Metropolitan isolation segregation and Black-White disparities in very preterm birth: a test of mediating pathways and variance explained.

ABSTRACT: Residential isolation segregation (a measure of residential inter-racial exposure) has been associated with rates of preterm birth (<37 weeks gestation) experienced by Black women. Epidemiologic differences between very preterm (<32 weeks gestation) and moderately preterm births (32-36 weeks) raise questions about whether this association is similar across gestational ages, and through what pathways it might be mediated. Hierarchical Bayesian models were fit to answer three questions: is the isolation-prematurity association similar for very and moderately preterm birth; is this association mediated by maternal chronic disease, socioeconomic status, or metropolitan area crime and poverty rates; and how much of the geographic variation in Black-White very preterm birth disparities is explai

SUBMITTER: Kramer MR 

PROVIDER: S-EPMC2992580 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature