Evidence map›Paper›PMID 12883067›Full record

ArticleJournal of epidemiology and community health2003

Preterm birth among African American and white women: a multilevel analysis of socioeconomic characteristics and cigarette smoking.

J Ahern, K E Pickett, S Selvin, B Abrams

Open access · bronzeAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
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  10. Recurrent preterm birth risk assessment for two delivery subtypes: A multivariable analysis.Journal of the American Medical Informatics Association : JAMIA · 2022
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  15. Exposures to structural racism and racial discrimination among pregnant and early post-partum Black women living in Oakland, California.Stress and health : journal of the International Society for the Investigation of Stress · 2020
    Article
  16. Defining microbial biomarkers for risk of preterm labor.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2020
    Article
  17. Article
  18. Neighborhood Gun Violence and Birth Outcomes in Chicago.Maternal and child health journal · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

J AhernCenter for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY 10029, USA. jahern@nyam.org
K E Pickett
S Selvin
B Abrams
Berkeley Public Health Division · USChicago Department of Public Health · USNew York Academy of Medicine · USUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveResearch shows that neighbourhood socioeconomic factors are associated with preterm delivery. This study examined whether cigarette smoking and individual socioeconomic factors modify the effects of neighbourhood factors on preterm delivery.

designCase-control study.

settingMoffit Hospital in San Francisco, California.

participants417 African American and 1244 white women, including all preterm and a random selection of term deliveries 1980-1990, excluding non-singleton pregnancies, congenital anomolies, induced deliveries, and women transported for special care. US census data from 1980 and 1990 were used to characterise the women's neighbourhoods, defined as census tracts.

resultsCigarette smoking increased the risk of preterm delivery among both African American (OR=1.77, 95% confidence intervals (CI) (1.12 to 2.79)) and white women (OR=1.25, 95% CI (1.01 to 1.55)). However, cigarette smoking did not attenuate or modify the association of neighbourhood factors with preterm delivery. Among African American women, having public insurance modified the relation between neighbourhood unemployment and preterm delivery; among women without public insurance, the risk of preterm delivery was low in areas with low unemployment and high in areas with high unemployment, while among women with public insurance the risk of preterm delivery was highest at low levels of neighbourhood unemployment.

conclusionsCigarette smoking was associated with preterm delivery, especially among African Americans. Adverse neighbourhood conditions had an influence on preterm delivery beyond that of cigarette smoking. The effects of some neighbourhood characteristics were different depending on individual socioeconomic status. Examining socioeconomic and behavioural/biological risk factors together may increase understanding of the complex causes of preterm delivery.

Indexed as

Black or African AmericanWhite PeopleCaliforniaFemaleGestational AgeHumansObstetric Labor, PrematurePregnancyPregnancy OutcomeRisk FactorsSmokingSocial EnvironmentSocioeconomic Factors

Identifiers

PMID12883067
PMCPMC1732558
OpenAlexW2043994125

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.