Evidence map›Paper›PMID 19644741›Full record

ArticleMaternal and child health journal2010

Maternal social support and neighborhood income inequality as predictors of low birth weight and preterm birth outcome disparities: analysis of South Carolina Pregnancy Risk Assessment and Monitoring System survey, 2000-2003.

Stephen Nkansah-Amankra, Ashish Dhawain, James Robert Hussey, Kathryn J Luchok

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Article in Maternal and child health journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Trial
  6. Trial
  7. Article
  8. Maternal Depression Mediated the Association Between Moderate Income Inequality and Physical Aggression in Five Year Old Children.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Chicago Neighborhood Context and Racial/Ethnic Disparities in Maternal Diabetes.Journal of racial and ethnic health disparities · 2025
    Article
  13. Article
  14. Review
  15. Social Inequalities in Non-ischemic Cardiomyopathies.Frontiers in cardiovascular medicine · 2022
    Review
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  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stephen Nkansah-AmankraCollege of Health and Human Sciences, University of Northern Colorado/Colorado School of Public Health, 2410 Gunter Hall, 501-20th St., Campus Box 93, Greeley, CO, 80639, USA. stephen.namankra@unco.edu.
Ashish DhawainMonmouth Medical Center, Long Branch, NJ, 07740, USA.
James Robert HusseyDepartment of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Kathryn J LuchokSouth Carolina Access Initiative and Adjunct Faculty, Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effects of income inequality on health and other social systems have been a subject of considerable debate, but only a few studies have used multilevel models to evaluate these relationships. The main objectives of the study were to (1) Evaluate the relationships among neighborhood income inequality, social support and birth outcomes (low birth weight, and preterm delivery) and (2) Assess variations in racial disparities in birth outcomes across neighborhood contexts of income distribution and maternal social support. We evaluated these relationships by using South Carolina Pregnancy Risk Assessment and Monitoring System (PRAMS) survey for 2000-2003 geocoded to 2000 US Census data for South Carolina. Multilevel analysis was used to simultaneously evaluate the association between income inequality (measured as Gini), maternal social relationships and birth outcomes (low birth weight and preterm delivery). The results showed residence in neighborhoods with medium levels of income inequality was independently associated with low birth weight (OR: 2.00; 95% CI 1.14-3.26), but not preterm birth; low social support was an independent risk for low birth weight or preterm births. The evidence suggests that non-Hispanic black mothers were at increased risks of low birth weight or preterm birth primarily due to greater exposures of neighborhood deprivations associated with low income and reduced social support and modified by unequal income distribution.

Indexed as

Infant, Low Birth WeightPovertySocial SupportAdolescentAdultEthnicityFemaleHumansInfant, NewbornMothersPregnancyPregnancy OutcomePremature BirthResidence CharacteristicsRisk AssessmentSocioeconomic Factors

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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.