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Configural consistency across racial groups for SEDH domains assessed\n                      <jats:italic toggle=\"yes\">via<\/jats:italic>\n                      multiple indicators was evaluated using unidimensional confirmatory factor models. Mediation models tested the extent to which individual variables\/constructs and broader SEDH domains accounted for the association between self-identified\n                      <jats:italic toggle=\"yes\">race<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">gestational age at delivery<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">GAD<\/jats:italic>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Economic Stability, Education, Health\/Health Care, and Social\/Community Context showed evidence of mediation through one or more specific subdimensions. Education and Economic Stability fully mediated the association between\n                      <jats:italic toggle=\"yes\">race<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">GAD<\/jats:italic>\n                      , indexed by maternal educational attainment and current job duration, respectively. In contrast, consideration of Social\/Community Context exposed an even larger association between\n                      <jats:italic toggle=\"yes\">race<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">GAD<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      This study highlights the role of specific and broader SEDH domains in the association between\n                      <jats:italic toggle=\"yes\">race<\/jats:italic>\n                      and spontaneous preterm birth (PTB) risk. Findings underscore the significant impact of educational access and economic security on reproductive outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.1076","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T11:53:39Z","timestamp":1750074819000},"page":"1064-1074","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Mediating Role of Social and Environmental Determinants of Health in the Association Between Race and Preterm Birth Risk"],"prefix":"10.1177","volume":"34","author":[{"given":"Julia J.","family":"Brittain","sequence":"first","affiliation":[{"name":"Healthcare Studies, University of Richmond, Richmond, Virginia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn J.","family":"Latendresse","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ananda B.","family":"Amstadter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Jerome F.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Philadelphia, Philadelphia, Philadelphia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4068-4286","authenticated-orcid":false,"given":"Timothy P.","family":"York","sequence":"additional","affiliation":[{"name":"Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, Virginia, USA."},{"name":"Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0012391"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022050704043086"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60074-4"},{"key":"e_1_3_5_5_2","volume-title":"Preterm Birth: Causes, Consequences, and Prevention","author":"Behrman RE","year":"2007","unstructured":"Behrman RE, , Butler AS. 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