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Exposure to Crime and Racial Birth Outcome Disparities

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Abstract

Urban communities in the United States were transformed at the end of the twentieth century by a rapid decline in neighborhood crime and violence. We leverage that sharp decline in violence to estimate the relationship between violent crime rates and racial disparities in birth outcomes. Combining birth certificate data from US counties with the FBI’s Uniform Crime Reporting statistics from 1992 to 2002, we show that lower crime rates are associated with substantially smaller Black-White disparities in birth weight, low birth weight, and small for gestational age. These associations are stronger in more segregated counties, suggesting that the impacts of the crime decline may have been concentrated in places with larger disparities in exposure to crime. We also estimate birth outcome disparities under the counterfactual that the crime decline did not occur and show that reductions in crime statistically explain between one-fifth and one-half of the overall reduction in Black-White birth weight, LBW, and SGA disparities that occurred during the 1990s. Drawing on recent literature showing that exposure to violent crime has negative causal effects on birth outcomes, which in turn influence life-course outcomes, we argue that these results suggest that changes in national crime rates have implications for urban health inequality.

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Data Availability

The birth certificate data from the National Center for Health Statistics(NCHS) were obtained through a restricted use data agreement. For more information on how to apply for restricted-usevital statistics data, see https://www.cdc.gov/nchs/nvss/nvss-restricted-data.htm

Notes

  1. While the available official crime statistics are not suitable to make inferences on the extent to which certain neighborhoods and racial/ethnic groups experienced larger changes in violent crime, indirect pieces of evidence indicate that racial and ethnic minorities, particularly Black Americans, experienced the largest improvements in public safety in their communities. Similarly, self-reported data on victimization from the National Crime Victimization Survey shows that individuals in low-income households experienced larger relative and absolute declines in violent victimization, as compared to individuals in higher-income households [3].

  2. Some have cautioned against the use of UCR county-level crime data [29] due to the inconsistencies in reporting patterns across large and small law enforcement agencies. In the appendix, we report results using only murders, which are less likely to be under-reported so the extent of measurement error is small. Results are similar to those reported in the main text.

  3. Data from 1993 were not made public, so we impute 1993 values as the average of the 1992 and 1994 values. Results are not sensitive to the exclusion of 1993.

  4. Multiple births are much more likely to be LBW, SGA, and preterm, and are therefore excluded.

  5. Specifically, we estimated predicted birth outcome gaps using Stata’s margins command [31] by setting county-level violent crime rates in Model 3 at their 1992 level and allowing all other variables to trend as observed.

  6. Coefficients, standard errors, and R-squared for Model Eq. 2 are reported in the appendix.

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Mark, N., Torrats-Espinosa, G. Exposure to Crime and Racial Birth Outcome Disparities. J Urban Health 101, 692–701 (2024). https://doi.org/10.1007/s11524-024-00864-w

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