An Ecological Analysis of Racial Differences in Low Birthweight: Implications for Maternal and Child Health Social Work
This study attempted to gain a better understanding of the effect of ecological and individual risk factors on infant health for black and white women in a large metropolitan city. The study examined the association among neighborhood economic indicators, neighborhood quality, access to prenatal car...
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Published in | Health & social work Vol. 28; no. 1; pp. 9 - 22 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Oxford University Press
01.02.2003
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Subjects | |
Online Access | Get full text |
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Summary: | This study attempted to gain a better understanding of the effect of ecological and individual risk factors on infant health for black and white women in a large metropolitan city. The study examined the association among neighborhood economic indicators, neighborhood quality, access to prenatal care, and individual perinatal risk factors and subsequent birthweight among 78,415 black and 60,346 white residents of New York City in 1991 and 1992. Multivariate analyses indicated the continuing importance of factors such as smoking and being uninsured as individual-level risk factors for low-birthweight babies, particularly among black women. The implications of these findings emphasize the need for socially and ecologically focused policies that can reduce individual-level risks for low birthweight in the future. |
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Bibliography: | Kim D. Jaffee, PhD, is assistant professor, School of Social Work, College of Human Services and Health Professions, Syracuse University, Syracuse, NY 13244; e-mail: kdjaffee@syr.edu. Janet D. Perloff, PhD, is professor and associate dean for research, School of Social Welfare, University at Albany, State University of New York. This project was supported by grant no. R03 HS10061 from the Agency for Health Care Policy and Research. The authors thank Nancy Mudrick for helpful comments on an earlier version of this article. ark:/67375/HXZ-38WWK1XJ-M istex:D33AB49630348458D3A42231705E175D2C1B0662 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0360-7283 1545-6854 |
DOI: | 10.1093/hsw/28.1.9 |