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Embodiment of Multidimensional Structural Racism and Preterm Birth Outcome Considering Nativity Among Black Birthing People in California
Embodiment of Multidimensional Structural Racism and Preterm Birth Outcome Considering Nativity Among Black Birthing People in California
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103159
- ISBN
- 9798280748651
- DDC
- 610.73
- 서명/저자
- Embodiment of Multidimensional Structural Racism and Preterm Birth Outcome Considering Nativity Among Black Birthing People in California
- 발행사항
- [Sl] : University of California, San Francisco, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 112 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
- 주기사항
- Advisor: Waters, Catherine.
- 학위논문주기
- Thesis (Ph.D.)--University of California, San Francisco, 2025.
- 초록/해제
- 요약Background. Preterm birth (PTB) for the Black population is higher than the Healthy People 2030 target. Many intersecting cultural identities exist within the Black population. Nativity and embodiment of structural racism in the United States (U.S.) may explain PTB variations in the Black population.Purpose. Through integrated ecosocial and critical race conceptual lenses, the study purpose was to examine if PTB was associated with multidimensional structural racism, considering nativity.Methods. Study data were extracted from public sources. Latent class analysis was conducted to identify multidimensional structural racism patterns for all Public Use Microdata Areas during the 2010 U.S. Census, which were related to PTB among 92,522 Black birthing people in California, 2015-2019. Mixed-effects logistic regression analysis was performed to determine the odds of PTB associated with multidimensional structural racism and nativity.Results. Foreign-born Black birthing people had fewer PTB and more favorable health risk and sociodemographic profiles than U.S.-born Black birthing people. The differences, however, were not advantageous for all Black immigrants. Embodying a multidimensional structural racism pattern of not owning a home, having less income, and being incarcerated was associated with PTB, irrespective of nativity. This Black birthing population was also residentially segregated.Conclusion/Implications. U.S.- and foreign-born Black birthing people embody certain shared patterns of structural racism in the U.S., which appear to influence PTB. The immigrant health advantage should not be presumed for all immigrants. Upstream and tailored PTB program and policy planning should consider the intersectionality of nativity and structural racism exposure.
- 일반주제명
- Nursing
- 일반주제명
- Obstetrics
- 일반주제명
- Public health
- 키워드
- Latent class
- 키워드
- Preterm birth
- 기타저자
- University of California, San Francisco Nursing
- 기본자료저록
- Dissertations Abstracts International. 86-12B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520260202103159
■006m o d
■007cr#unu||||||||
■020 ▼a9798280748651
■035 ▼a(MiAaPQ)AAI31998695
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aTillman-Smith, Renee Theresa.▼0(orcid)0009-0003-5407-4507
■24510▼aEmbodiment of Multidimensional Structural Racism and Preterm Birth Outcome Considering Nativity Among Black Birthing People in California
■260 ▼a[Sl]▼bUniversity of California, San Francisco▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a112 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-12, Section: B.
■500 ▼aAdvisor: Waters, Catherine.
■5021 ▼aThesis (Ph.D.)--University of California, San Francisco, 2025.
■520 ▼aBackground. Preterm birth (PTB) for the Black population is higher than the Healthy People 2030 target. Many intersecting cultural identities exist within the Black population. Nativity and embodiment of structural racism in the United States (U.S.) may explain PTB variations in the Black population.Purpose. Through integrated ecosocial and critical race conceptual lenses, the study purpose was to examine if PTB was associated with multidimensional structural racism, considering nativity.Methods. Study data were extracted from public sources. Latent class analysis was conducted to identify multidimensional structural racism patterns for all Public Use Microdata Areas during the 2010 U.S. Census, which were related to PTB among 92,522 Black birthing people in California, 2015-2019. Mixed-effects logistic regression analysis was performed to determine the odds of PTB associated with multidimensional structural racism and nativity.Results. Foreign-born Black birthing people had fewer PTB and more favorable health risk and sociodemographic profiles than U.S.-born Black birthing people. The differences, however, were not advantageous for all Black immigrants. Embodying a multidimensional structural racism pattern of not owning a home, having less income, and being incarcerated was associated with PTB, irrespective of nativity. This Black birthing population was also residentially segregated.Conclusion/Implications. U.S.- and foreign-born Black birthing people embody certain shared patterns of structural racism in the U.S., which appear to influence PTB. The immigrant health advantage should not be presumed for all immigrants. Upstream and tailored PTB program and policy planning should consider the intersectionality of nativity and structural racism exposure.
■590 ▼aSchool code: 0034.
■650 4▼aNursing
■650 4▼aObstetrics
■650 4▼aPublic health
■653 ▼aBlack birthing population
■653 ▼aLatent class
■653 ▼aPreterm birth
■653 ▼aRacial inequities
■653 ▼aStructural racism
■690 ▼a0569
■690 ▼a0380
■690 ▼a0573
■690 ▼a0769
■71020▼aUniversity of California, San Francisco▼bNursing.
■7730 ▼tDissertations Abstracts International▼g86-12B.
■790 ▼a0034
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357275▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
