@article{71bff159bae2411fa465e3f9979d84ec,
title = "Sexual Identity and Birth Outcomes: A Focus on the Moderating Role of Race-ethnicity",
abstract = "Race-ethnic disparities in birth outcomes are well established, and new research suggests that there may also be important sexual identity disparities in birth weight and preterm birth. This study uses the National Longitudinal Study of Adolescent to Adult Health and is the first to examine disparities in birth outcomes at the intersection of race-ethnicity and sexual identity. We use ordinary least sqaures and logistic regression models with live births (n = 10,318) as the unit of analysis clustered on mother ID (n = 5,105), allowing us to adjust for preconception and pregnancy-specific perinatal risk factors as well as neighborhood characteristics. Results show a striking reversal in the effect of lesbian or bisexual identity on birth outcomes across race-ethnicities: For white women, a bisexual or lesbian identity is associated with better birth outcomes than their white heterosexual counterparts, but for Black and Latina women, it is associated with worse birth outcomes than their heterosexual peers.",
keywords = "health inequality, maternal health, pregnancy outcomes, race-ethnicity, sexual orientation",
author = "Everett, {Bethany G.} and Aubrey Limburg and Charlton, {Brittany M.} and Downing, {Jae M.} and Matthews, {Phoenix A.}",
note = "Funding Information: This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill and funded by Grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Information on how to obtain the Add Health data files is available on the Add Health website (https://addhealth.cpc.unc.edu/). No direct support was received from Grant P01-HD31921 for this analysis. This work benefited from being presented at the 2019 Interdisciplinary Association for Population Health Science Annual Meeting. We would also like to thank the anonymous reviewers for their insightful comments. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award No. R01HD091405 and by the University of Colorado Population Center (Grant No. HD066613) through administrative and computing support. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Brittany M. Charlton was also supported by Grant No. MRSG CPHPS 130006 from the American Cancer Society. Publisher Copyright: {\textcopyright} American Sociological Association 2021.",
year = "2021",
month = jun,
doi = "10.1177/0022146521997811",
language = "English (US)",
volume = "62",
pages = "183--201",
journal = "Journal of Health and Social Behavior",
issn = "0022-1465",
publisher = "American Sociological Association",
number = "2",
}