Neighborhood Diversity Is Good for Your Health: An Example of Racial/Ethnic Integration and Preterm Birth in Texas.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shetal Vohra-Gupta, Bethany M Wood, Yeonwoo Kim, Quynh Nhu La Frinere-Sandoval, Elizabeth M Widen, Catherine Cubbin
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Abstract

Racial concentration of neighborhoods is often associated with the risk of preterm birth (PTB) for women. This study examined differences between racially diverse and racially concentrated neighborhoods when examining preterm birth. Individual-level data were obtained from Texas natality files for 2009-2011, and neighborhood-level (i.e., census tract) data were obtained from the decennial census in 2010 and the American Community Survey 2005-2009. We used multilevel modeling to assess the association between neighborhood racial diversity and odds of PTB, after controlling for individual characteristics, neighborhood poverty, and population density. We found that neighborhood racial diversity and concentration matter for PTB. Results suggest that systemic racism is still key to understanding PTB. Furthermore, findings support policies that prevent displacement from gentrification of diverse neighborhoods and promote equal access to health-related resources for women in predominantly Black, Hispanic, and/or immigrant neighborhoods.

Abstract Image

邻里多样性有益健康:得克萨斯州种族/民族融合与早产的一个例子。
种族集中的社区往往与妇女早产(PTB)的风险有关。本研究在考察早产情况时,研究了种族多元化社区与种族集中社区之间的差异。个人层面的数据来自德克萨斯州 2009-2011 年的出生档案,社区层面(即人口普查区)的数据来自 2010 年的十年人口普查和 2005-2009 年的美国社区调查。在控制了个人特征、邻里贫困和人口密度之后,我们使用多层次模型评估了邻里种族多样性与 PTB 发生几率之间的关联。我们发现,邻里种族多样性和集中度与 PTB 有关。研究结果表明,系统性种族主义仍然是理解公共交通意外事故的关键。此外,研究结果还支持制定相关政策,以防止多样化社区因城市化而发生迁移,并促进黑人、西班牙裔和/或移民为主的社区妇女平等获得与健康相关的资源。
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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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