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Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States
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 geo...
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Published in: | American journal of epidemiology 2008-01, Vol.167 (2), p.155-163 |
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creator | O'Campo, Patricia Burke, Jessica G. Culhane, Jennifer Elo, Irma T. Eyster, Janet Holzman, Claudia Messer, Lynne C. Kaufman, Jay S. Laraia, Barbara A. |
description | 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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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.</description><identifier>ISSN: 0002-9262</identifier><identifier>ISSN: 1476-6256</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwm277</identifier><identifier>PMID: 17989062</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; African Americans ; Analysis. Health state ; Biological and medical sciences ; Black or African American ; Black People - statistics & numerical data ; Epidemiology ; ethnic groups ; Female ; General aspects ; Humans ; Maryland - epidemiology ; Maternal Age ; Medical research ; Medical sciences ; Michigan - epidemiology ; Miscellaneous ; Neighborhoods ; North Carolina - epidemiology ; Odds Ratio ; Pennsylvania - epidemiology ; Pregnancy ; Premature birth ; Premature Birth - ethnology ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; residence characteristics ; Residence Characteristics - statistics & numerical data ; social class ; social environment ; Socioeconomic Factors ; United States ; White people ; White People - statistics & numerical data</subject><ispartof>American journal of epidemiology, 2008-01, Vol.167 (2), p.155-163</ispartof><rights>American Journal of Epidemiology © The Author 2007. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2008</rights><rights>2008 INIST-CNRS</rights><rights>American Journal of Epidemiology © The Author 2007. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-269241a2671d6796cbfab2cb14d9208755aacbdc0ce3ff3d35c2e71d280ec4dd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20107678$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17989062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Campo, Patricia</creatorcontrib><creatorcontrib>Burke, Jessica G.</creatorcontrib><creatorcontrib>Culhane, Jennifer</creatorcontrib><creatorcontrib>Elo, Irma T.</creatorcontrib><creatorcontrib>Eyster, Janet</creatorcontrib><creatorcontrib>Holzman, Claudia</creatorcontrib><creatorcontrib>Messer, Lynne C.</creatorcontrib><creatorcontrib>Kaufman, Jay S.</creatorcontrib><creatorcontrib>Laraia, Barbara A.</creatorcontrib><title>Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>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.</description><subject>Adult</subject><subject>African Americans</subject><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People - statistics & numerical data</subject><subject>Epidemiology</subject><subject>ethnic groups</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Maryland - epidemiology</subject><subject>Maternal Age</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Michigan - epidemiology</subject><subject>Miscellaneous</subject><subject>Neighborhoods</subject><subject>North Carolina - epidemiology</subject><subject>Odds Ratio</subject><subject>Pennsylvania - epidemiology</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Premature Birth - ethnology</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Regression Analysis</subject><subject>residence characteristics</subject><subject>Residence Characteristics - statistics & numerical data</subject><subject>social class</subject><subject>social environment</subject><subject>Socioeconomic Factors</subject><subject>United States</subject><subject>White people</subject><subject>White People - statistics & numerical data</subject><issn>0002-9262</issn><issn>1476-6256</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp90c1u1DAUBWALgehQ2PAAyEIqC6RQ20nsybLttB1EVSpoVcTGcpybiWcSO9gOP1ueHJcZtRILVl7cT-de-SD0kpJ3lFT5oVrD4ebHwIR4hGa0EDzjrOSP0YwQwrKKcbaHnoWwJoTSqiRP0R4V1bwinM3Q70swq652vnOuwQsYvfmuonEWK9vgKw8R_ICPjY8dVoOzK3zpbLY0YVTWaHzcK735S287EwHfugEsNhafptSIz8GtvBq7JI88qHA3iR3gG5twgz9HFSE8R09a1Qd4sXv30c3Z6fXJMrv4eP7-5Ogi00XBY8Z4xQqqGBe04aLium5VzXRNi6ZiZC7KUildN5poyNs2b_JSM0iWzQnoomnyffRmmzt6922CEOVggoa-VxbcFKQgjFGaswRf_wPXbvI23SZZXlY54UIk9HaLtHcheGhl-rpB-V-SEnlXi0y1yG0tCb_aJU71AM0D3fWQwMEOqKBV33pltQn3jhFKBBfzB-em8f8Ls60zIcLPe6n8RnKRi1Iuv3yV14uz4urD4pMs8z_kELKA</recordid><startdate>20080115</startdate><enddate>20080115</enddate><creator>O'Campo, Patricia</creator><creator>Burke, Jessica G.</creator><creator>Culhane, Jennifer</creator><creator>Elo, Irma T.</creator><creator>Eyster, Janet</creator><creator>Holzman, Claudia</creator><creator>Messer, Lynne C.</creator><creator>Kaufman, Jay S.</creator><creator>Laraia, Barbara A.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20080115</creationdate><title>Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States</title><author>O'Campo, Patricia ; Burke, Jessica G. ; Culhane, Jennifer ; Elo, Irma T. ; Eyster, Janet ; Holzman, Claudia ; Messer, Lynne C. ; Kaufman, Jay S. ; Laraia, Barbara A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-269241a2671d6796cbfab2cb14d9208755aacbdc0ce3ff3d35c2e71d280ec4dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People - statistics & numerical data</topic><topic>Epidemiology</topic><topic>ethnic groups</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Maryland - epidemiology</topic><topic>Maternal Age</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Michigan - epidemiology</topic><topic>Miscellaneous</topic><topic>Neighborhoods</topic><topic>North Carolina - epidemiology</topic><topic>Odds Ratio</topic><topic>Pennsylvania - epidemiology</topic><topic>Pregnancy</topic><topic>Premature birth</topic><topic>Premature Birth - ethnology</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Regression Analysis</topic><topic>residence characteristics</topic><topic>Residence Characteristics - statistics & numerical data</topic><topic>social class</topic><topic>social environment</topic><topic>Socioeconomic Factors</topic><topic>United States</topic><topic>White people</topic><topic>White People - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Campo, Patricia</creatorcontrib><creatorcontrib>Burke, Jessica G.</creatorcontrib><creatorcontrib>Culhane, Jennifer</creatorcontrib><creatorcontrib>Elo, Irma T.</creatorcontrib><creatorcontrib>Eyster, Janet</creatorcontrib><creatorcontrib>Holzman, Claudia</creatorcontrib><creatorcontrib>Messer, Lynne C.</creatorcontrib><creatorcontrib>Kaufman, Jay S.</creatorcontrib><creatorcontrib>Laraia, Barbara A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Campo, Patricia</au><au>Burke, Jessica G.</au><au>Culhane, Jennifer</au><au>Elo, Irma T.</au><au>Eyster, Janet</au><au>Holzman, Claudia</au><au>Messer, Lynne C.</au><au>Kaufman, Jay S.</au><au>Laraia, Barbara A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2008-01-15</date><risdate>2008</risdate><volume>167</volume><issue>2</issue><spage>155</spage><epage>163</epage><pages>155-163</pages><issn>0002-9262</issn><issn>1476-6256</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>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.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>17989062</pmid><doi>10.1093/aje/kwm277</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult African Americans Analysis. Health state Biological and medical sciences Black or African American Black People - statistics & numerical data Epidemiology ethnic groups Female General aspects Humans Maryland - epidemiology Maternal Age Medical research Medical sciences Michigan - epidemiology Miscellaneous Neighborhoods North Carolina - epidemiology Odds Ratio Pennsylvania - epidemiology Pregnancy Premature birth Premature Birth - ethnology Public health. Hygiene Public health. Hygiene-occupational medicine Regression Analysis residence characteristics Residence Characteristics - statistics & numerical data social class social environment Socioeconomic Factors United States White people White People - statistics & numerical data |
title | Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States |
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