Multidimensional structural racism predicts birth outcomes for Black and White Minnesotans.
Multidimensional structural racism predicts birth outcomes for Black and White Minnesotans.
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DOI：
10.1111/1475-6773.13976
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发表时间：
2022-06
影响因子：
3.4
通讯作者：
Hardeman, Rachel R.
中科院分区：
文献类型：
--
作者：
Chantarat, Tongtan;Van Riper, David C.;Hardeman, Rachel R.
本研究的目的是确定明尼苏达州白色、美国出生的黑人和外国出生的黑人孕妇的婴儿中多维结构种族主义类型学与早产（PTB）、低出生体重（LBW）和小于胎龄儿（SGA）之间的联系。结构性种族主义的衡量标准是基于2017年美国社区调查5年的估计和维拉司法研究所2017年的监狱监禁数据。2018年出生的婴儿的出生结果是基于明尼苏达州卫生部的出生记录。我们进行了一项潜在类别分析，以确定2017年的多维结构性种族主义类型，并使用Vermunt的三步法将这些类型与2018年在明尼苏达州分娩的孕妇的出生结果联系起来。根据结构性种族主义类型学，估计了种族群体特异性PTB、LBW和SGA的年龄校正风险。研究数据来自公共来源。我们的分析确定了2017年明尼苏达州的三个多维结构性种族主义类型。这些类型在某些方面可能具有高度的结构性种族主义，但在其他方面则较低。各个维度之间的交互模式不能简单地归类为“高”（即，高结构性种族主义在所有方面），“中等”或“低”。美国出生的明尼苏达州黑人孕妇患PTB、LBW和SGA的风险总是高于白色孕妇，无论她们在怀孕期间生活在何种类型。此外，美国出生的黑人孕妇的这些额外风险在不同类型中没有显著差异。在比较美国和外国出生的黑人孕妇的婴儿的预测风险时，我们没有发现明确的模式。多维结构性种族主义增加了美国出生的明尼苏达州黑人出生不良后果的风险。消除结构性种族主义和消除出生不平等的政策干预必须是多部门的，因为一个或几个方面的变化，而不是所有方面的变化，不太可能减少出生不平等。
The objective of this study is to determine the linkage between multidimensional structural racism typologies and preterm birth (PTB), low birthweight (LBW), and small‐for‐gestational‐age (SGA) birth among infants of White, US‐born Black, and foreign‐born Black pregnant people in Minnesota. The measures of structural racism were based on the 2017 American Community Survey 5‐year estimates and the 2017 jail incarceration data from the Vera Institute of Justice. Birth outcomes of infants born in 2018 were based on birth records from the Minnesota Department of Health. We conducted a latent class analysis to identify multidimensional structural racism typologies in 2017 and related these typologies to birth outcomes of pregnant people who gave birth in Minnesota in 2018 using Vermunt's 3‐step approach. Racial group‐specific age‐adjusted risks of PTB, LBW, and SGA by structural racism typologies were estimated. Study data were from public sources. Our analysis identified three multidimensional structural racism typologies in Minnesota in 2017. These typologies can have high structural racism in some dimensions but low in others. The interactive patterns among various dimensions cannot simply be classified as “high” (i.e., high structural racism in all dimensions), “medium,” or “low.” The risks of PTB, LBW, and SGA for US‐born Black pregnant Minnesotans were always higher than for their White counterparts regardless of the typologies in which they lived during pregnancy. Furthermore, these excess risks among US‐born Black pregnant people did not vary significantly across the typologies. We did not find clear patterns when comparing the predicted risks for infants of US‐ and foreign‐born Black pregnant people. Multidimensional structural racism increases the risks of adverse birth outcomes for US‐born Black Minnesotans. Policy interventions to dismantle structural racism and eliminate birth inequities must be multi‐sectoral as changes in one or a few dimensions, but not all, will unlikely reduce birth inequities.
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影响因子：
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作者：
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