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Neighborhood deprivation and preterm birth among non-Hispanic Black and White women in eight geographic areas in the United States
Journal article   Open access   Peer reviewed

Neighborhood deprivation and preterm birth among non-Hispanic Black and White women in eight geographic areas in the United States

Patricia O'Campo, Jessica G. Burke, Jennifer Culhane, Irma T. Elo, Janet Eyster, Claudia Holzman, Lynne C. Messer, Jay S. Kaufman and Barbara A. Laraia
American journal of epidemiology, v 167(2), pp 155-163
15 Jan 2008
PMID: 17989062
url
https://academic.oup.com/aje/article-pdf/167/2/155/295289/kwm277.pdfView
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Disparities in preterm birth by race and ethnic group have been demonstrated in the United States. Recent research has focused on the impact of neighborhood context on racial disparities in pregnancy outcomes. The authors utilized vital-record birth certificate data and US Census data from eight geographic areas in four states (Maryland, Michigan, North Carolina, and Pennsylvania) to examine the relation between neighborhood deprivation and preterm birth among non-Hispanic White and Black women. The years covered by the data varied by site and ranged from 1995 to 2001. Results were adjusted for maternal age and education, and specific attention was paid to racial and geographic differences in the relation between neighborhood deprivation and preterm birth. Preterm birth rates were higher for non-Hispanic Blacks (10.42-15.97%) than for non-Hispanic Whites (5.77-9.13%), and neighborhood deprivation index values varied substantially across the eight areas. A significant association was found between neighborhood deprivation and risk of preterm birth; for the first quintile of the deprivation index versus the fifth, the adjusted summary odds ratio was 1.57 (95% confidence interval: 1.41, 1.74) for non-Hispanic Whites and 1.15 (95% confidence interval: 1.08, 1.23) for non-Hispanic Blacks. In this study, deprivation at the neighborhood level was significantly associated with increased risk of preterm birth among both non-Hispanic White women and non-Hispanic Black women.

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222 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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