Structural racism, the historical and systemic exclusion of racial and ethnic minorities (particularly African Americans) from access to opportunities and resources, may impact the social environment, reinforcing systems of discrimination, in criminal justice and housing, among others. For example, mass incarceration has a worsening effect on disadvantaged neighborhoods, through destabilizing the community and breaking up families and social networks. Such stressors have been recognized as the drivers for racial disparities in health outcomes in the general population as well as disparities in obstetric outcomes. While mass incarceration has been linked to adverse perinatal outcomes, no studies have examined the impact of criminal injustice on associations with stillbirth. Further, racial segregation, a legacy of discriminatory financial lending and housing practices, has also been associated with health disparities, including those related to adverse birth outcomes. Two recent investigations reported associations between segregation and race-specific rates of stillbirth using measures evaluated either at the county or zip code tabulation area (ZTCA) level) and our proposed study will apply finer resolution metrics in evaluating the impact of residential segregation on stillbirth risk.