Estimating racial health disparities among adverse birth outcomes as deviations from the population rates
Abstract Background Despite significant research, the reasons for racial health disparities among adverse birth outcomes (ABO) remain largely unknown. The bulk of research into racial health disparities among ABO in the United States has concentrated on the risk of race and ethnic groups relative to...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-020-2847-9 |
| _version_ | 1819199817404907520 |
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| author | James A. Thompson Melissa A. Suter |
| author_facet | James A. Thompson Melissa A. Suter |
| author_sort | James A. Thompson |
| collection | DOAJ |
| description | Abstract Background Despite significant research, the reasons for racial health disparities among adverse birth outcomes (ABO) remain largely unknown. The bulk of research into racial health disparities among ABO in the United States has concentrated on the risk of race and ethnic groups relative to the specific sub-population of non-Hispanic white women and their children. The objective of this study was to estimate the racial and ethnic risks among a set of neonatal and maternal health disparities while minimizing bias attributable to how the baseline risk was established. Methods All birth records were obtained from the United States Natality database for the years 2014 to 2017. A Bayesian modeling approach was used to estimate the risk disparity for disorders by race. The estimation of the race-specific risks used a sum-to-zero constraint for the race regression coefficients. Results Estimating racial health disparities relative to the overall population rate yielded novel results and identified perinatal health disparities for all the race groups studied. Conclusions Unbiased risk estimates for racial disparities among ABO are now available for stimulating and initiating more complex causal modeling that can lead to understanding how racial health disparities for ABO are mediated and how they can be prevented. |
| first_indexed | 2024-12-23T03:22:22Z |
| format | Article |
| id | doaj.art-d93e0a8396ea41a9b2e01010789b6aaa |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-23T03:22:22Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-d93e0a8396ea41a9b2e01010789b6aaa2022-12-21T18:01:58ZengBMCBMC Pregnancy and Childbirth1471-23932020-03-012011710.1186/s12884-020-2847-9Estimating racial health disparities among adverse birth outcomes as deviations from the population ratesJames A. Thompson0Melissa A. Suter1College of Veterinary Medicine and Biomedical Science, Texas A&M UniversityDepartment of Obstetrics and Gynecology, Baylor College of MedicineAbstract Background Despite significant research, the reasons for racial health disparities among adverse birth outcomes (ABO) remain largely unknown. The bulk of research into racial health disparities among ABO in the United States has concentrated on the risk of race and ethnic groups relative to the specific sub-population of non-Hispanic white women and their children. The objective of this study was to estimate the racial and ethnic risks among a set of neonatal and maternal health disparities while minimizing bias attributable to how the baseline risk was established. Methods All birth records were obtained from the United States Natality database for the years 2014 to 2017. A Bayesian modeling approach was used to estimate the risk disparity for disorders by race. The estimation of the race-specific risks used a sum-to-zero constraint for the race regression coefficients. Results Estimating racial health disparities relative to the overall population rate yielded novel results and identified perinatal health disparities for all the race groups studied. Conclusions Unbiased risk estimates for racial disparities among ABO are now available for stimulating and initiating more complex causal modeling that can lead to understanding how racial health disparities for ABO are mediated and how they can be prevented.http://link.springer.com/article/10.1186/s12884-020-2847-9BayesianSum-to-zeroMaternalNeonatalRacial health disparityAdverse birth outcomes |
| spellingShingle | James A. Thompson Melissa A. Suter Estimating racial health disparities among adverse birth outcomes as deviations from the population rates BMC Pregnancy and Childbirth Bayesian Sum-to-zero Maternal Neonatal Racial health disparity Adverse birth outcomes |
| title | Estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| title_full | Estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| title_fullStr | Estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| title_full_unstemmed | Estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| title_short | Estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| title_sort | estimating racial health disparities among adverse birth outcomes as deviations from the population rates |
| topic | Bayesian Sum-to-zero Maternal Neonatal Racial health disparity Adverse birth outcomes |
| url | http://link.springer.com/article/10.1186/s12884-020-2847-9 |
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