County Socioeconomic Deprivation and Preterm Birth Risk Between White and Black Mothers in Georgia, USA

2018 ◽  
Vol 9 (3) ◽  
pp. 18-30
Author(s):  
Wei Tu
Keyword(s):  
Black Women ◽  
Odds Ratio ◽  
Preterm Births ◽  
Vital Statistics ◽  
Future Research ◽  
Racial Groups ◽  
County Level ◽  
Entire Study ◽  
Logistic Regression Models ◽  
Individual Level

Past studies have reported the association between living in a socioeconomically deprived neighborhood and elevated preterm births (PtB) risk after adjusting certain individual level confounders. This article examined the association between county-level deprivation and PtB risk of three stratified racial groups, white, black, and the others. The author built two level random intercept logistic regression models using 112,589 single live births retrieved from vital statistics record in Georgia, USA in 2010. Although county level deprivation was found to be insignificant for PtB risk for the entire study population, it had a significant yet modest effect on magnifying the PtB risk of black women (The odds ratio (OR) = 1.063,95% CI = 1.02, 1.12). In addition, the Median Odds Ratio (MOR) (1.229) indicated a weak neighborhood effect on PtB risk and the Interval Odds Ratio (IOR)-80% (0.68-1.49) suggested large unaccounted county-level heterogeneity. Future research will include more confounders at both levels in analysis as well as addressing the uncertain geographic context problem (UGCoP).

County Socioeconomic Deprivation and Preterm Birth Risk Between White and Black Mothers in Georgia, USA

2020 ◽  
pp. 182-200
Author(s):  
Wei Tu
Keyword(s):  
Black Women ◽  
Odds Ratio ◽  
Preterm Births ◽  
Vital Statistics ◽  
Racial Groups ◽  
County Level ◽  
Black Mothers ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Random Intercept

Past studies have reported the association between living in a socioeconomically deprived neighborhood and elevated preterm births (PtB) risk after adjusting certain individual level confounders. This article examined the association between county-level deprivation and PtB risk of three stratified racial groups, white, black, and the others. The author built two level random intercept logistic regression models using 112,589 single live births retrieved from vital statistics record in Georgia, USA in 2010. Although county level deprivation was found to be insignificant for PtB risk for the entire study population, it had a significant yet modest effect on magnifying the PtB risk of black women (The odds ratio (OR) = 1.063,95% CI = 1.02, 1.12). In addition, the Median Odds Ratio (MOR) (1.229) indicated a weak neighborhood effect on PtB risk and the Interval Odds Ratio (IOR)-80% (0.68-1.49) suggested large unaccounted county-level heterogeneity. Future research will include more confounders at both levels in analysis as well as addressing the uncertain geographic context problem (UGCoP).

scholarly journals Prevalence of Anemia Across Trimesters in Multiethnic Pregnant Women

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 765-765
Author(s):  
Wanhui Kang ◽  
Carrie Irvine ◽  
Eva Pressman ◽  
Kimberly O'Brien
Keyword(s):  
Risk Factors ◽  
Black Women ◽  
Pregnant Women ◽  
White Women ◽  
Late Gestation ◽  
Racial Groups ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
T1 And T2 ◽  
Prevalence Of Anemia

Abstract Objectives This study aimed to characterize prevalence and determinants of anemia in a multiethnic cohort of pregnant women. Methods A retrospective medical chart review was undertaken of all deliveries occurring from 2011 to 2020 at Strong Memorial Hospital and Highland Hospital in Rochester, NY. Among a total of 53,642 deliveries, 42,289 occurred to women with no underlying health complications. Anemia was defined using the CDC criteria as < 11g/dL in the first (T1) and third trimesters (T3) and < 10.5 g/dL in the second trimester (T2). Mean Hb concentration was compared between trimesters and racial groups by ANOVA and post-hoc pairwise comparisons. Relationships between prevalence of anemia by trimesters, racial groups, and BMI were examined by chi-square or t-tests. Logistic regression models were conducted to estimate the risk factors associated with anemia. Results Pregnant women had a mean age of 29.8 ± 5.5 y (range: 13−52 y) at delivery. The majority of women (66.8%) self-identified as white, 20.0% as black, 3.8% as Asian, and 9.4% as Other. Mean Hb concentrations significantly differed by trimester [12.6 ± 1.0, 11.5 ± 1.1, and 11.8 ± 1.3 g/dL in T1, T2 and T3, respectively, p < 0.001]. Mean Hb was significantly lower in black women in each trimester by -0.8 (T1), -0.7 (T2), and -1.0 g/dL (T3) compared to white women. White women had the highest Hb concentrations in T1 and T2 (12.8 ± 0.9, 11.8 ± 1.0 g/dL) while Asian women had the highest Hb concentrations in T3 (12.2 ± 1.2 g/dL, n = 1577, p < 0.001). The overall prevalence of anemia was 17.1%, which significantly increased across pregnancy [4.5% (T1), 16.4% (T2) and 25.2% (T3), p < 0.001]. Observed rates of anemia were higher than the estimated NHANES (1999–2006) prevalence in pregnant women. After stratifying by racial groups, higher BMI was significantly associated with a lower prevalence of anemia in T2 and T3 only in black women and in those whose race was categorized as Other. Conclusions The prevalence of anemia was highest in black pregnant women in all trimesters, while it was lowest in white pregnant women in T1 and T2, and in Asians in T3. Risk factors associated with anemia included late gestation or self-reported race as black or Other. Funding Sources None.

Determinants of solo and employer entrepreneurship in Visegrád countries: findings from the Czech Republic, Hungary, Poland and Slovakia

2020 ◽  
Vol 14 (3) ◽  
pp. 447-464
Author(s):  
Ondřej Dvouletý ◽  
Marko Orel
Keyword(s):  
Czech Republic ◽  
Methodological Approach ◽  
Working Hours ◽  
Future Research ◽  
Content Type ◽  
Logistic Regression Models ◽  
Individual Level ◽  
The Individual ◽  
Visegrád Countries

Purpose This study aims to extend the existing body of literature on the individual-level determinants of self-employed persons with (employer entrepreneurs) and without employees (solo self-employed individuals) from the perspective of four post-communist economies (i.e. Czech Republic, Hungary, Poland and Slovakia). Design/methodology/approach The methodological approach is based on the three harmonised waves (2005, 2010 and 2015) of the European Survey on Working Conditions (EWCS). Multi-variate logistic regression models are used to determine the individual-level differences among employees, solo self-employed individuals and job creators in the selected group of countries. Findings The results show significant differences among employees, solo self-employed individuals and job creators, especially when it comes to the role of age, gender, education, previous experience, number of working hours and their determination. Job creators in Visegrád countries have, on average, more years of experience, and higher levels of education (tertiary), than wage-employees. Research limitations/implications This study provides a series of recommendations for future research on the role of family- and household-related characteristics, entrepreneurship-specific education and migration background. Originality/value The previous research on individual determinants of entrepreneurial engagement in Visegrád region was mainly based on the data from the Global Entrepreneurship Monitor. This study offers a novel perspective based on the EWCS data.

Examining experiential fear of crime using STUNDA: Findings from a smartphone-based experience methods study

2021 ◽  
pp. 147737082110353
Author(s):  
Alexander Engström ◽  
Karl Kronkvist
Keyword(s):  
Odds Ratio ◽  
Generalized Estimating Equations ◽  
Fear Of Crime ◽  
Smartphone Application ◽  
Individual Characteristics ◽  
Future Research ◽  
Theoretical Conclusion ◽  
Convenience Sample ◽  
Individual Level ◽  
Lower Odds Ratio

Situational data have become more frequently used in research on offending and victimization. However, one outcome that has received less attention is fear of crime. The current study uses situational data collected through a smartphone application (STUNDA) to examine fear of crime as it is experienced in daily life among a sample of university students. Roughly 1200 situations reported by 129 students were analysed using generalized estimating equations. The results indicate that experiential fear of crime, in the form of worrying about victimization, is related to features of the immediate settings. More specifically, the odds ratio for experiencing fear of crime is significantly higher in places away from home and after dark, whereas social activities are associated with a significantly lower odds ratio, net of individual-level controls (gender, age, previous victimization and fear propensity). Yet, fear propensity, measured here using items that refer to an individual’s general worry about victimization, has an independent significant effect on fear of crime. As a result of the study’s convenience sample, the generalizability of the findings is limited, but a more general theoretical conclusion can nonetheless be drawn; features of settings and individual characteristics are both of importance. Further, the use of experience methods via a smartphone application provided detailed and unique situational data, which suggests that future research should further employ these methods to study situational phenomena such as fear of crime.

The Impact of Campus-Level Factors on Peers’ Perceived Ability to Support a Survivor

2019 ◽  
pp. 088626051988016
Author(s):  
Julia Cusano ◽  
Sarah McMahon
Keyword(s):  
Sexual Violence ◽  
Undergraduate Students ◽  
Empirical Support ◽  
Future Research ◽  
Community Factors ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Perceived Ability ◽  
The Impact ◽  
Campus Level

Campus sexual violence is a complex issue that has led to a proliferation of federal legislation and best practices with the intent to better support student survivors. Despite these efforts, research suggests that many survivors do not disclose to formal resources on campus, but rather, to their peers. While there is growing theoretical and empirical support for the role of peer-level influences on both preventing and responding to sexual violence on college campuses, our understanding of students’ confidence in knowing how to respond is limited. Furthermore, disclosure research has yet to assess the impact of broader campus-level factors on students’ confidence in being able to support survivors. In the present exploratory study, undergraduate students responded to a survey, which included questions about receiving disclosures and perceived ability to respond as well as measures of individual-level correlates (gender, race, prior victimization) and campus community factors (perceptions of the university’s responsiveness, exposure to information, awareness of resources). Bivariate analyses were conducted to examine whether certain students were more likely to receive a disclosure on campus. To look at the impact of individual- and community-level factors, a series of hierarchical logistic regression models were estimated. Ability to respond to a disclosure was measured using three separate dichotomous variables. Findings show that 34% of our sample has received at least one disclosure of sexual violence from a peer since coming to campus. In addition, results show that above and beyond individual correlates, campus-level factors impacted students’ confidence in their roles as disclosure recipients. These results have significant implications for sexual violence programs on campus. Suggestions for future research are also discussed.

scholarly journals Acculturation dimensions and 12-month mood and anxiety disorders across US Latino subgroups in the National Epidemiologic Survey of Alcohol and Related Conditions

2016 ◽  
Vol 46 (9) ◽  
pp. 1987-2001 ◽  
Author(s):  
R. Lewis-Fernández ◽  
C. Morcillo ◽  
S. Wang ◽  
C. S. Duarte ◽  
N. K. Aggarwal ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
English Language ◽  
The United States ◽  
Future Research ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Fine Grained ◽  
Epidemiologic Survey ◽  
Language Orientation ◽  
Ethnic Subgroups

BackgroundIndividual-level measures of acculturation (e.g. age of immigration) have a complex relationship with psychiatric disorders. Fine-grained analyses that tap various acculturation dimensions and population subgroups are needed to generate hypotheses regarding the mechanisms of action for the association between acculturation and mental health.MethodStudy participants were US Latinos (N = 6359) from Wave 2 of the 2004–2005 National Epidemiologic Survey of Alcohol and Related Conditions (N = 34 653). We used linear χ2 tests and logistic regression models to analyze the association between five acculturation dimensions and presence of 12-month DSM-IV mood/anxiety disorders across Latino subgroups (Mexican, Puerto Rican, Cuban, ‘Other Latinos’).ResultsAcculturation dimensions associated linearly with past-year presence of mood/anxiety disorders among Mexicans were: (1) younger age of immigration (linear χ21 = 11.04, p < 0.001), (2) longer time in the United States (linear χ21 = 10.52, p < 0.01), (3) greater English-language orientation (linear χ21 = 14.57, p < 0.001), (4) lower Latino composition of social network (linear χ21 = 15.03, p < 0.001), and (5) lower Latino ethnic identification (linear χ21 = 7.29, p < 0.01). However, the associations were less consistent among Cubans and Other Latinos, and no associations with acculturation were found among Puerto Ricans.ConclusionsThe relationship between different acculturation dimensions and 12-month mood/anxiety disorder varies across ethnic subgroups characterized by cultural and historical differences. The association between acculturation measures and disorder may depend on the extent to which they index protective or pathogenic adaptation pathways (e.g. loss of family support) across population subgroups preceding and/or following immigration. Future research should incorporate direct measures of maladaptive pathways and their relationship to various acculturation dimensions.

Neighborhood Context, Street Efficacy, and Fear of Violent Victimization

2016 ◽  
Vol 15 (2) ◽  
pp. 119-137 ◽  
Author(s):  
Yue Yuan ◽  
Beidi Dong ◽  
Chris Melde
Keyword(s):  
Self Efficacy ◽  
Fear Of Crime ◽  
Social Cognitive ◽  
Neighborhood Context ◽  
Policy Implications ◽  
Future Research ◽  
Logistic Regression Models ◽  
Individual Level ◽  
The Relationship ◽  
Neighborhood Level

Drawing on Bandura’s self-efficacy theory, the current study investigates the relationship between individuals’ perceived self-efficacy of avoiding unsafe situations and fear of violence in a neighborhood context. Specifically, it is hypothesized that adolescents who report higher levels of street efficacy are less likely to exhibit fear of violence than adolescents who report lower levels of street efficacy. Using panel data from the Project on Human Development in Chicago Neighborhoods, the authors estimate a series of multilevel ordinal logistic regression models to explain the relationship between street efficacy and fear of violence controlling for both individual-level and neighborhood-level covariates. The results confirm the hypothesis that adolescents’ prior street efficacy is negatively associated with subsequent fear of violence. The current study suggests that a social cognitive perspective should be incorporated into the fear of crime literature. Policy implications of the findings are discussed, along with suggestions for future research.

Differences in Suicidal Thoughts and Behaviors Among Three Racial Groups

Crisis ◽  
2020 ◽  
Vol 41 (3) ◽  
pp. 172-178
Author(s):  
Brooke A. Ammerman ◽  
Martha K. Fahlgren ◽  
Kristen M. Sorgi ◽  
Michael S. McCloskey
Keyword(s):  
Suicide Attempts ◽  
Health Concern ◽  
Future Research ◽  
Racial Groups ◽  
Contributing Factors ◽  
Suicidal Thoughts ◽  
Final Sample ◽  
And Behaviors ◽  
Assessment Procedures ◽  
Suicidal Thoughts And Behaviors

Abstract. Background: Despite being a major public health concern, it is unclear how suicidal thoughts and behaviors differentially impact separate racial groups. Aims: The aim of the current study was to examine the occurrence of nonlethal suicide events, in addition to suicide attempt characteristics and factors contributing to suicide attempts. Method: A final sample of 7,094 undergraduates from a large northeastern university, identifying as members of three racial groups (White [67.30%], Black [17.30%], and Asian [15.40%]), completed online questionnaires. Results: White participants reported increased likelihood of endorsing lifetime suicidal ideation and plan, whereas Black participants reported decreased likelihood of these events; no differences were found in rates of lifetime suicide attempts. Black participants' suicidal behavior may involve greater ambivalence of intent. A higher proportion of Asian participants endorsed interpersonal factors as contributing to their suicide attempts, whereas a greater percentage of White participants reported internal contributing factors. Limitations: Findings are limited by the sample size and assessment of lifetime suicidal thoughts and behaviors. Conclusion: The findings present a more nuanced look at attitudes and actions related to suicidal thoughts and behaviors that may inform future research and risk assessment procedures.

Demographic factors associated with missed follow-up among solid tumor patients treated at a large multi-site academic institution

2020 ◽  
Vol 16 (32) ◽  
pp. 2635-2643
Author(s):  
Samantha L Freije ◽  
Jordan A Holmes ◽  
Saleh Rachidi ◽  
Susannah G Ellsworth ◽  
Richard C Zellars ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Odds Ratio ◽  
Regression Models ◽  
Tumor Patients ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Follow Up Care ◽  
Risk Patients ◽  
African American Race

Aim: To identify demographic predictors of patients who miss oncology follow-up, considering that missed follow-up has not been well studies in cancer patients. Methods: Patients with solid tumors diagnosed from 2007 to 2016 were analyzed (n = 16,080). Univariate and multivariable logistic regression models were constructed to examine predictors of missed follow-up. Results: Our study revealed that 21.2% of patients missed ≥1 follow-up appointment. African–American race (odds ratio [OR] 1.33; 95% CI: 1.17–1.51), Medicaid insurance (OR 1.59; 1.36–1.87), no insurance (OR 1.66; 1.32–2.10) and rural residence (OR 1.78; 1.49–2.13) were associated with missed follow-up. Conclusion: Many cancer patients miss follow-up, and inadequate follow-up may influence cancer outcomes. Further research is needed on how to address disparities in follow-up care in high-risk patients.

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