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.
Kramer, Michael R.
中科院分区:
医学2区
文献类型:
--
作者:
Chae, David H.;Clouston, Sean;Kramer, Michael R.

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越来越多的证据表明,种族主义是美国健康状况不佳的一个原因,包括黑人的不良生育结果。然而,关于种族主义对健康的影响的研究面临着计量方面的挑战,因为当代种族主义的性质更加微妙,不一定能够通过传统使用的调查方法进行评估。在这项研究中,我们通过检查先前开发的基于互联网查询的区域种族主义代理(Stephens-Davidowitz,2014)来规避其中的一些限制。地区种族主义是在196个指定的市场区域进行测量,作为2004年至2007年期间包含“n”字的谷歌搜索总数的比例。“这项措施与2005年至2008年黑人县级出生数据有关,这些数据由国家卫生统计中心汇编;早产和低出生体重被定义为
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