{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:14:13Z","timestamp":1780474453072,"version":"3.54.1"},"reference-count":21,"publisher":"Walter de Gruyter GmbH","issue":"3","funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"crossref","award":["401626\/2013-0"],"award-info":[{"award-number":["401626\/2013-0"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100006506","name":"Minist\u00e9rio da Sa\u00fade","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006506","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Research Council"},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100012326","name":"University of Idaho","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012326","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2020-0065_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Short cervical length is a predictor of preterm birth. We evaluated if there were racial differences in variables associated with cervical length in pregnant Brazilian women.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0065_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cervical length was determined by vaginal ultrasound in 414 women at 21\u00a0weeks gestation. All women were seen at the same clinic and analyzed by the same investigators. Women found to have a short cervix (\u226425\u00a0mm) received vaginal progesterone throughout gestation. Composition of the vaginal microbiome was determined by analysis of the V1\u2013V3 region of the gene coding for bacterial 16S ribosomal RNA. Demographic, clinical and outcome variables were determined by chart review. Subjects were 53.4% White, 37.2% mixed race and 9.4% Black.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0065_abs_103\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Pregnancy, medical history and education level were similar in all groups. Mean cervical length was shorter in Black women (28.4\u00a0mm) than in White (32.4\u00a0mm) or mixed race (32.8\u00a0mm) women (p\u22640.016) as was the percentage of women with a short cervix (23.1, 12.2, 7.8% in Black, White, mixed race respectively) (p\u22640.026). Mean cervical length increased with maternal age in White (p=0.001) and mixed race (p=0.045) women but not Black women. There were no differences in bacterial dominance in the vaginal microbiota between groups. Most women with a short cervix delivered at term.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0065_abs_003\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We conclude that Black women in Brazil have a shorter cervical length than White or mixed race women independent of maternal age, pregnancy and demographic history or composition of the vaginal microbiome.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2020-0065","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T05:27:53Z","timestamp":1603517273000},"page":"365-369","source":"Crossref","is-referenced-by-count":4,"title":["The influence of race on cervical length in pregnant women in Brazil"],"prefix":"10.1515","volume":"49","author":[{"given":"Evelyn","family":"Minis","sequence":"first","affiliation":[{"name":"Division of Immunology and Infectious Diseases , Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York , NY , USA"},{"name":"Department of Obstetrics and Gynecology , University Hospital , Newark , NJ , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7963-1758","authenticated-orcid":false,"given":"Antonio","family":"Fernandes Moron","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Hatanaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanno G. P.","family":"Sarmento","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Santucci","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco H. C.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics , Federal University of Ceara , Fortaleza , Ceara , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana K.","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosiana","family":"Mattar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Federal University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iara M.","family":"Linhares","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics , S\u00e3o Paulo University Medical School , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester C.","family":"Sabino","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine, University of S\u00e3o Paulo , S\u00e3o Paulo , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry J.","family":"Forney","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences and the Institute for Bioinformatics and Evolutionary Studies , University of Idaho , Moscow , ID , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven S.","family":"Witkin","sequence":"additional","affiliation":[{"name":"Division of Immunology and Infectious Diseases , Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2020,10,22]]},"reference":[{"key":"2023092212122980549_j_jpm-2020-0065_ref_001","doi-asserted-by":"crossref","unstructured":"Blencowe, H, Cousens, S, Oestergaard, MZ, Chou, D, Moller, AB, Narwal, R, et al. 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