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Journal article
Neighbourhood deprivation and small-for-gestational-age term births in the United States
Paediatric and perinatal epidemiology, v 23(1)
01 Jan 2009
PMID: 19228318
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Residential context has received increased attention as a possible contributing factor to race/ethnic and socio-economic disparities in birth outcomes in the United States. Utilising vital statistics birth record data, this study examined the association between neighbourhood deprivation and the risk of a term small-for-gestational-age (SGA) birth among non-Hispanic whites and non-Hispanic blacks in eight geographical areas. An SGA birth was defined as a newborn weighing < 10th percentile of the sex- and parity-specific birthweight distribution for a given gestational week. Multi-level random intercept logistic regression models were employed and statistical tests were performed to examine whether the association between neighbourhood deprivation and SGA varied by race/ethnicity and study site.
The risk of term SGA was higher among non-Hispanic blacks (range 10.8-17.5%) than non-Hispanic whites (range 5.1-9.2%) in all areas and it was higher in cities than in suburban locations. In all areas, non-Hispanic blacks lived in more deprived neighbourhoods than non-Hispanic whites. However, the adjusted associations between neighbourhood deprivation and term SGA did not vary significantly by race/ethnicity or study site. The summary fully adjusted pooled odds ratios, indicating the effect of one standard deviation increase in the deprivation score, were 1.15 [95% CI 1.08, 1.22] for non-Hispanic whites and 1.09 [95% CI 1.05, 1.14] for non-Hispanic blacks. Thus, neighbourhood deprivation was weakly associated with term SGA among both non-Hispanic whites and non-Hispanic blacks.
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Details
- Title
- Neighbourhood deprivation and small-for-gestational-age term births in the United States
- Creators
- Irma T. Elo - University of PennsylvaniaJennifer F. Culhane - Drexel UniversityIliana V. Kohler - University of PennsylvaniaPatricia O'Campo - University of TorontoJessica G. Burke - University of PittsburghLynne C. Messer - Duke Institute for Health InnovationJay S. Kaufman - University of North Carolina at Chapel HillBarbara A. Laraia - University of California, San FranciscoJanet Eyster - Michigan State UniversityClaudia Holzman - Michigan State University
- Publication Details
- Paediatric and perinatal epidemiology, v 23(1)
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- HD36462 / National Institute of Child Health and 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) 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:000261273000012
- Scopus ID
- 2-s2.0-57449114171
- Other Identifier
- 991019339566104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics
- Public, Environmental & Occupational Health