Literature DB >> 25880941

Beyond the cross-sectional: neighborhood poverty histories and preterm birth.

Claire Margerison-Zilko1, Catherine Cubbin, Jina Jun, Kristen Marchi, Kathryn Fingar, Paula Braveman.   

Abstract

OBJECTIVES: We examined associations between longitudinal neighborhood poverty trajectories and preterm birth (PTB).
METHODS: Using data from the Neighborhood Change Database (1970-2000) and the American Community Survey (2005-2009), we categorized longitudinal trajectories of poverty for California neighborhoods (i.e., census tracts). Birth data included 23 291 singleton California births from the Maternal and Infant Health Assessment (2003-2009). We estimated associations (adjusted for individual-level covariates) between PTB and longitudinal poverty trajectories and compared these to associations using traditional, cross-sectional measures of poverty.
RESULTS: Compared to neighborhoods with long-term low poverty, those with long-term high poverty and those that experienced increasing poverty early in the study period had 41% and 37% increased odds of PTB (95% confidence interval [CI] = 1.18, 1.69 and 1.09, 1.72, respectively). High (compared with low) cross-sectional neighborhood poverty was not associated with PTB (odds ratio = 1.08; 95% CI = 0.91, 1.28).
CONCLUSIONS: Neighborhood poverty histories may contribute to an understanding of perinatal health and should be considered in future research.

Entities:  

Mesh:

Year:  2015        PMID: 25880941      PMCID: PMC4431076          DOI: 10.2105/AJPH.2014.302441

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


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