PURPOSE: To explore associations between neighborhood socioeconomic context and preterm delivery, independent of maternal and family socioeconomic status, in African-American and white women. METHODS: A case-control study of African-American (n = 417) and white (n = 1244) women delivering infants at the University of California, San Francisco's Moffitt Hospital, between 1980 and 1990. RESULTS: Neighborhood socioeconomic contexts were associated with preterm delivery but associations were non-linear and varied with race/ethnicity. For African-American women, living in a neighborhood with either high or low median household income was associated with an increased risk of spontaneous preterm delivery, as was living in a neighborhood with large increases or decreases in the proportion of African-American residents during the study decade. Residence in neighborhoods with high and low rates of male unemployment was associated with a decreased risk of preterm delivery. Among white women only large positive and negative changes in neighborhood male unemployment were associated with risk of preterm delivery. CONCLUSIONS: Neighborhood factors and changes in neighborhoods over time are related to preterm delivery, although the mechanisms linking local environments to maternal risk remain to be specified.
PURPOSE: To explore associations between neighborhood socioeconomic context and preterm delivery, independent of maternal and family socioeconomic status, in African-American and white women. METHODS: A case-control study of African-American (n = 417) and white (n = 1244) women delivering infants at the University of California, San Francisco's Moffitt Hospital, between 1980 and 1990. RESULTS: Neighborhood socioeconomic contexts were associated with preterm delivery but associations were non-linear and varied with race/ethnicity. For African-American women, living in a neighborhood with either high or low median household income was associated with an increased risk of spontaneous preterm delivery, as was living in a neighborhood with large increases or decreases in the proportion of African-American residents during the study decade. Residence in neighborhoods with high and low rates of male unemployment was associated with a decreased risk of preterm delivery. Among white women only large positive and negative changes in neighborhood male unemployment were associated with risk of preterm delivery. CONCLUSIONS: Neighborhood factors and changes in neighborhoods over time are related to preterm delivery, although the mechanisms linking local environments to maternal risk remain to be specified.
Authors: Lynne C Messer; Barbara A Laraia; Jay S Kaufman; Janet Eyster; Claudia Holzman; Jennifer Culhane; Irma Elo; Jessica G Burke; Patricia O'Campo Journal: J Urban Health Date: 2006-11 Impact factor: 3.671
Authors: Kharah M Ross; Christine Dunkel Schetter; Monica R McLemore; Brittany D Chambers; Randi A Paynter; Rebecca Baer; Sky K Feuer; Elena Flowers; Deborah Karasek; Matthew Pantell; Aric A Prather; Kelli Ryckman; Laura Jelliffe-Pawlowski Journal: J Racial Ethn Health Disparities Date: 2019-07-31
Authors: Carmen Giurgescu; Shannon N Zenk; Barbara L Dancy; Chang G Park; William Dieber; Richard Block Journal: J Obstet Gynecol Neonatal Nurs Date: 2012-10-02