Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris
{"title":"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。","authors":"Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris","doi":"10.1038/s41372-024-02123-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Utilizing combinations of self-identified race, ethnicity, and continental origin may facilitate public health efforts focused on birth outcome equity.</p>","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The \\\"Other\\\" race category on birth certificates and its impact on analyses of preterm birth inequity.\",\"authors\":\"Kayla R Holloway, Joshua Radack, Alejandra Barreto, Barbara H Chaiyachati, Diana Montoya-Williams, Angela M Ellison, Heather H Burris\",\"doi\":\"10.1038/s41372-024-02123-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Utilizing combinations of self-identified race, ethnicity, and continental origin may facilitate public health efforts focused on birth outcome equity.</p>\",\"PeriodicalId\":16690,\"journal\":{\"name\":\"Journal of Perinatology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Perinatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1038/s41372-024-02123-x\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41372-024-02123-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
The "Other" race category on birth certificates and its impact on analyses of preterm birth inequity.
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.
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.