Women's Reproductive Rights Policies and Adverse Birth Outcomes: A State-Level Analysis to Assess the Role of Race and Nativity Status.
Women's Reproductive Rights Policies and Adverse Birth Outcomes: A State-Level Analysis to Assess the Role of Race and Nativity Status.
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DOI：
10.1016/j.amepre.2020.07.025
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发表时间：
2020-12
影响因子：
5.5
通讯作者：
Wallace ME
中科院分区：
文献类型：
--
作者：
Sudhinaraset M;Vilda D;Gipson JD;Bornstein M;Wallace ME
生殖权利政策有可能支持或抑制个人达到最高标准的生殖健康和性健康的能力;然而，研究仅限于更广泛的社会政策如何对美国有色人种和移民妇女产生不同的影响。这项研究探讨了州一级的生殖权利政策，种族，这是一项回顾性横断面分析，使用2016年的生命统计出生记录数据，对所有50个州和哥伦比亚特区内发生的所有出生进行分析。（N= 3 945 875）。采用改进的Poisson模型和广义估计方程，估计了与生育权政策指数三分位数相关的早产和低出生体重的RR。分析于二零一九年至二零二零年期间进行。与生育权利政策最严格的州的妇女相比，生活在限制最少的州的妇女低出生体重风险降低7%（调整后的RR=0.93，95%CI =0.88，0.99）。特别是，生活在限制最少的州的黑人妇女的低出生体重风险比生活在限制最多的州的黑人妇女低8%（调整后的RR=0.92，95% CI=0.86，0.99）。此外，低出生体重的风险在美国低6%。生活在限制最少的州的出生黑人女性与生活在限制最多的州的出生黑人女性相比，差异有统计学意义（调整后的RR=0.94，95%CI =0.89，1.00）。没有其他显着的关联，发现种族出生分层模型。生活在生育权限制较少的州的妇女，特别是黑人妇女，出生体重不足的比率较低。
Reproductive rights policies can potentially support or inhibit individuals’ abilities to attain the highest standard of reproductive and sexual health; however, research is limited on how broader social policies may differentially impact women of color and immigrants in the U.S. This study examines the associations among state-level reproductive rights policies, race, and nativity status with preterm birth and low birth weight in the U.S. This was a retrospective, cross-sectional analysis of all births occurring within all 50 states and the District of Columbia using vital statistics birth record data in 2016 (N=3,945,875). Modified Poisson models with generalized estimating equations were fitted to estimate the RR of preterm birth and low birth weight associated with tertiles of the reproductive rights policies index. Analyses were conducted between 2019 and 2020. Compared with women in states with the most restrictive reproductive rights policies, women living in the least restrictive states had 7% lower low birth weight risk (adjusted RR=0.93, 95% CI=0.88, 0.99). In particular, low birth weight risk was 8% lower among Black women living in the least restrictive states compared with their counterparts living in the most restrictive states (adjusted RR=0.92, 95% CI=0.86, 0.99). Additionally, low birth weight risk was 6% lower among U.S.-born Black women living in the least restrictive states compared with those living in the most restrictive states, but this was marginally significant (adjusted RR=0.94, 95% CI=0.89, 1.00). No other significant associations were found for race–nativity-stratified models. Women living in states with fewer restrictions related to reproductive rights have lower rates of low birth weight, particularly for Black women.
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影响因子：
2.3
作者：
Hall JA;Benton L;Copas A;Stephenson J
通讯作者：
Stephenson J
影响因子：
5.4
作者：
Chae, David H.;Clouston, Sean;Kramer, Michael R.
通讯作者：
Kramer, Michael R.
影响因子：
5.4
作者：
Kawachi, I;Kennedy, BP;Prothrow-Stith, D
通讯作者：
Prothrow-Stith, D
DOI：
10.1017/s1742058x11000130
发表时间：
2011-04
期刊：
Du Bois review : social science research on race
影响因子：
--
作者：
Gee GC;Ford CL
通讯作者：
Ford CL
影响因子：
12.7
作者：
Goldthwaite, Lisa M.;Duca, Lindsey;Sheeder, Jeanelle
通讯作者：
Sheeder, Jeanelle