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Socioeconomic Position and Low Birth Weight: Evaluating Multiple and Alternative Measures Across Race in Michigan

机译:社会经济地位和低出生体重:在密歇根州的种族中评估多项和替代措施

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In health research, socioeconomic position (SEP) is used to measure the context of social inequality. Studies on low birth weight (LBW) that attempt to capture social inequality have generally used single measures of SEP or have employed conventional SEP measures, such as income and education, without regard to how other indicators could influence findings. This study investigates the association between SEP and LBW across blacks and whites using multiple and alternative indicators of SEP. We use a stratified random sample of 13,513 postpartum mothers, obtained from the Michigan Pregnancy Risk Assessment Monitoring System (2000–2006), and evaluate four SEP measures across race: maternal education, Medicaid before pregnancy, Women, Infants and Children (WIC) enrollment during pregnancy and paternal acknowledgment. Results indicate that associations between SEP and LBW vary depending on the SEP measure used and the racial subpopulation under consideration. To explain and reduce social inequalities in LBW, a more differentiated approach that does not assume equivalence among SEP measures and across racial/ethnic groups should be employed.
机译:在健康研究中,社会经济地位(SEP)用于衡量社会不平等的背景。试图捕捉社会不平等的低出生体重(LBW)研究通常使用SEP的单一指标或采用常规的SEP指标(例如收入和教育),而没有考虑其他指标如何影响调查结果。本研究使用多种SEP替代指标研究了黑人和白人之间SEP和LBW之间的关联。我们使用从密歇根州怀孕风险评估监控系统(2000-2006年)中获得的13513名产后母亲的分层随机样本,评估了各个种族的四种SEP指标:孕产妇教育,怀孕前的医疗补助,妇女,婴儿和儿童(WIC)入学在怀孕期间和父亲的承认。结果表明,SEP和LBW之间的关联因所使用的SEP度量和所考虑的种族亚群而异。为了解释和减少低收入家庭的社会不平等现象,应采用一种差异更大的方法,即不假定SEP措施之间以及种族/族裔群体之间是平等的。

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