Neighborhood disadvantage, preconception stressful life events, and infant birth weight

American Journal of Public Health
Whitney P WittDakota Zarak

Abstract

We sought to determine whether the effects of preconception stressful life events (PSLEs) on birth weight differed by neighborhood disadvantage. We drew our data from the Early Childhood Longitudinal Study, Birth Cohort (2001-2002; n = 9300). We created a neighborhood disadvantage index (NDI) using county-level data from the 2000 US Census. We grouped the NDI into tertiles that represented advantaged, middle advantaged, and disadvantaged neighborhoods. Stratified multinomial logistic regressions estimated the effect of PSLEs on birth weight, controlling for confounders. We found a gradient in the relationship between women's exposure to PSLEs and having a very low birth weight (VLBW) infant by NDI tertile; the association was strongest in disadvantaged neighborhoods (adjusted odd ratio [AOR] = 1.62; 95% confidence interval [CI] = 1.04, 2.53), followed by middle (AOR = 1.39; 95% CI = 1.00, 1.93) and advantaged (AOR = 1.29; 95% CI = 0.91, 1.82) neighborhoods. We observed a similar gradient for women with chronic conditions and among minority mothers. Women who experienced PSLEs, who had chronic conditions, or were racial/ethnic minorities had the greatest risk of having VLBW infants if they lived in disadvantaged neighborhoods; t...Continue Reading

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Citations

Dec 29, 2015·Social Science & Medicine·Ilana Redstone AkreshReanne Frank
Jan 16, 2016·Archives of Women's Mental Health·Whitney P WittDakota Zarak
Jul 14, 2016·Journal of Racial and Ethnic Health Disparities·Kyrah K BrownJamie LoCurto
Jul 1, 2017·Stress : the International Journal on the Biology of Stress·Jennifer MalatGeorge M Slavich
May 8, 2018·Journal of Racial and Ethnic Health Disparities·Billie CastleAaron Rollins
Feb 23, 2019·Journal of Community Health Nursing·Candace TannisElizabeth Garland
May 21, 2017·Health & Place·Erica Felker-KantorKatherine Theall

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