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Journal article
Maternal Weathering and Risk of Preterm Delivery
American journal of public health (1971), v 99(10), pp 1864-1871
01 Oct 2009
PMID: 19696383
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Abstract
Objectives. We compared the association between advancing maternal age and risk of preterm delivery across 4 groups (Black smokers, Black nonsmokers, White smokers, White nonsmokers) and within the context of neighborhood deprivation levels.
Methods. We obtained data from linked census and birth records for singletons (n=182938) delivered by women aged 20 to 39 years in Philadelphia, Pennsylvania; Baltimore, Maryland; 16 Michigan cities; 3 Maryland counties; and 2 North Carolina counties. Results from area-specific multilevel logistic regression models were combined to obtain pooled estimates of relations between maternal age and risk of preterm delivery. We repeated the models after categorizing women by neighborhood deprivation level (low, medium, and high).
Results. Among multiparous women, there was a significant age-related increase in preterm delivery in 3 of the 4 groups. The adjusted odds ratio per 5-year age increase was 1.31 in Black smokers, 1.11 in Black nonsmokers, and 1.16 in White smokers. In each group, the odds ratio increased as neighborhood deprivation increased.
Conclusions. These results support the "weathering" hypothesis, suggesting that Black women, women with high-risk behaviors, and women living in high-deprivation neighborhoods may develop "accelerated aging" that increases preterm delivery risk. (Am J Public Health. 2009;99:1864-1871. doi:10.2105/AJPH.2008.151589)
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Details
- Title
- Maternal Weathering and Risk of Preterm Delivery
- Creators
- Claudia Holzman - Michigan State UniversityJanet Eyster - Michigan State UniversityMary Kleyn - Michigan Department of Health and Human ServicesLynne C. Messer - Duke UniversityJay S. Kaufman - McGill UniversityBarbara A. Laraia - University of California, San FranciscoPatricia O'Campo - University of TorontoJessica G. Burke - University of PittsburghJennifer Culhane - Drexel UniversityIrma T. Elo - University of Pennsylvania
- Publication Details
- American journal of public health (1971), v 99(10), pp 1864-1871
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 8
- Grant note
- 02-0287P; 03-MCHB-047B; HHSH240200415028P; HHSH240200515112P / Maternal and Child Health Bureau of the Health Resources and Services Administration K01HD047122 / 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)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000270846500024
- Scopus ID
- 2-s2.0-70349156288
- Other Identifier
- 991019339572804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health