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• W2955529545 abstract "There is a growing body of research showing community- and state-level indicators of structural racism and social and economic deprivation are associated with prenatal care utilization and adverse birth outcomes among African American women. However, even after controlling for individual characteristics and community poverty, racial inequities in prenatal care utilization and adverse birth outcomes are still present. There is limited research on the effect of structural racism and social and economic deprivation when measured at the county-level on adverse birth outcomes. This study contributes to previous research by using a novel conceptualization and measurement of structural racism and social and economic deprivation to better understand racial inequities in prenatal care utilization and adverse birth outcomes. Cross-sectional birth record data (2009-2013) from women residing in California (n= 531,170) were linked to county-level data gathered from the American Community Survey (2009-2013) to conduct multilevel analyses. This study was guided by the ecosocial theory and was centered on examining the association of exposures to structural racism (e.g., residential segregation and African American and White ratios in political participation) and embodied racial inequities in adverse birth outcomes between African American and White women through two mediated pathways: (1) social and economic deprivation, and (2) prenatal care utilization. Outcome variables in this study were infants’ birth weight (measured in grams) and gestational age (measured in weeks). Women receiving less than adequate prenatal care (i.e., initiating prenatal care after the first trimester and attending 79% or less of recommended appointments) served as a secondary outcome variable. Structural racism was measured by residential segregation indices (i.e., dissimilarity, isolation, and concentration) and African American and White ratios in the number of persons incarcerated for felonies and in board of supervisor positions at the county-level. Social and economic deprivation was measured by two African American to White ratios: in having a professional and/or management job, and in having a high school diploma or higher at the county-level. Chapters 4 and 5 are two papers included in this dissertation that sought to answer the following research questions: (1) Are both traditional and novel indicators of county-level structural racism associated with adverse birth outcomes among African American and White women?; (2) Do both traditional and novel measures of county-level structural racism account for racial inequities seen in adverse birth outcomes among African American and White women?; and (3) Do county-level indicators of social and economic deprivation account for racial inequities seen in African American and White women’s prenatal care utilization? Among women included in the study sample, African American women birthed infants of lower average birth weight and earlier average gestational age, with corresponding higher percentages of infants meeting criteria for low birth weight and preterm birth in comparison to White women. Additionally, African American women, compared to White women, were more likely to have less than adequate prenatal care utilization. Traditional indicators of structural racism (i.e., isolation and dissimilarity) were associated with African American and White women’s infants’ birth weight and gestational age, after controlling for individual characteristics and county-level poverty. There was a significant interaction between race (i.e., African American) and traditional indicators of structural racism (i.e., isolation) with infants’ gestational age, where African American women who lived in counties with high isolation birthed infants at earlier gestational ages. The main effect of race on infants’ birth weight and gestational age remained significant across all models. Novel indicators of structural racism were associated with infants’ birth weight among both African American and White women. There were no statistically significant interactions between race and novel indicators of structural racism with infants’ birth weight. Only one indicator of social and economic deprivation was associated with women’s prenatal care utilization, adjusting for individual characteristics and county-level poverty. Findings indicate increasing the number of African Americans by one to every 100 Whites in professional jobs at the county-level, increased women’s likelihood of having less than adequate prenatal care by 1.03 odds. Race remained significant after accounting for individual-level factors and county poverty; however, there were no significant interactions between race and African American to White ratios in professional jobs. Findings from this study highlight the utility of county-level measures of structural racism and social and economic deprivation in understanding factors related to prenatal care utilization and adverse birth outcomes among African American and White women. Future studies should examine more comprehensive approaches to measure structural racism and social and economic deprivation to better understand the structural influences affecting racial inequities in prenatal care utilization and adverse birth outcomes." @default.
• W2955529545 created "2019-07-12" @default.
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• W2955529545 date "2017-01-01" @default.
• W2955529545 modified "2023-09-27" @default.
• W2955529545 title "Assessing the association of county-level structural racism and social and economic deprivation with women’s prenatal care utilization and adverse birth outcomes" @default.
• W2955529545 cites W131767194 @default.
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• W2955529545 cites W1964104744 @default.
• W2955529545 cites W1966178283 @default.
• W2955529545 cites W1980122541 @default.
• W2955529545 cites W1982219775 @default.
• W2955529545 cites W1982464622 @default.
• W2955529545 cites W1984430264 @default.
• W2955529545 cites W1984644279 @default.
• W2955529545 cites W1987588859 @default.
• W2955529545 cites W1989132328 @default.
• W2955529545 cites W1991192951 @default.
• W2955529545 cites W1994413315 @default.
• W2955529545 cites W1994583502 @default.
• W2955529545 cites W1998869904 @default.
• W2955529545 cites W2003122412 @default.
• W2955529545 cites W2007038350 @default.
• W2955529545 cites W2008060831 @default.
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• W2955529545 cites W2018955353 @default.
• W2955529545 cites W2023220694 @default.
• W2955529545 cites W2032152942 @default.
• W2955529545 cites W2039506977 @default.
• W2955529545 cites W2043606613 @default.
• W2955529545 cites W2047963469 @default.
• W2955529545 cites W2051714221 @default.
• W2955529545 cites W2053912071 @default.
• W2955529545 cites W2057305936 @default.
• W2955529545 cites W2059194894 @default.
• W2955529545 cites W2059390873 @default.
• W2955529545 cites W2059520919 @default.
• W2955529545 cites W2064253087 @default.
• W2955529545 cites W2066901264 @default.
• W2955529545 cites W2067657280 @default.
• W2955529545 cites W2068033195 @default.
• W2955529545 cites W2069946527 @default.
• W2955529545 cites W2071365109 @default.
• W2955529545 cites W2072892515 @default.
• W2955529545 cites W2077038778 @default.
• W2955529545 cites W2078068090 @default.
• W2955529545 cites W2078872654 @default.
• W2955529545 cites W2079582713 @default.
• W2955529545 cites W2082358386 @default.
• W2955529545 cites W2084053195 @default.
• W2955529545 cites W2096143124 @default.
• W2955529545 cites W2096982585 @default.
• W2955529545 cites W2103106395 @default.
• W2955529545 cites W2105314842 @default.
• W2955529545 cites W2107345674 @default.
• W2955529545 cites W2107563587 @default.
• W2955529545 cites W2111628008 @default.
• W2955529545 cites W2114512636 @default.
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• W2955529545 cites W2167350702 @default.
• W2955529545 cites W2169278074 @default.
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• W2955529545 cites W2330883289 @default.
• W2955529545 cites W2407808145 @default.
• W2955529545 cites W2474838726 @default.
• W2955529545 cites W2507309255 @default.
• W2955529545 cites W2528234277 @default.
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