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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Neighborhood Typology and Cardiometabolic Pregnancy Outcomes in the Maternal Adiposity Metabolism and Stress Study
Obesity (Silver Spring, Md.), v 27(1), pp 166-173
Jan 2019
PMID: 30516025
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study aimed to assess associations between neighborhood typologies classified across multiple neighborhood domains and cardiometabolic pregnancy outcomes and determine variation in effectiveness of a mindfulness-based stress-reduction intervention on outcomes across neighborhood types.
Neighborhoods of participants in the Maternal Adiposity Metabolism and Stress (MAMAS) intervention (n = 208) were classified across dimensions of socioeconomic, food, safety, and service/resource environments using latent class analysis. The study estimated associations between neighborhood type and three cardiometabolic pregnancy outcomes-glucose tolerance (GT) during pregnancy, excessive gestational weight gain, and 6-month postpartum weight retention (PPWR)-using marginal regression models. Interaction between neighborhood type and intervention was assessed.
Five neighborhood types differing across socioeconomic, food, and resource environments were identified. Compared with poor, well-resourced neighborhoods, middle-income neighborhoods with low resources had higher risk of impaired GT (relative risk [RR]: 4.1; 95% confidence Interval [CI]: 1.1, 15.5), and wealthy, well-resourced neighborhoods had higher PPWR (beta: 3.9 kg; 95% CI: 0.3, 7.5). Intervention effectiveness varied across neighborhood type with wealthy, well-resourced and poor, moderately resourced neighborhoods showing improvements in GT scores. PPWR was higher in intervention compared with control groups within wealthy, well-resourced neighborhoods.
Consideration of multidimensional neighborhood typologies revealed important nuances in intervention effectiveness on cardiometabolic pregnancy outcomes.
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Details
- Title
- Neighborhood Typology and Cardiometabolic Pregnancy Outcomes in the Maternal Adiposity Metabolism and Stress Study
- Creators
- Irene Headen - Drexel UniversityBarbara Laraia - Community Health Sciences, Berkeley School of Public Health, University of California, Berkeley, California, USA.Kimberly Coleman-Phox - University of California, San FranciscoCassandra Vieten - Institute of Noetic SciencesNancy Adler - University of California, San FranciscoElissa Epel - University of California, San Francisco
- Publication Details
- Obesity (Silver Spring, Md.), v 27(1), pp 166-173
- Publisher
- Wiley
- Grant note
- P30 DK098722 / NIDDK NIH HHS T76MC00002 / HRSA HHS P2C HD073964 / NICHD NIH HHS U01 HL097973 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000453750700023
- Scopus ID
- 2-s2.0-85057731241
- Other Identifier
- 991019168734104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics