Metropolitan residential segregation and very preterm birth among African American and Mexican-origin women.
Soc Sci Med
; 98: 37-45, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24331880
Residential segregation is associated with poor health-including poor birth outcomes-among African Americans in US cities and metropolitan areas. However, the few existing studies of this relationship among Mexican-origin women have produced mixed results. In this study, the relationship between segregation and very preterm birth was examined with National Center for Health Statistics (NCHS) data on singleton births to African American women (n = 400,718) in 238 metropolitan areas and to Mexican-origin women (n = 552,382) in 170 metropolitan areas. The study evaluated 1) whether residential segregation is positively associated with very preterm birth among both African American and Mexican-origin women and 2) if so, whether exposure to neighborhood poverty accounts for these associations. Results from multi-level analysis indicate that residential segregation is positively associated with very preterm birth among both groups of women. However, this association is robust across different measures of segregation only for African Americans. Conversely, differences across metropolitan areas in average levels of exposure to neighborhood poverty account for the positive association between segregation and very preterm birth among Mexican-origin women, but not among African American women.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Negro ou Afro-Americano
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Características de Residência
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Saúde da População Urbana
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Americanos Mexicanos
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Nascimento Prematuro
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Disparidades nos Níveis de Saúde
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Lactente Extremamente Prematuro
Aspecto:
Determinantes_sociais_saude
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Equity_inequality
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Patient_preference
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Newborn
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Pregnancy
País/Região como assunto:
America do norte
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Mexico
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
2013
Tipo de documento:
Article
País de publicação:
Reino Unido