Political representation and perinatal outcomes to Black, White, and Hispanic people in Georgia: a cross-sectional study.

ABSTRACT:

Purpose

Our goal was to estimate differences in perinatal outcomes by racial differences in political representation, a measure of structural racism.

Methods

We gathered data on the racial composition of county-level elected officials for all counties in Georgia (n = 159) in 2022. We subtracted the percent of non-White elected officials from the percent of non-White residents to calculate the "representation difference," with greater positive values indicating a larger disparity. We linked this to data from 2020-2021 birth certificates (n = 238,795) on outcomes (preterm birth, <37 weeks, low birthweight birth <2500 g, birthweight, hypertensive disorders of pregnancy, cesarean delivery). We fit log binomial and linear models with generalized estimating equations, stratified b

SUBMITTER: Stanhope KK 

PROVIDER: S-EPMC10842944 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature