The "Other" race category on birth certificates and its impact on analyses of preterm birth inequity.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris
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引用次数: 0

Abstract

Objective: Not all individuals self-identify with race categories on birth certificates, selecting "Other" and writing in identities. Our hypothesis was that curating write-in responses in the "Other" race category would contribute to understanding preterm birth inequities.

Methods: We analyzed Pennsylvania birth certificates (2006-2014). Two independent coders reviewed each write-in response among those who selected "Other" race. We compared preterm birth rates across subpopulations within "Other" race category using a Monte Carlo simulated Chi-square test.

Results: Among 1,196,125 singleton births, 72,891 (6.1%) exclusively selected "Other" race; Hispanic more often than non-Hispanic individuals (54.5% vs 0.7%), p < 0.0001). Only 545 (0.8%) of Hispanic individuals wrote in responses aligned with preestablished race categories compared to 2,601 (33.2%) of non-Hispanic individuals. Preterm birth rates varied significantly across identities within the "Other" group (P < 0.001).

Conclusion: Utilizing combinations of self-identified race, ethnicity, and continental origin may facilitate public health efforts focused on birth outcome equity.

出生证明上的 "其他 "种族类别及其对早产不公平分析的影响。
目标:并非所有的人都能自我认同出生证明上的种族类别,他们会选择 "其他 "并写入身份。我们的假设是,整理 "其他 "种族类别中的写入回复将有助于了解早产的不公平现象:我们分析了宾夕法尼亚州的出生证明(2006-2014 年)。两名独立的编码员审查了选择 "其他 "种族的每个写入回复。我们使用蒙特卡罗模拟卡方检验比较了 "其他 "种族类别中不同亚人群的早产率:利用自我认定的种族、民族和大陆血统组合可促进以出生结果公平为重点的公共卫生工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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