Vohra-Gupta Shetal, Wood Bethany M, Kim Yeonwoo, La Frinere-Sandoval Quynh Nhu, Widen Elizabeth M, Cubbin Catherine
Steve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, Austin, TX, 78712, USA.
School of Social Work, The University of Texas at Arlington, 501 W Mitchell St, Arlington, TX, 76010, USA.
J Racial Ethn Health Disparities. 2024 Aug 13. doi: 10.1007/s40615-024-02117-7.
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.
社区的种族集中往往与女性早产风险相关。本研究在考察早产情况时，对种族多元化社区和种族集中社区之间的差异进行了检验。个体层面的数据取自2009 - 2011年得克萨斯州出生记录，社区层面（即普查区）的数据取自2010年十年一度的人口普查以及2005 - 2009年美国社区调查。在控制了个体特征、社区贫困程度和人口密度之后，我们使用多层次模型来评估社区种族多样性与早产几率之间的关联。我们发现，社区种族多样性和集中程度对早产有影响。结果表明，系统性种族主义仍是理解早产问题的关键。此外，研究结果支持相关政策，这些政策可防止多元化社区因高档化改造而出现居民被迫搬迁的情况，并促进以黑人、西班牙裔和/或移民为主的社区中的女性平等获取与健康相关的资源。
