STRUCTURAL RACIAL INEQUITIES IN SOCIOECONOMIC STATUS, URBAN-RURAL CLASSIFICATION, AND INFANT MORTALITY IN US COUNTIES
STRUCTURAL RACIAL INEQUITIES IN SOCIOECONOMIC STATUS, URBAN-RURAL CLASSIFICATION, AND INFANT MORTALITY IN US COUNTIES
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DOI：
10.18865/ed.30.3.389
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发表时间：
2020-06-01
影响因子：
3.2
通讯作者：
Bell, Caryn N.
中科院分区：
文献类型：
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作者：
Owens-Young, Jessica;Bell, Caryn N.
目的：尽管美国的婴儿死亡率有所改善，但婴儿死亡率的种族差距仍然存在，这可能是由结构性种族主义和地方造成的。本研究评估了结构性种族主义和种族特异性IMR之间的关系以及城乡分类对种族特异性IMR和IMR.Methods中黑人/白色种族差距的作用：我们使用2019年县健康排名数据进行了方差分析，以确定城乡分类的结构性种族主义指标，IMR和其他协变量的差异。我们使用线性回归，以确定结构性种族主义和县级health outcomes.Results的措施之间的关联：研究结果表明，在教育，工作和房屋所有权的种族不平等的负面影响黑人IMR，特别是在大的边缘，中，小地铁县，和积极影响白色IMR。结构性种族主义也与黑白差距IMR.Conclusions：结构性种族主义相关的因素可能不是同质的或有相同的影响整体IMR，种族特定的IMR，和种族差异IMR各地。了解这些不同的影响可以帮助公共卫生专业人员和政策制定者改善黑人婴儿的健康和消除IMR中的种族不平等。
Objectives: Despite improvements in infant mortality rates (IMR) in the United States, racial gaps in IMR remain and may be driven by both structural racism and place. This study assesses the relationship between structural racism and race-specific IMR and the role of urban-rural classification on race-specific IMR and Black/White racial gaps in IMR.Methods: We conducted an analysis of variance tests using 2019 County Health Rankings Data to determine differences in structural racism indicators, IMR and other co-variates by urban-rural classification. We used linear regressions to determine the associations between measures of structural racism and county-level health outcomes.Results: Study results suggest that racial inequities in education, work, and home-ownership negatively impact Black IMR, especially in large fringe, medium, and small metro counties, and positively impact White IMR. Structural racism is also associated with Black-White gaps in IMR.Conclusions: Factors related to structural racism may not be homogenous or have the same impacts on overall IMR, race-specific IMR, and racial differences in IMR across places. Understanding these differential impacts can help public health professionals and policymakers improve Black infant health and eliminate racial inequities in IMR.