Area racism and birth outcomes among Blacks in the United States
Area racism and birth outcomes among Blacks in the United States
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DOI:
10.1016/j.socscimed.2017.04.019
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发表时间:
2018-02-01
影响因子:
5.4
通讯作者:
Kramer, Michael R.
中科院分区:
文献类型:
--
作者:
Chae, David H.;Clouston, Sean;Kramer, Michael R.
There is increasing evidence that racism is a cause of poor health outcomes in the United States, including adverse birth outcomes among Blacks. However, research on the health consequences of racism has faced measurement challenges due to the more subtle nature of contemporary racism, which is not necessarily amenable to assessment through traditionally used survey methods. In this study, we circumvent some of these limitations by examining a previously developed Internet query-based proxy of area racism (Stephens-Davidowitz, 2014) in relation to preterm birth and low birthweight among Blacks. Area racism was measured in 196 designated market areas as the proportion of total Google searches conducted between 2004 and 2007 containing the "n-word." This measure was linked to county-level birth data among Blacks between 2005 and 2008, which were compiled by the National Center for Health Statistics; preterm birth and low birthweight were defined as