The South Carolina Multigenerational Linked Birth Dataset: Developing Social Mobility Measures Across Generations to Understand Racial/Ethnic Disparities in Adverse Birth Outcomes in the US South

The South Carolina Multigenerational Linked Birth Dataset: Developing Social Mobility Measures Across Generations to Understand Racial/Ethnic Disparities in Adverse Birth Outcomes in the US South
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DOI:
10.1007/s10995-018-02695-z
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发表时间:
2019-06-01
影响因子:
2.3
通讯作者:
Smith, Michael G.
Smith, Michael G.
中科院分区:
医学4区
文献类型:
--
作者:
Fleischer, Nancy L.;Abshire, Chelsea;Smith, Michael G.

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目的描述创建一个多代关联的数据集与社会流动性的措施,为南卡罗来纳州(SC),作为一个例子,在南部和其他地区的国家。方法使用唯一标识符,我们使用1989年至2014年的SC出生证明数据将出生证明沿着母系联系起来,并将可能联系的记录子集与两个比较组的社会人口统计学和出生结局指标进行比较。我们创建了四个多代社会流动性措施,使用母亲的教育,父亲的教育,父亲的信息存在,并结合前三个措施加上2004年后出生的支付来源的汇总分数。我们比较了种族/民族的社会流动性措施。在1989年至2014年SC的1,366,288份单胎出生证明中,我们链接了103,194份,产生了61,229个独特的三代单位。在多代关联数据集中,母亲和父亲更年轻,受教育程度更低,低出生体重更常见。根据社会流动性总分,只有6.3%的白色家庭始终处于不利地位,而黑人家庭和西班牙裔家庭的这一比例分别为30.4%和13.2%。此外,32.8%的白色家庭向上移动的,39.1%的黑人家庭向上移动的,但只有29.9%的西班牙裔家庭向上移动的。当各州能够将个人联系起来时,出生证明数据可能是检查社会流动性和不良出生结果之间人口水平关系的绝佳来源。由于其位于南方腹地,多代SC数据集对于理解社会流动性和出生结果的种族/民族差异可能特别有用。
Objectives To describe the creation of a multigenerational linked dataset with social mobility measures for South Carolina (SC), as an example for states in the South and other areas of the country. Methods Using unique identifiers, we linked birth certificates along the maternal line using SC birth certificate data from 1989 to 2014, and compared the subset of records for which linking was possible with two comparison groups on sociodemographic and birth outcome measures. We created four multi-generational social mobility measures using maternal education, paternal education, presence of paternal information, and a summary score incorporating the prior three measures plus payment source for births after 2004. We compared social mobility measures by race/ethnicity. Results Of the 1,366,288 singleton birth certificates in SC from 1989 to 2014, we linked 103,194, resulting in 61,229 unique three-generation units. Mothers and fathers were younger and had lower education, and low birth weight was more common, in the multigenerational linked dataset than in the two comparison groups. Based on the social mobility summary score, only 6.3% of White families were always disadvantaged, compared to 30.4% of Black families and 13.2% of Hispanic families. Moreover, 32.8% of White families were upwardly mobile and 39.1% of Black families were upwardly mobile, but only 29.9% of Hispanic families were upwardly mobile. Conclusions for Practice When states are able to link individuals, birth certificate data may be an excellent source for examining population-level relationships between social mobility and adverse birth outcomes. Due to its location in the Deep South, the multigenerational SC dataset may be particularly useful for understanding racial/ethnic difference in social mobility and birth outcomes.