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Racial Disparities in Associations between Neighborhood Demographic Polarization and Birth Weight

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  • Kelvin C. Fong

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    School of Forestry and Environmental Studies, Yale University, New Haven, CT 06511, USA)

  • Maayan Yitshak-Sade

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA)

  • Kevin J. Lane

    (Department of Environmental Health, School of Public Health, Boston University, Boston, MA 02218, USA)

  • M. Patricia Fabian

    (Department of Environmental Health, School of Public Health, Boston University, Boston, MA 02218, USA)

  • Itai Kloog

    (Department of Geography and Environmental Development, Ben-Gurion University of the Negev, 8410501 Beer Sheva, Israel)

  • Joel D. Schwartz

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA 02215, USA)

  • Brent A. Coull

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA 02215, USA)

  • Petros Koutrakis

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA)

  • Jaime E. Hart

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    Department of Medicine, Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA)

  • Francine Laden

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA 02215, USA
    Department of Medicine, Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA)

  • Antonella Zanobetti

    (Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, MA 02215, USA)

Abstract

Neighborhood demographic polarization, or the extent to which a privileged population group outnumbers a deprived group, can affect health by influencing social dynamics. While using birth records from 2001 to 2013 in Massachusetts ( n = 629,675), we estimated the effect of two demographic indices, racial residential polarization (RRP) and economic residential polarization (ERP), on birth weight outcomes, which are established predictors of the newborn’s future morbidity and mortality risk. Higher RRP and ERP was each associated with higher continuous birth weight and lower odds for low birth weight and small for gestational age, with evidence for effect modification by maternal race. On average, per interquartile range increase in RRP, the birth weight was 10.0 g (95% confidence interval: 8.0, 12.0) higher among babies born to white mothers versus 6.9 g (95% CI: 4.8, 9.0) higher among those born to black mothers. For ERP, it was 18.6 g (95% CI: 15.7, 21.5) higher among those that were born to white mothers versus 1.8 g (95% CI: −4.2, 7.8) higher among those born to black mothers. Racial and economic polarization towards more privileged groups was associated with healthier birth weight outcomes, with greater estimated effects in babies that were born to white mothers than those born to black mothers.

Suggested Citation

  • Kelvin C. Fong & Maayan Yitshak-Sade & Kevin J. Lane & M. Patricia Fabian & Itai Kloog & Joel D. Schwartz & Brent A. Coull & Petros Koutrakis & Jaime E. Hart & Francine Laden & Antonella Zanobetti, 2020. "Racial Disparities in Associations between Neighborhood Demographic Polarization and Birth Weight," IJERPH, MDPI, vol. 17(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3076-:d:351641
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    References listed on IDEAS

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    1. Mehra, Renee & Boyd, Lisa M. & Ickovics, Jeannette R., 2017. "Racial residential segregation and adverse birth outcomes: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 191(C), pages 237-250.
    2. repec:aph:ajpbhl:10.2105/ajph.2017.303713_7 is not listed on IDEAS
    3. Krieger, N. & Waterman, P.D. & Spasojevic, J. & Li, W. & Maduro, G. & Van Wye, G., 2016. "Public health monitoring of privilege and deprivation with the index of concentration at the extremes," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 256-263.
    4. Douglas Massey, 1996. "The age of extremes: Concentrated affluence and poverty in the twenty-first century," Demography, Springer;Population Association of America (PAA), vol. 33(4), pages 395-412, November.
    5. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    6. Kelvin C. Fong & Itai Kloog & Brent A. Coull & Petros Koutrakis & Francine Laden & Joel D. Schwartz & Peter James, 2018. "Residential Greenness and Birthweight in the State of Massachusetts, USA," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    7. Krieger, N. & Waterman, P.D. & Batra, N. & Murphy, J.S. & Dooley, D.P. & Shah, S.N., 2017. "Measures of local segregation for monitoring health inequities by local health departments," American Journal of Public Health, American Public Health Association, vol. 107(6), pages 903-906.
    8. Orchard, Jacob & Price, Joseph, 2017. "County-level racial prejudice and the black-white gap in infant health outcomes," Social Science & Medicine, Elsevier, vol. 181(C), pages 191-198.
    9. Ncube, Collette N. & Enquobahrie, Daniel A. & Albert, Steven M. & Herrick, Amy L. & Burke, Jessica G., 2016. "Association of neighborhood context with offspring risk of preterm birth and low birthweight: A systematic review and meta-analysis of population-based studies," Social Science & Medicine, Elsevier, vol. 153(C), pages 156-164.
    10. Pearl, M. & Braveman, P. & Abrams, B., 2001. "The relationship of neighborhood socioeconomic characteristics to birthweight among 5 ethnic groups in California," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1808-1814.
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