结构性不利和不良出生结果之间的关联:使用结构性种族主义效应指数分析早产和低出生体重
Emma A Blackson1, Briana Williams2, Jé Judson3
1Department of Social, Behavioral, and Population Sciences, Celia Scott Weatherhead School of Public Health & Tropical Medicine, Tulane University, New Orleans, Louisiana, USA. eblackson@tulane.edu.
Journal of racial and ethnic health disparities
|April 29, 2025
概括
由结构性种族主义效应指数 (SREI) 衡量的结构性不利因素显著增加了早产和低出生体重的风险. 较高的SREI水平与更大的不良出生结果可能性相关,特别是在某些种族群体中.
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:
- 低出生体重和早产等不良出生结果与社会劣势有关.
- 结构性种族主义效应指数 (SREI) 量化了9个领域的结构性劣势.
研究的目的:
- 通过SREI,调查结构性劣势与美国不良出生结果之间的关联.
- 分析不同程度的结构性劣势如何影响低出生体重和早产的风险.
主要方法:
- 使用了2020年国家卫生统计中心的出生率文件.
- 使用修改后的Poisson回归模型来估计相对风险,对共变量进行调整.
- 评估了母亲居住县SREI水平与出生结果之间的关系.
主要成果:
- 较高的SREI得分与早产和低出生体重的风险增加有显著关联.
- 中等和高的SREI水平显示了剂量反应增加的风险:早产 (7.4%和18.8%),低出生体重 (6.1%和17.0%).
- 分层分析表明,SREI对不良分娩结果的影响在母体种族之间存在显著差异.
结论:
- 通过SREI测量的结构性劣势是不利于出生结果的重要风险因素.
- 这些发现强调了结构性不利和不良出生结果之间的明确剂量反应关系.
- 母亲种族的差异性影响凸显了针对性干预的需要,以解决出生结果中的种族差异.
相关概念视频
Regression Toward the Mean
6.2K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.2K
Relative Risk
86
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
86
Teratogenicity
2.3K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.3K
Stereotype Content Model
13.9K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
13.9K
Fundamental Attribution Error
12.8K
According to some social psychologists, people tend to overemphasize internal factors as explanations—or attributions—for the behavior of other people. They tend to assume that the behavior of another person is a trait of that person, and to underestimate the power of the situation on the behavior of others. They tend to fail to recognize when the behavior of another is due to situational variables, and thus to the person’s state. This erroneous assumption is...
12.8K
Strategies for Assessing and Addressing Confounding
63
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
63


