ArticleSocial science & medicine (1982)2011
Neighborhood conditions are associated with maternal health behaviors and pregnancy outcomes.
Article in Social science & medicine (1982), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
61 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- From the Compact City to the X-Minute neighborhood: A Systematic Review of the Health and Wellbeing Impacts of Sustainable Urban Development Models (SUDMs) on Women.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Pooled it
- Measures of Racism and Discrimination in Preterm Birth Studies.Obstetrics and gynecology · 2023Pooled it
- Structural racism and adverse maternal health outcomes: A systematic review.Health & place · 2022Pooled it
- Association of neighborhood context with offspring risk of preterm birth and low birthweight: A systematic review and meta-analysis of population-based studies.Social science & medicine (1982) · 2016Pooled it
- Representativeness of participants in a lifestyle intervention study in obese pregnant women - the difference between study participants and non-participants.Obesity facts · 2014Trial
- The relative importance of neighborhood environment features in explaining preeclampsia risk using machine learning.Pregnancy (Hoboken, N.J.) · 2026Article
- Neighborhood-level socioeconomic position and mortality among children born with critical congenital heart defects.American journal of epidemiology · 2026Article
- Neighborhood stress and social vulnerability in relation to placental metals concentrations.BMC public health · 2026Article
- Neighborhood Disinvestment and Racial Disparities in Early Hypertension Onset Among Women.JAMA network open · 2026Article
- Explaining Racial and Ethnic Disparities in Hypertension and Diabetes during Pregnancy in the United States (2016-2022): A Decomposition Analysis.Journal of racial and ethnic health disparities · 2025Article
- The Mediating Role of Social and Environmental Determinants of Health in the Association Between Race and Preterm Birth Risk.Journal of women's health (2002) · 2025Article
- Associations of maternal neighborhood and trauma-related stressors with mitochondrial DNA copy number and telomere length in maternal and cord blood.Scientific reports · 2025Article
- Associations Between Racial Residential Segregation and Hypertensive Disorders of Pregnancy among Black women: The Coronary Artery Risk Development in Young Adults Study.International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- Neighbourhood Deprivation and Gestational Diabetes Mellitus in Arizona From the AzPEARS Study.Paediatric and perinatal epidemiology · 2025Article
- Neighborhood Vulnerability and Age of Natural Menopause and Menopausal Symptoms Among Midlife Women.JAMA network open · 2025Article
- Neighborhood deprivation and racial disparities in severe maternal morbidity before and during the COVID-19 pandemic.Annals of epidemiology · 2025Article
- Assessing Neighborhood Characteristics and Their Association with Prenatal Maternal Stress, Depressive Symptoms, and Well-Being in Eight Culturally Diverse Cities: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Socioeconomic disadvantage and racial/ethnic disparities in low-risk cesarean birth in California.American journal of epidemiology · 2025Article
- Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
- Historical Redlining, Contemporary Gentrification, and Severe Maternal Morbidity in California, 2005-2018.JAMA network open · 2024Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Women residing in neighborhoods of low socioeconomic status are more likely to experience adverse reproductive outcomes; however, few studies explore which specific neighborhood features are associated with poor maternal health behaviors and pregnancy outcomes. Based upon our conceptual model, directly observed street-level data from four North Carolina US counties were used to create five neighborhood indices: physical incivilities (neighborhood degradation), social spaces (public space for socializing), walkability (walkable neighborhoods), borders (property boundaries), and arterial features (traffic safety). Singleton birth records (2001-2005) were obtained from the North Carolina State Center for Vital Statistics and maternal health behavior information (smoking, inadequate or excessive weight gain) and pregnancy outcomes (pregnancy-induced hypertension/pre-eclampsia, low birthweight, preterm birth) were abstracted. Race-stratified random effect models were used to estimate associations between neighborhood indices and women's reproductive behaviors and outcomes. In adjusted models, higher amounts of physical incivilities were positively associated with maternal smoking and inadequate weight gain, while walkability was associated with lower odds of these maternal health behaviors. Social spaces were also associated with inadequate weight gain during pregnancy. Among pregnancy outcomes, high levels of physical incivilities were consistently associated with all adverse pregnancy outcomes, and high levels of walkability were inversely associated with pregnancy-induced hypertension and preterm birth for Non-Hispanic white women only. None of the indices were associated with adverse birth outcomes for Non-Hispanic black women. In conclusion, certain neighborhood conditions were associated with maternal health behaviors and pregnancy outcomes.
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