Wei Ye
The impact of internet health information usage habits on older adults' e-health literacy
Digital health
structural gendered racism totality interconnectedness structural racism sexism conceptualized fundamental cause persistent preterm birth inequities experienced black indigenous people united states objective develop statelevel latent class measure structural gendered racism examine association preterm birth among singleton live births us 2019 using previouslyvalidated inequity indicators white men black women across 9 domains education employment poverty homeownership health insurance segregation voting political representation incarceration conducted latent profile analysis identify latent categorical variable k number classes similar values observed continuous input variables racialized groupstratified multilevel modified poisson regression models robust variance random effects state assessed association statelevel classes preterm birth found four distinct latent classes characterized higher levels disadvantage black women advantages white men magnitude difference varied latent class found preterm birth risk among black birthing people higher across statelevel latent classes compared white birthing people variation preterm birth risk across classes among black white birthing people findings emphasize importance understanding interrogating whole system need multifaceted policy solutions