Structural barriers to health care as risk factors for preterm and small-for-gestational-age birth among US-born Black and White mothers.

Autor: Curtis DS; Department of Family and Consumer Studies, University of Utah, Salt Lake City, UT, 84112, USA. Electronic address: david.curtis@fcs.utah.edu., Waitzman N; Department of Economics, University of Utah, Salt Lake City, UT, 84112, USA., Kramer MR; Department of Epidemiology, Emory University, Atlanta, GA, 30322, USA., Shakib JH; Department of Pediatrics, University of Utah, Salt Lake City, UT, 84112, USA.
Jazyk: angličtina
Zdroj: Health & place [Health Place] 2024 Jan; Vol. 85, pp. 103177. Date of Electronic Publication: 2024 Jan 19.
DOI: 10.1016/j.healthplace.2024.103177
Abstrakt: We develop county-level measures of structural and institutional barriers to care, and test associations between these barriers and birth outcomes for US-born Black and White mothers using national birth records for 2014-2017. Results indicate elevated odds of greater preterm birth severity for Black mothers in counties with higher uninsurance rates among Black adults, fewer Black physicians per Black residents, and fewer publicly-funded contraceptive services. Most structural barriers were not associated with small-for-gestational-age birth, and barriers defined for Black residents were not associated with birth outcomes for White mothers, with the exception of Black uninsurance rate. Structural determinants of care may influence preterm birth risk for Black Americans.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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