Journal article
Homelessness During Pregnancy: A Unique, Time-Dependent Risk Factor of Birth Outcomes
Maternal and child health journal, v 19(6), pp 1276-1283
Jun 2015
PMID: 25404405
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Evaluate homelessness during pregnancy as a unique, time-dependent risk factor for adverse birth outcomes. 9,995 mothers of children <48 months old surveyed at emergency departments and primary care clinics in five US cities. Mothers were classified as either homeless during pregnancy with the index child, homeless only after the index child’s birth, or consistently housed. Outcomes included birth weight as a continuous variable, as well as categorical outcomes of low birth weight (LBW; <2,500 g) and preterm delivery (<37 weeks). Multiple logistic regression and adjusted linear regression analyses were performed, comparing prenatal and postnatal homelessness with the referent group of consistently housed mothers, controlling for maternal demographic characteristics, smoking, and child age at interview. Prenatal homelessness was associated with higher adjusted odds of LBW (AOR 1.43, 95 % CI 1.14, 1.80, p < 0.01) and preterm delivery (AOR 1.24, 95 % CI 0.98, 1.56, p = 0.08), and a 53 g lower adjusted mean birth weight (p = 0.08). Postnatal homelessness was not associated with these outcomes. Prenatal homelessness is an independent risk factor for LBW, rather than merely a marker of adverse maternal and social characteristics associated with homelessness. Targeted interventions to provide housing and health care to homeless women during pregnancy may result in improved birth outcomes.
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Details
- Title
- Homelessness During Pregnancy: A Unique, Time-Dependent Risk Factor of Birth Outcomes
- Creators
- Diana Cutts - Department of Pediatrics Hennepin County Medical Center 701 Park Avenue Minneapolis MN 55415 USASharon Coleman - Data Coordinating Center Boston University School of Public Health Boston MA USAMaureen Black - Department of Pediatrics University of Maryland School of Medicine Baltimore MD USAMariana Chilton - Department of Health Management and Policy Drexel University School of Public Health Philadelphia PA USAJohn Cook - Department of Pediatrics Boston University School of Medicine Boston MA USAStephanie de Cuba - Data Coordinating Center Boston University School of Public Health Boston MA USATimothy Heeren - Data Coordinating Center Boston University School of Public Health Boston MA USAAlan Meyers - Department of Pediatrics Boston University School of Medicine Boston MA USAMegan Sandel - Department of Pediatrics Boston University School of Medicine Boston MA USAPatrick Casey - Department of Pediatrics University of Arkansas for Medical Sciences Little Rock AR USADeborah Frank - Department of Pediatrics Boston University School of Medicine Boston MA USA
- Publication Details
- Maternal and child health journal, v 19(6), pp 1276-1283
- Publisher
- Springer; New York
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000355220400012
- Scopus ID
- 2-s2.0-84957962794
- Other Identifier
- 991014877703104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health