的研究表明,基于地点的结构性种族主义与较高的婴儿发病率和死亡率有关.
- 这项研究探讨了结构性种族主义下降和早产风险之间的纵向关系.
研究的目的:
- 调查随着时间的推移,基于地点的结构性种族主义的减少是否与美国早产风险的降低有关.
- 分析三个时期 (1998-2002,2006-2010,2014-2018) 的早产趋势.
- 评估对非西班牙裔黑人和非西班牙裔白人人口的影响.
主要方法:
- 使用了县级早产儿数和极端度指数 (ICE) 的种族/收入指标.
- 雇佣的县级固定效应 具有人口抵消的Poisson模型.
- 经过调整以时代指标,贫困和母亲平均年龄为准.
主要成果:
- 随着时间的推移,ICE的标准偏差增加1个相当于整体早产风险降低0.6%.
- 在非西班牙裔黑人出生中,早产风险下降了0.6%,在非西班牙裔白人出生中下降了0.4%.
- 在集中非西班牙裔黑人贫困率的减少之前,早产风险下降.
结论:
- 纵向数据表明,减少基于地点的结构性种族主义可能会改善围产期健康.
- 观察到早产风险的改善,特别是在集中贫困率下降后.
- 尽管取得了进展,但围产期健康现有的差异仍然很大.
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