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Race, Socioeconomic Status, and Age: Exploring Intersections in Preterm Birth Disparities among Teen Mothers

机译:种族,社会经济地位和年龄:探讨青少年母亲早产差异的交叉点

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Few studies have examined disparities in adverse birth outcomes and compared contributing socioeconomic factors specifically between African-American and White teen mothers. This study examined intersections between neighborhood socioeconomic status (as defined by census-tract median household income), maternal age, and racial disparities in preterm birth (PTB) outcomes between African-American and White teen mothers in North Carolina. Using a linked dataset with state birth record data and socioeconomic information from the 2010 US Census, disparities in preterm birth outcomes for 16,472 teen mothers were examined through bivariate and multilevel analyses. African-American teens had significantly greater odds of PTB outcomes than White teens (OR = 1.38, 95% CI 1.21, 1.56). Racial disparities in PTB rates significantly varied by neighborhood income; PTB rates were 2.1 times higher for African-American teens in higher income neighborhoods compared to White teens in similar neighborhoods. Disparities in PTB did not vary significantly between teens younger than age 17 and teens ages 17–19, although the magnitude of racial disparities was larger between younger African-American and White teens. These results justify further investigations using intersectional frameworks to test the effects of racial status, neighborhood socioeconomic factors, and maternal age on birth outcome disparities among infants born to teen mothers.
机译:很少有研究检查不利的出生结局方面的差异,并比较了特别是非裔美国人和白人青少年母亲之间的社会经济因素。这项研究调查了北卡罗来纳州的非洲裔美国人和白人青少年母亲之间的邻里社会经济状况(由人口普查中位数家庭收入定义),产妇年龄和早产(PTB)结果中的种族差异之间的交集。使用具有2010年美国人口普查的州出生记录数据和社会经济信息的链接数据集,通过双变量和多级分析检查了16,472名青少年母亲的早产结局。非洲裔美国青少年的PTB结局几率明显高于白人青少年(OR = 1.38,95%CI 1.21,1.56)。 PTB比率的种族差异因邻里收入而有很大差异;与类似社区的白人青少年相比,高收入社区的非洲裔美国青少年的PTB率高2.1倍。在17岁以下的青少年和17-19岁的青少年之间,PTB的差异没有显着差异,尽管年轻的非裔美国人和白人青少年之间的种族差异更大。这些结果证明使用交叉框架进行进一步调查以检验种族状况,邻里社会经济因素和母亲年龄对未成年母亲所生婴儿出生结局差异的影响是正确的。

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