Examining variation within Hispanic ethnicity
An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (Maihda) of birthweight inequities in New York City, 2012–2019
Bibliographic Data
| ID | 15743019 |
|---|---|
| Authors | Luisa N Borrell (0000-0002-0560-4853, City University of New York, corresponding author), Christina I Nieves (0000-0002-8248-025X, City University of New York), Clare R Evans (0000-0002-9862-9506, University of Oregon) |
| Year | 2025 |
| Volume | 29 |
| Pages | 101759-101759 |
| Publication date | 2025-01-24 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SSM - Population Health (JOURNAL) |
| Journal identifiers | ISSN: 2352-8273 • E-ISSN: 2352-8273 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ssmph.2025.101759 |
| PMID | 40166665 |
| OpenAlex | W4406748728 |
| Language | EN |
| Citations received | 2 |
| References cited | 39 |
Birthweight inequities in the United States have been persistent with variations observed across maternal age, race/ethnicity, education, and nativity status. However, the Hispanic/Latino population is often treated as a monolithic category, ignoring within-group diversity and heterogeneity of health outcomes. This study employed an intersectional MAIHDA (multilevel analysis of individual heterogeneity and discriminatory accuracy) to examine birthweight inequities among singleton births in New York City from 2012 to 2019 (n = 819,920 records of singleton births) by maternal age, race/ethnicity, education, and nativity status, with particular attention to within-group heterogeneity among Hispanic/Latino mothers. Birthweight was measured in grams and was considered continuous for analytical purposes. The analysis was conducted using both the aggregate "Hispanic" category and disaggregated into Hispanic subgroups, based on the country/region of birth as part of the racial/ethnic categories. We found that 2.7%-3.2% of the variation in birthweight means among NYC women lies between intersectional strata, suggesting both meaningful between-stratum birthweight inequities and a high-degree of between-person birthweight variation. The finding of between-stratum inequities is consistent with a difference of 384.7g. between strata with the highest and lowest predicted birthweight means. We found consistent additive inequity patterns in birthweight by maternal age, race/ethnicity, educational attainment, and nativity status. The latter explained 81.2% of the variation in birthweight inequities. While attention to subgroup differences is often limited by sample size, intersectional MAIHDA allows for the identification of between- and within-strata variations regardless of whether Hispanic ethnicity was treated as an aggregate or subgroup based on country/region of origin
Demographic economics · Economics · Ethnic group · Geography · Sociology · Variation (astronomy · Anthropology · Demography · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Racial and Ethnic Identity Research · Gerontology
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Social and Structural Determinants of Health Inequities in Maternal Health
The Healthy Immigrant Effect and Aging in the United States and Other Western Countries
Racism and Health
Trends in infants born at low birthweight and disparities by maternal race and education from 2003 to 2018 in the United States
Racial/Ethnic and Nativity Differences in Birth Outcomes Among Mothers in New York City
Effects of Advanced Maternal Age and Race/Ethnicity on Placental Weight and Placental Weight/Birthweight Ratio in Very Low Birthweight Infants
Latina Birth Outcomes in California
Clarifications on the intersectional Maihda approach
Racial/ethnic differences in social support and health among Asian American and non-Hispanic White midlife women
The Critical Role of Racial/Ethnic Data Disaggregation for Health Equity
Indicators of socioeconomic position (part 1)
Maternal age, birth order, and race
Adverse pregnancy outcomes
Structural Racism, the Social Determination of Health, and Health Inequities
The Hispanic/Latino Population in the United States
Will the Health Status of the Changing Hispanic Population Remain ‘Paradoxical’
Internalization of inferiority and colonial system justification
The application of intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (Maihda) to examine birthweight inequities in New York City
Are racial disparities in health conditional on socioeconomic status
Low birthweight among US Hispanic/Latino subgroups
Intersectional inequities in the birthweight gap between twin and singleton births
Adverse birth outcomes in New York City women
A multilevel approach to modeling health inequalities at the intersection of multiple social identities
Overcoming combination fatigue
Structural gendered racism as conceptualized by immigrant women in the United States
An extended evaluation of the weathering hypothesis for birthweight
Comparing the Efficacy of Fixed-Effects and Maihda Models in Predicting Outcomes for Intersectional Social Strata
| Citations per year | 2 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |