Journal of urban health : bulletin of the New York Academy of Medicine
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Black immigrants are a growing proportion of the Black population in the USA, and despite the fact that they now comprise nearly a quarter of Black urban residents, few studies address the relationships between racial segregation and maternal and birth outcomes among Black immigrants. In this study of birth outcomes among US-born and immigrant Black mothers in New York City between 2010 and 2014, we applied multilevel models, assessing the association between segregation (measured through a novel kernel-based measure of local segregation) and adverse birth outcomes (preterm birth (PTB) and low birth weight (LBW; < 2500 g)) among African-born, Caribbean-born, and US-born Black mothers. We found that African-born and Caribbean/Latin American-born Black mothers had a significantly lower incidence of PTB compared with US-born Black mothers (7.0 and 10.1, respectively, compared with 11.2 for US-born mothers). ⋯ After adjusting for maternal (maternal age; higher rates of reported drug use and smoking) and contextual characteristics (neighborhood SES; green space access), we found that maternal residence in an area with high Black segregation increases the likelihood of PTB and LBW among US-born and Caribbean-born Black mothers. In contrast, the association between segregation and birth outcomes was insignificant for African-born mothers. Associations between tract-level socioeconomic disadvantage and birth outcomes also varied across groups, with only US-born Black mothers showing the expected positive association with risk of PTB and LBW.
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After a decades-long decline, criminal gun violence has increased dramatically in many parts of the USA. Most victims survive their gunshot wounds; however, research and data collection focus primarily on fatal events. In fact, there is no official national definition of a nonfatal shooting incident, nor a repository of these data. ⋯ Overall, official crime statistics are not a good data source for nonfatal shooting incidents. A holistic response to criminal gun violence requires comprehensive, valid, and reliable data collection on all shooting incidents, especially those incidents in which a person is injured by gunfire. Establishing a national definition for a nonfatal shooting incident is the first important step toward effective gun violence prevention and reduction.