Racial Disparities in Infant Drug Testing: A Research Note

Black infants were tested for drug exposure at more than twice the rate of White infants. Among those tested, both groups had similar positive rates-approximately 20%. Clinical risk factors explain only 38% of the racial disparity in testing rates. The remaining 61% may reflect differential treatment or unmeasured clinician observations. These findings raise concerns about fairness and trust in clinical decision-making.

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Publication Details

Journal
Demography
Published
2026-11-10
DOI
https://doi.org/10.1215/00703370-12902176
Primary Topic
Prenatal Substance Exposure Effects
Type
article
Field-Weighted Citation Impact
0.00
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article

Racial Disparities in Infant Drug Testing: A Research Note

Coady Wing, Cydney M. McGuire, Engy Ziedan, Mallory Dreyer et al.
Demography
Prenatal Substance Exposure Effects
article

Racial Disparities in Infant Drug Testing: A Research Note

Coady Wing, Cydney M. McGuire, Engy Ziedan, Mallory Dreyer, Kosali Ilayperuma Simon, Jennifer Silva
article en

Abstract

Black infants were tested for drug exposure at more than twice the rate of White infants. Among those tested, both groups had similar positive rates-approximately 20%. Clinical risk factors explain only 38% of the racial disparity in testing rates. The remaining 61% may reflect differential treatment or unmeasured clinician observations. These findings raise concerns about fairness and trust in clinical decision-making.

Demography
Indiana University Bloomington (US), Indiana University (US)
Prenatal Substance Exposure Effects
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