Life-course neighbourhood opportunity and racial-ethnic disparities in risk of preterm birth

Paediatric and Perinatal Epidemiology
Michelle PearlMartin Kharrazi

Abstract

Neighbourhood opportunity, measured by poverty, income and deprivation, has been associated with preterm birth, however little is known about the contribution of early-life and life-course neighbourhood opportunity to preterm birth risk and racial-ethnic disparities. We examined maternal early-life and adult neighbourhood opportunity in relation to risk of preterm birth and racial-ethnic disparities in a population-based cohort of women under age 30. We linked census tract poverty data to 2 generations of California births from 1982-2011 for 403 315 white, black, or Latina mothers-infant pairs. We estimated the risk of preterm birth, and risk difference (RD) comparing low opportunity (≥20% poverty) in early life or adulthood to high opportunity using targeted maximum likelihood estimation. At each time point, low opportunity was related to increased preterm birth risk compared to higher opportunity neighbourhoods for white, black and Latina mothers (RDs 0.3-0.7%). Compared to high opportunity at both time points, risk differences were generally highest for sustained low opportunity (RD 1.5, 1.3, and 0.7% for white, black and Latina mothers, respectively); risk was elevated with downward mobility (RD 0.7, 1.3, and 0.4% for white...Continue Reading

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Citations

Aug 8, 2018·Paediatric and Perinatal Epidemiology·Michael C Lu
Aug 1, 2019·Paediatric and Perinatal Epidemiology·Amaris M KeiserDonna M Strobino
Sep 19, 2019·Paediatric and Perinatal Epidemiology·Jennifer Zeitlin
Sep 8, 2018·Archives of Women's Mental Health·Sandraluz Lara-CinisomoCort A Pedersen
May 22, 2021·Social Science & Medicine·Samantha GaileyTim A Bruckner
Nov 14, 2020·Maternal and Child Health Journal·Neetu J JainGeorge G Rhoads
Oct 5, 2021·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Irene TungAlison E Hipwell

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