TY - JOUR
T1 - Non-Hispanic White Women’s Exposure to Decreased Neighborhood Income and Small for Gestational Age Births
T2 - A Population-Based Study
AU - Collins, James W.
AU - Colgan, Jennifer
AU - Desisto, Carla
AU - Rankin, Kristin M.
N1 - Funding Information:
Funding was provided by March of Dimes (Grant No. 21-FYI16-111).
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Background: The relationship between non-Hispanic White (NHW) women’s decreased neighborhood income between early-life and adulthood, individual risk-status at delivery, and small for gestational age (weight for gestation < 10th percentile, SGA) rates is unknown. Objective: To determine the extent to which NHW women’s exposure to decreased neighborhood income is a risk factor for SGA births, and whether their own birth weight modifies this relationship. Methods: Stratified and multilevel logistic regression analyses were executed on the Illinois transgenerational dataset of mothers (born 1956–1976) and their infants (born 1989–1991) with appended U.S. census income information. Only NHW women with an early-life residence in top income quartile Chicago neighborhoods were studied. Results: NHW women (n = 4889) unexposed to decreased neighborhood income between early-life and adulthood had an SGA rate of 7.1%. In contrast, NHW women exposed to slightly (n = 5112), modestly (n = 2158), or severely (n = 339) decreased neighborhood income by the time of delivery had SGA rates of 8.2%, 10.8%, and 10.8%, respectively; RR (95% CI) equaled 1.2 (1.0–1.3), 1.5 (1.3–1.8) and 1.5 (1.1–2.1), respectively. The relationship between maternal exposure to modestly decreased neighborhood income and SGA rates was present only among former non-low birth weight (> 2500 g, non-LBW) mothers. In multilevel logistic regression models, the adjusted (controlling for age, parity, prenatal care usage, and cigarette smoking) OR of SGA birth for former low birth weight (< 2500 g, LBW) and non-LBW NHW women exposed to modestly (compared to no) decreased neighborhood income equaled 0.7 (0.4, 1.4) and 1.3 (1.1–1.6), respectively. Conclusions for Practice: NHW women’s exposure to modestly decreased neighborhood income is associated with an increased risk of SGA birth; this phenomenon is absent among former low birth weight women.
AB - Background: The relationship between non-Hispanic White (NHW) women’s decreased neighborhood income between early-life and adulthood, individual risk-status at delivery, and small for gestational age (weight for gestation < 10th percentile, SGA) rates is unknown. Objective: To determine the extent to which NHW women’s exposure to decreased neighborhood income is a risk factor for SGA births, and whether their own birth weight modifies this relationship. Methods: Stratified and multilevel logistic regression analyses were executed on the Illinois transgenerational dataset of mothers (born 1956–1976) and their infants (born 1989–1991) with appended U.S. census income information. Only NHW women with an early-life residence in top income quartile Chicago neighborhoods were studied. Results: NHW women (n = 4889) unexposed to decreased neighborhood income between early-life and adulthood had an SGA rate of 7.1%. In contrast, NHW women exposed to slightly (n = 5112), modestly (n = 2158), or severely (n = 339) decreased neighborhood income by the time of delivery had SGA rates of 8.2%, 10.8%, and 10.8%, respectively; RR (95% CI) equaled 1.2 (1.0–1.3), 1.5 (1.3–1.8) and 1.5 (1.1–2.1), respectively. The relationship between maternal exposure to modestly decreased neighborhood income and SGA rates was present only among former non-low birth weight (> 2500 g, non-LBW) mothers. In multilevel logistic regression models, the adjusted (controlling for age, parity, prenatal care usage, and cigarette smoking) OR of SGA birth for former low birth weight (< 2500 g, LBW) and non-LBW NHW women exposed to modestly (compared to no) decreased neighborhood income equaled 0.7 (0.4, 1.4) and 1.3 (1.1–1.6), respectively. Conclusions for Practice: NHW women’s exposure to modestly decreased neighborhood income is associated with an increased risk of SGA birth; this phenomenon is absent among former low birth weight women.
KW - Economic mobility
KW - Life-course perspective
KW - Small for gestational age
KW - Social mobility
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U2 - 10.1007/s10995-020-02916-4
DO - 10.1007/s10995-020-02916-4
M3 - Article
C2 - 32303938
AN - SCOPUS:85083846245
SN - 1092-7875
VL - 24
SP - 694
EP - 700
JO - Maternal and child health journal
JF - Maternal and child health journal
IS - 6
ER -
