Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Social Sciences Women's Studies
Background: Education is an important social determinant of many health outcomes, but the relationship between educational attainment and the amount of weight gained over the course of a woman's pregnancy (gestational weight gain [GWG]) has not been established clearly.
Methods: We used data from 1979 through 2010 for women in the National Longitudinal Survey of Youth (1979) cohort (n = 6,344 pregnancies from 2,769 women). We used generalized estimating equations to estimate the association between educational attainment and GWG adequacy (as defined by 2009 Institute of Medicine guidelines), controlling for diverse social factors from across the life course (e.g., income, wealth, educational aspirations and expectations) and considering effect measure modification by race/ethnicity and prepregnancy overweight status.
Results: In most cases, women with more education had increased odds of gaining a recommended amount of gestational weight, independent of educational aspirations and educational expectations and relatively robust to sensitivity analyses. This trend manifested itself in a few different ways. Those with less education had higher odds of inadequate GWG than those with more education. Among those who were not overweight before pregnancy, those with less education had higher odds of excessive GWG than college graduates. Among women who were White, those with less than a high school degree had higher odds of excessive GWG than those with more education.
Conclusion: The relationship between educational attainment and GWG is nuanced and nonlinear. (C) 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc.
Educational Attainment and Gestational Weight Gain among US Mothers
Creators
Alison K. Cohen - University of California, Berkeley
Chandni Kazi - University of California, Berkeley
Irene Headen - University of California, Berkeley
David H. Rehkopf - Stanford University
C. Emily Hendrick - The University of Texas at Austin
Divya Patil - University of California, Berkeley
Barbara Abrams - University of California, Berkeley
Publication Details
Women's health issues, v 26(4), pp 460-467
Publisher
Elsevier
Number of pages
8
Grant note
K01AG047280 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
5R01MD6104-2 / National Institute of Minority Health and Health Disparities at the National Institutes of Health
R24HD042849 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
R01MD006104 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
Resource Type
Journal article
Language
English
Academic Unit
Community Health and Prevention; Drexel University
Web of Science ID
WOS:000380748900014
Scopus ID
2-s2.0-84977615260
Other Identifier
991020100064304721
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