Sexual Identity and Birth Outcomes: A Focus on the Moderating Role of Race-ethnicity.
Sexual Identity and Birth Outcomes: A Focus on the Moderating Role of Race-ethnicity.
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DOI：
10.1177/0022146521997811
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发表时间：
2021-06
影响因子：
5
通讯作者：
Matthews, Phoenix A.
中科院分区：
文献类型：
--
作者：
Everett, Bethany G.;Limburg, Aubrey;Charlton, Brittany M.;Downing, Jae M.;Matthews, Phoenix A.
种族和民族在出生结果上的差异是公认的，新的研究表明，在出生体重和早产方面也可能存在重要的性别认同差异。这项研究使用了青少年到成人健康的国家纵向研究，并且是第一个在种族-民族和性别认同的交叉点检查出生结果的差异。我们使用OLS和logistic回归模型，以活产（n = 10,318）为分析单位，聚集在母亲id （n = 5,105）上，使我们能够调整孕前和妊娠特异性围产期危险因素以及邻里特征。结果显示，不同种族的女同性恋或双性恋身份对生育结果的影响出现了惊人的逆转：对于白人女性来说，双性恋或女同性恋身份比白人异性恋女性的生育结果更好，但对于黑人和拉丁裔女性来说，与异性恋女性相比，她们的生育结果更差。
Race-ethnic disparities in birth outcomes are well-established, and new research suggests that there may also be important sexual identity disparities in birth weight and preterm birth. This study uses the National Longitudinal Study of Adolescent to Adult Health and is the first to examine disparities in birth outcomes at the intersection of race-ethnicity and sexual identity. We use OLS and logistic regression models with live births (n = 10,318) as the unit of analysis clustered on mother-ID (n = 5,105), allowing us to adjust for preconception and pregnancy-specific perinatal risk factors as well as neighborhood characteristics. Results show a striking reversal in the effect of lesbian or bisexual identity on birth outcomes across race-ethnicities: for white women, a bisexual or lesbian identity is associated with better birth outcomes than their white heterosexual counterparts, but for Black and Latina women, it is associated with worse birth outcomes than their heterosexual peers.
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