Abstract：
PURPOSE:To explore associations between neighborhood socioeconomic context and preterm delivery, independent of maternal and family socioeconomic status, in African-American and white women. METHODS:A case-control study of African-American (n = 417) and white (n = 1244) women delivering infants at the University of California, San Francisco's Moffitt Hospital, between 1980 and 1990. RESULTS:Neighborhood socioeconomic contexts were associated with preterm delivery but associations were non-linear and varied with race/ethnicity. For African-American women, living in a neighborhood with either high or low median household income was associated with an increased risk of spontaneous preterm delivery, as was living in a neighborhood with large increases or decreases in the proportion of African-American residents during the study decade. Residence in neighborhoods with high and low rates of male unemployment was associated with a decreased risk of preterm delivery. Among white women only large positive and negative changes in neighborhood male unemployment were associated with risk of preterm delivery. CONCLUSIONS:Neighborhood factors and changes in neighborhoods over time are related to preterm delivery, although the mechanisms linking local environments to maternal risk remain to be specified.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Pickett KE,Ahern JE,Selvin S,Abrams Bdoi
10.1016/s1047-2797(01)00249-6keywords:
subject
Has Abstractpub_date
2002-08-01 00:00:00pages
410-8issue
6eissn
1047-2797issn
1873-2585pii
S1047279701002496journal_volume
12pub_type
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