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Avoiding loss of native individuals in birth certificate data

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Fig. 1: Statistical power to detect changes in preterm birth rate for cohorts of different sizes.

Data availability

Data used in in this study may be acquired from the Pennsylvania Vital Statistics Records office. We also welcome requests for analytic collaborations.


  1. Osterman M, Hamilton B, Martin JA, Driscoll AK, Valenzuela CP. Births: final data for 2020. Natl Vital- Stat Rep. 2021;70:1–50.

    PubMed  Google Scholar 

  2. Arias E, Xu J, Curtin S, Bastian B, Tejada-Vera B. Mortality profile of the non-hispanic American Indian or Alaska Native population, 2019. Natl Vital- Stat Rep. 2021;70:1–27.

    PubMed  Google Scholar 

  3. Pacheco CM, Daley SM, Brown T, Filippi M, Greiner KA, Daley CM. Moving forward: breaking the cycle of mistrust between American Indians and researchers. Am J Public Health. 2013;103:2152–9.

    Article  Google Scholar 

  4. On Racism: A New Standard For Publishing On Racial Health Inequities. Accessed July, 2022.

  5. McNeish DM, Stapleton LM. The effect of small sample size on two-level model estimates: a review and illustration. Educ Psychol Rev. 2016;28:295–314.

    Article  Google Scholar 

  6. Moradi M, Samwald M. Improving the robustness and accuracy of biomedical language models through adversarial training. J Biomed Inf. 2022;132:104114.

    Article  Google Scholar 

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Dr. Montoya-Williams was supported by the National Institutes of Health K23HD102526.

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Authors and Affiliations



KH, DMW and HHB conceptualized of this study. AE and BC contributed to the design of the work. JR and MP acquired and analyzed the data. All authors contributed to the interpretation of the data. KH drafted the manuscript and all other authors critically revised the manuscript. All authors approve of the final version and agree to be accountable.

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Correspondence to Diana Montoya-Williams.

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The authors declare no competing interests.

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Holloway, K., Radack, J., Passarella, M. et al. Avoiding loss of native individuals in birth certificate data. J Perinatol (2022).

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