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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Birth outcomes in relation to neighborhood food access and individual food insecurity during pregnancy in the Environmental Influences on Child Health Outcomes (ECHO)-wide cohort study
The American journal of clinical nutrition, v 119(5), pp 1216-1226
May 2024
PMID: 38431121
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Limited access to healthy foods, resulting from residence in neighborhoods with low-food access or from household food insecurity, is a public health concern. Contributions of these measures during pregnancy to birth outcomes remain understudied.
We examined associations between neighborhood food access and individual food insecurity during pregnancy with birth outcomes.
We used data from 53 cohorts participating in the nationwide Environmental Influences on Child Health Outcomes-Wide Cohort Study. Participant inclusion required a geocoded residential address or response to a food insecurity question during pregnancy and information on birth outcomes. Exposures include low-income-low-food-access (LILA, where the nearest supermarket is >0.5 miles for urban or >10 miles for rural areas) or low-income-low-vehicle-access (LILV, where few households have a vehicle and >0.5 miles from the nearest supermarket) neighborhoods and individual food insecurity. Mixed-effects models estimated associations with birth outcomes, adjusting for socioeconomic and pregnancy characteristics.
Among 22,206 pregnant participants (mean age 30.4 y) with neighborhood food access data, 24.1% resided in LILA neighborhoods and 13.6% in LILV neighborhoods. Of 1630 pregnant participants with individual-level food insecurity data (mean age 29.7 y), 8.0% experienced food insecurity. Residence in LILA (compared with non-LILA) neighborhoods was associated with lower birth weight [β –44.3 g; 95% confidence interval (CI): –62.9, –25.6], lower birth weight-for-gestational-age z-score (–0.09 SD units; –0.12, –0.05), higher odds of small-for-gestational-age [odds ratio (OR) 1.15; 95% CI: 1.00, 1.33], and lower odds of large-for-gestational-age (0.85; 95% CI: 0.77, 0.94). Similar findings were observed for residence in LILV neighborhoods. No associations of individual food insecurity with birth outcomes were observed.
Residence in LILA or LILV neighborhoods during pregnancy is associated with adverse birth outcomes. These findings highlight the need for future studies examining whether investing in neighborhood resources to improve food access during pregnancy would promote equitable birth outcomes.
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Details
- Title
- Birth outcomes in relation to neighborhood food access and individual food insecurity during pregnancy in the Environmental Influences on Child Health Outcomes (ECHO)-wide cohort study
- Creators
- Izzuddin M Aris - Harvard Pilgrim Health CarePi-I D Lin - Harvard Pilgrim Health CareAllison J Wu - Boston Children's HospitalDana Dabelea - Colorado School of Public HealthBarry M Lester - Brown UniversityRosalind J Wright - Icahn School of Medicine at Mount SinaiMargaret R Karagas - Department of Epidemiology, Dartmouth Geisel School of Medicine, Hanover, NH, United StatesJean M Kerver - Michigan State UniversityAnne L Dunlop - Emory UniversityChristine LM Joseph - Henry Ford Health SystemCarlos A Camargo - Massachusetts General HospitalJody M Ganiban - George Washington UniversityRebecca J Schmidt - University of California, DavisRita S Strakovsky - Michigan State UniversityCindy T McEvoy - Oregon Health & Science UniversityAlison E Hipwell - University of PittsburghThomas Michael O’Shea - University of North Carolina at Chapel HillLacey A McCormack - University of South DakotaLuis E Maldonado - University of Southern CaliforniaZhongzheng Niu - University of Southern CaliforniaAssiamira Ferrara - Kaiser PermanenteYeyi Zhu - Kaiser PermanenteRana F Chehab - Kaiser PermanenteEliza W Kinsey - University of PennsylvaniaNicole R Bush - University of Southern CaliforniaRuby HN Nguyen - University of South DakotaKecia N Carroll - Icahn School of Medicine at Mount SinaiEmily S Barrett - University of Southern CaliforniaKristen Lyall Dodge - Drexel University, A.J. Drexel Autism InstituteLauren M Sims-Taylor - University of Tennessee Health Science CenterLeonardo Trasande - New York UniversityJocelyn M Biagini - Cincinnati Children's Hospital Medical CenterCarrie V Breton - University of Colorado Anschutz Medical CampusMarisa A Patti - Drexel University, A.J. Drexel Autism InstituteBrent Coull - Harvard UniversityNdidiamaka Amutah-Onukagha - Tufts UniversityMichele R Hacker - Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesTamarra James-Todd - Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesEmily Oken - Harvard Pilgrim Health CareP.B. Smith - Duke Clinical Research Institute, Durham, North CarolinaL.K. Newby - Clinical Research InstituteL.P. Jacobson - Johns Hopkins UniversityD.J. Catellier - Icahn School of Medicine at Mount SinaiG Fuselier - University of Southern CaliforniaR Gershon - University of South DakotaD Cella - Northwestern University, Evanston, IllinoisS.L. Teitelbaum - Icahn School of Medicine at Mount SinaiA Stroustrup - Icahn School of Medicine at Mount SinaiS Merhar - University of Southern CaliforniaA Lampland - Children’s Hospital and Clinic Minnesota, Minneapolis, MNA Reynolds - University at Buffalo, State University of New YorkM Hudak - University of Southern CaliforniaG Pryhuber - University of Rochester Medical Center, Rochester, NYP Moore - University of PittsburghL Washburn - University of Southern CaliforniaL Gatzke-Kopp - Pennsylvania State UniversityM Swingler - University of Southern CaliforniaF.R. Laham - Arnold Palmer Hospital for ChildrenJ.M. Mansbach - Boston Children’s Hospital, Boston, MAS Wu - Boston Children's HospitalJ.M. Spergel - Children's Hospital of PhiladelphiaJ.C. Celedón - Children's Hospital of PittsburghH.T. Puls - Icahn School of Medicine at Mount SinaiS.J. Teach - Children's National Hospital, Washington, DCS.C. Porter - Cincinnati Children’s Hospital and Medical Center, Cincinnati, OHI.Y. Waynik - Connecticut Children's Medical CenterS.S. Iyer - Michigan State UniversityM.E. Samuels-Kalow - Massachusetts General HospitalA.D. Thompson - University of Southern CaliforniaM.D. Stevenson - Norton Children’s Hospital, Louisville, KYC.S. Bauer - Phoenix Children’s Hospital, Phoenix AZN.R. Inhofe - University of TulsaM Boos - University of Southern CaliforniaC.G. Macias - Texas Children's Hospital, Houston, TXD Koinis Mitchell - Rhode Island HospitalC.S. Duarte - New York State Psychiatric InstituteC Monk - New York State Psychiatric Institute, New York, NYJ Posner - Duke University Department of Psychiatry and Behavioral Sciences, Durham, NCG Canino - University of Puerto Rico, Rio Piedras, PRL Croen - University of Southern CaliforniaJ Gern - University of California, DavisE Zoratti - Henry Ford Health System, Detroit, MIC Seroogy - Marshfield Clinic Research Institute, Marshfield, WIC Bendixsen - Marshfield Clinic Research Institute, Marshfield, WID Jackson - University of Southern CaliforniaL Bacharier - Boston Medical Center, Boston, MAG O’Connor - Boston Medical CenterM Kattan - University of Southern CaliforniaR Wood - University of South DakotaK Rivera-Spoljaric - Washington University in St. LouisG Hershey - Cincinnati Children's Hospital Medical CenterC Johnson - University of South DakotaT Bastain - University of Southern California, Los Angeles, CAS Farzan - University of Southern California, Los Angeles, CAR Habre - University of Southern California, Los Angeles, CAI Hertz-Picciotto - University of Southern CaliforniaK Keenan - University of Chicago, Chicago, ILC Karr - University of South DakotaF Tylavsky - University of Tennessee Health Science CenterA Mason - University of Tennessee Health Science Center, Memphis, TNQ Zhao - University of Tennessee Health Science CenterS Sathyanarayana - Seattle Children’s Research Institute, Seattle, WAK.Z. LeWinn - University of California, San FranciscoB Carter - University of California, DavisS Pastyrnak - University of Southern CaliforniaC Neal - University of South DakotaL Smith - University of Southern CaliforniaJ Helderman - University of California, DavisL Leve - University of Southern CaliforniaJ Neiderhiser - University of California, DavisS.T. Weiss - Michigan State UniversityA Litonjua - Golisano Children’s Hospital, Rochester, NYR Zeiger - University of South DakotaR Tepper - University of South DakotaH Volk - University of Southern CaliforniaR Landa - Kennedy Krieger Institute, Baltimore, MDS Ozonoff - University of California Davis Health, MIND Institute, Sacramento, CAS Dager - University of Washington, Seattle, WAR Schultz - University of South DakotaJ Piven - University of North Carolina at Chapel Hill, Chapel Hill, NCR Vaidya - Baystate Children’s Hospital, Springfield, MAR Obeid - University of South DakotaC Rollins - University of South DakotaK Bear - University of South DakotaM Lenski - University of Southern CaliforniaR Singh - University of South DakotaM Msall - University of Southern CaliforniaJ Frazier - University of Massachusetts Chan Medical School, Worcester, MAS Gogcu - University of Southern CaliforniaA Montgomery - Yale School of MedicineK Kuban - Avera HealthL Douglass - University of Southern CaliforniaH Jara - University of Southern CaliforniaR Joseph - Henry Ford Health SystemC Barone - Henry Ford Health, Detroit, MIC Fussman - University of South DakotaN Paneth - Michigan State University, East Lansing, MIM Elliott - University of Southern CaliforniaD Ruden - Wayne State University, Detroit, MIJ Herbstman - Columbia University Medical Center, New York, NYS Schantz - University of Southern CaliforniaT Woodruff - University of North Carolina at Chapel HillJ Stanford - University of California, DavisC Porucznik - University of South DakotaA Giardino - University of Utah, Salt Lake City, UTM Bosquet-Enlow - University of Southern CaliforniaK Huddleston - George Mason University, Fairfax, VAS Swan - University of Southern CaliforniaR Miller - University of South Dakota
- Publication Details
- The American journal of clinical nutrition, v 119(5), pp 1216-1226
- Publisher
- Elsevier
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:001244524400005
- Scopus ID
- 2-s2.0-85188065921
- Other Identifier
- 991021880115704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics