Discussion
The combined effects of inequality and structural racism indicators at risk of SGA birth income were examined and found that the structural racism, assessed against racial inequalities in education, employment, and prison was strongly associated with the birth of SGA when It occurred in combination with high income inequality. Relations were not explained by state differences in poverty or absolute individual differences in demographic characteristics or factors of biological or behavioral risk. When co-occur at high levels, the combined effects of income inequality and structural racism increased risk of SGA birth almost 2 times. This effect was not influenced by race, implying that the deleterious context of high inequality of
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Meanwhile, the low income inequality cushioned the adverse effects of structural racism, which is not associated with the birth of SGA in more equitable state (however, racial differences in risk were slightly higher SGA oil in these areas). Our results are consistent with previous work that demonstrates the harmful effects of income inequality in birth weight and infant reproductive health particular. Income inequality can have a negative impact on health by creating differences in access to opportunities and material goods that lack of investment in social infrastructure in highly unequal communities so that the socioeconomically disadvantaged members of the population are less able to prevent and treat disease. These conditions, in turn may result in financing policies that dictate state investments in areas such as education and health and to establish the framework of opportunities available to state residents. In this context, combined with the specific effects of systemic racial disadvantage (including limited employment and access to education and systematic incarceration among black), can be one of the mechanisms by which state-level structural racism and inequality income affect …show more content…
Policies at the state level to promote equity in educational and employment opportunities can help reduce the disparities that divide women along racial and socioeconomic lines. In addition, since future studies continue to focus on the structural racism as a practical and political system to maintain institutional racial inequality, it can begin to see progress towards systemic solutions to the traditional health disparities correspondence should be sent to Pauline Mendola, PhD, Epidemiology, Division of Intramural Research of Population Health, Eunice Kennedy Shriver National Institute of Child Health and Human