wow-inequalities/02-data/intermediate/wos_sample/831c0059e66ea595ce3b9078cc782bda-curtis-david-s.-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Policy Points Policies that increase county income levels, particularly
for middle-income households, may reduce low birth weight rates and
shrink disparities between Black and White infants. Given the role of
aggregate maternal characteristics in predicting low birth weight rates,
policies that increase human capital investments (e.g., funding for
higher education, job training) could lead to higher income levels while
improving population birth outcomes. The association between county
income levels and racial disparities in low birth weight is independent
of disparities in maternal risks, and thus a broad set of policies aimed
at increasing income levels (e.g., income supplements, labor
protections) may be warranted. Context Low birth weight (LBW; <2,500
grams) and infant mortality rates vary among place and racial group in
the United States, with economic resources being a likely fundamental
contributor to these disparities. The goals of this study were to
examine time-varying county median income as a predictor of LBW rates
and Black-White LBW disparities and to test county prevalence and racial
disparities in maternal sociodemographic and health risk factors as
mediators. Methods Using national birth records for 1992-2014 from the
National Center for Health Statistics, a total of approximately 27.4
million singleton births to non-Hispanic Black and White mothers were
included. Data were aggregated in three-year county-period observations
for 868 US counties meeting eligibility requirements (n = 3,723
observations). Sociodemographic factors included rates of low maternal
education, nonmarital childbearing, teenage pregnancy, and advanced-age
pregnancy; and health factors included rates of smoking during pregnancy
and inadequate prenatal care. Among other covariates, linear models
included county and period fixed effects and unemployment, poverty, and
income inequality. Findings An increase of \$10,000 in county median
income was associated with 0.34 fewer LBW cases per 100 live births and
smaller Black-White LBW disparities of 0.58 per 100 births. Time-varying
county rates of maternal sociodemographic and health risks mediated the
association between median income and LBW, accounting for 65\% and 25\%
of this estimate, respectively, but racial disparities in risk factors
did not mediate the income association with Black-White LBW disparities.
Similarly, county median income was associated with very low birth
weight rates and related Black-White disparities. Conclusions Efforts to
increase income levels-for example, through investing in human capital,
enacting labor union protections, or attracting well-paying
employment-have broad potential to influence population reproductive
health. Higher income levels may reduce LBW rates and lead to more
equitable outcomes between Black and White mothers.'
affiliation: 'Curtis, DS (Corresponding Author), Univ Utah, Dept Family \& Consumer
Studies, Alfred Emory Bldg 228, Salt Lake City, UT 84112 USA.
Curtis, David S.; Carlson, Daniel L.; Wen, Ming, Univ Utah, Salt Lake City, UT USA.
Fuller-rowell, Thomas E., Auburn Univ, Auburn, AL 36849 USA.
Kramer, Michael R., Emory Univ, Atlanta, GA 30322 USA.'
author: Curtis, David S. and Fuller-rowell, Thomas E. and Carlson, Daniel L. and Wen,
Ming and Kramer, Michael R.
author-email: david.curtis@fcs.utah.edu
author_list:
- family: Curtis
given: David S.
- family: Fuller-rowell
given: Thomas E.
- family: Carlson
given: Daniel L.
- family: Wen
given: Ming
- family: Kramer
given: Michael R.
da: '2023-09-28'
doi: 10.1111/1468-0009.12532
earlyaccessdate: OCT 2021
eissn: 1468-0009
files: []
issn: 0887-378X
journal: MILBANK QUARTERLY
keywords: 'low birth weight; health disparities; health equity; median income;
fundamental cause theory; US counties'
keywords-plus: 'RACIAL RESIDENTIAL SEGREGATION; PRENATAL-CARE UTILIZATION;
UNITED-STATES; INFANT-MORTALITY; PRETERM BIRTH; SOCIOECONOMIC
DISPARITIES; HEALTH DISPARITIES; RACIAL/ETHNIC DISPARITIES; FUNDAMENTAL
CAUSES; STRUCTURAL RACISM'
language: English
month: MAR
number: '1'
number-of-cited-references: '109'
pages: 38-77
papis_id: 0e2e4de09e8cadf796f87daee4b57e96
ref: Curtis2022doesrising
researcherid-numbers: Carlson, Daniel/GWU-9165-2022
times-cited: '2'
title: Does a Rising Median Income Lift All Birth Weights? County Median Income Changes
and Low Birth Weight Rates Among Births to Black and White Mothers
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000713640700001
usage-count-last-180-days: '0'
usage-count-since-2013: '4'
volume: '100'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2022'