Titre :
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The Neighborhood Contribution to Black-White Perinatal Disparities : An Example From Two North Carolina Counties, 1999-2001. (2011)
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Auteurs :
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Ashley-H SCHEMPF ;
Jay-S KAUFMAN ;
Pauline MENDOLA ;
Lynne-C MESSER
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 174, n° 6, 2011)
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Pagination :
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744-752
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Langues:
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Anglais
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Mots-clés :
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Hypotrophie foetale
;
Nouveau né
;
Nourrisson
;
Prématurité
;
Naissance
;
Epidémiologie
;
Homme
;
Amérique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS prR0xAAk. Diffusion soumise à autorisation]. Previous studies of black-white disparities in perinatal outcomes have generally not controlled for both observed and unobserved neighborhood inequalities with models that compare only black and white women living in the same neighborhoods. Using 1999-2001 birth certificate data from 2 counties in North Carolina, the authors employed a hybrid fixed-effects approach to assess the total contribution of neighborhood factors to both absolute and relative racial disparities in low birth weight, preterm birth (PTB), and smallness for gestational age at term. Neighborhood factors made a notable contribution to racial disparities for PTB only, accounting for an additional 15% reduction in crude disparities beyond individual sociodemographic characteristics, which accounted for approximately 40% of racial disparities. The neighborhood contribution was greater for moderate PTB (32-36 weeks'gestation) than for very PTB (
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