title: Racial residential segregation and low birth weight in Michigan's metropolitan areas.
abstract: OBJECTIVE
  We examined the influence of racial residential segregation, independent of neighborhood economic factors, on the overall and specific etiological risks of low birth weight.
  
  
  METHODS
  We geocoded all singleton births in Michigan metropolitan areas during 2000 to census tracts. We used hierarchical generalized linear models to investigate the association between low birth weight (< 2500 g) and neighborhood-level economic and racial segregation, controlling for individual and neighborhood characteristics. We analyzed competing risks of the 2 etiologies of low birth weight: intrauterine growth restriction and preterm birth.
  
  
  RESULTS
  Living in a Black segregated area was associated with increased odds (odds ratio [OR] = 1.15; 95% confidence interval [CI] = 1.03, 1.29; P < .05) of low birth weight after adjusting for individual- and tract-level measures. The analysis suggested that the association between low birth weight and racial segregation was attributable primarily to increased risk of intrauterine growth restriction (OR = 1.19; 95% CI = 1.03, 1.37; P < .05).
  
  
  CONCLUSIONS
  Odds of low birth weight are higher in racially segregated Black neighborhoods in Michigan's metropolitan areas, independent of economic factors. The association appears to operate through intrauterine growth restriction rather than preterm birth.
authors.affiliation: Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48104, USA. mdebbink@umich.edu
authors.forename: Michelle Precourt
authors.initials: MP
authors.lastname: Debbink
authors.forename: Michael D M
authors.initials: MD
authors.lastname: Bader
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D005865:Gestational Age; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008824:Michigan / Q000453:epidemiology; D011287:Prejudice; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data