US county-level prevalence and spatial distribution of optimal birth outcomes 2018-2019.
US county-level prevalence and spatial distribution of optimal birth outcomes 2018-2019.
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DOI：
10.1038/s41598-022-20517-9
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发表时间：
2022-10-03
影响因子：
4.6
通讯作者：
Wallace, Maeve
中科院分区：
文献类型：
--
作者：
Dyer, Lauren;Bell, Caryn;Perez, Susan;Crear-Perry, Joia;Theall, Katherine;Wallace, Maeve
将重点转向健康的生殖结果，可能会发现采取新的干预措施和战略以促进最佳健康的机会。使用国家卫生统计中心限制使用出生率文件中的变量，我们通过应用GeoDa版本www.example.com中的平滑工具，计算了所有活产婴儿的经验贝叶斯平滑（EBS）最佳出生率-包括总体和按产妇种族/民族1.18.0.10我们将实现更大种族出生公平的县定义为总体EBS最佳出生率大于全国第75百分位数和绝对值的县。产妇种族/民族类别之间的差异小于全国第25百分位数的差异。在研究期间，根据研究定义，49.80%的总出生率可被归类为最佳出生。在美国的3140个县中，只有282个县（8.98%）似乎在最佳生育中提高了白人-黑人的公平性，205个县（6.53%）似乎在最佳生育中提高了白人-西班牙裔的公平性。在努力改善孕产妇健康的过程中，我们不仅要关注没有负面结果，而且要关注积极结果的出现。我们的分析结果表明，最佳出生率可以测量，并按种族发生地理不平等。
A shift in focus towards healthy reproductive outcomes may reveal opportunities for novel interventions and strategies to promote optimal health. Using variables from the National Center for Health Statistics restricted use natality files, we calculated Empirical Bayes smoothed (EBS) rates of optimal birth for the all live births—both overall and by maternal race/ethnicity—by applying the smoothing tool in GeoDa version 1.18.0.10 We defined counties achieving greater racial birth equity as those where the overall EBS optimal birth rate was greater than the national 75th percentile and the absolute difference between maternal racial/ethnic categories was smaller than the national 25th percentile difference. During the study period, 49.80% of overall births could be classified as an optimal birth according to the study definition. Of the 3140 US counties, only 282 (8.98%) appeared to advance White-Black equity in optimal births, and 205 (6.53%) appeared to advance White-Hispanic equity in optimal births. In the effort improve maternal health, we should focus not only on the absence of negative outcomes, but also the occurrence of positive outcomes. Our analytic results suggest that optimal births can be measured and that geographic inequities by race occur.
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影响因子：
5.6
作者：
Schieve LA;Tian LH;Rankin K;Kogan MD;Yeargin-Allsopp M;Visser S;Rosenberg D
通讯作者：
Rosenberg D
影响因子：
2.5
作者：
Henderson, Jane;Redshaw, Maggie
通讯作者：
Redshaw, Maggie
影响因子：
4.6
作者：
Jeon, Jihyun;Kim, Do-Hyun;Lee, Kwang-Sun
通讯作者：
Lee, Kwang-Sun
影响因子：
2.3
作者：
Tabaghdehi, Monirolsadate Hosseini;Keramat, Afsaneh;Motaghi, Zahra
通讯作者：
Motaghi, Zahra
DOI：
10.1177/0081175020982632
发表时间：
2021-01-01
期刊：
SOCIOLOGICAL METHODOLOGY, VOL 51, ISSUE 2
影响因子：
--
作者：
Johfre, Sasha Shen;Freese, Jeremy
通讯作者：
Freese, Jeremy