Journal article
Socioeconomic domains and associations with preterm birth
Social science & medicine (1982), v 67(8), pp 1247-1257
01 Oct 2008
PMID: 18640759
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Neighborhood socioeconomic effects on health have been estimated using multiple variables and indices. This inconsistent estimation approach makes comparison across geographic areas challenging. In this paper, we developed indices representing specific socioeconomic domains that can be reproduced in other areas to estimate elements of the neighborhood socioeconomic environment on health outcomes, specifically preterm birth. Using year 2000 U.S. census data and principal components analysis, socioeconomic indices were developed representing a priori - defined domains of education, employment, housing, occupation, poverty and residential stability. These socioeconomic indices were subsequently used in race-stratified multilevel logistic regression models of preterm birth in eight socioeconomically distinct study areas in the U.S. Maternal residence was obtained from birth records and was geocoded to census tracts. in maternal age and education adjusted models, living in tracts with high unemployment, low education, poor housing, low proportion of managerial or professional occupation and high poverty was associated with increased odds of preterm birth for non-Hispanic white women at most sites. Among non-Hispanic black women, similar associations were noted for tract-level low education, high unemployment, low occupation, and high poverty, but the effect estimates were generally smaller than those seen for white women. increasing amounts of residential stability were not associated with preterm birth in these analyses. We combined the domain estimates across the eight study sites to produce pooled effect estimates for the socioeconomic domains on preterm birth. The research reported here suggests that specific neighborhood-level socioeconomic features may be especially influential to health outcomes. These socioeconomic domains represent potential targets for intervention or policy efforts designed to improve maternal and child health and reduce health disparities. (C) 2008 Elsevier Ltd. All rights reserved.
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Details
- Title
- Socioeconomic domains and associations with preterm birth
- Creators
- Lynne C. Messer - Duke UniversityLisa C. Vinikoor - Duke UniversityBarbara A. Laraia - University of California, San FranciscoJay S. Kaufman - Duke UniversityJanet Eyster - Michigan State UniversityClaudia Holzman - Michigan State UniversityJennifer Culhane - Drexel UniversityIrma Elo - Annenberg Public Policy CenterJessica G. Burke - University of PittsburghPatricia O'Campo - University of Toronto
- Publication Details
- Social science & medicine (1982), v 67(8), pp 1247-1257
- Publisher
- Elsevier
- Number of pages
- 11
- Grant note
- 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) K01 HD047122 / NICHD NIH HHS; 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:000260200800006
- Scopus ID
- 2-s2.0-50249237890
- Other Identifier
- 991019339564604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Social Sciences, Biomedical