ArticleMaternal and child health journal2015
Neighborhood deprivation and maternal psychological distress during pregnancy: a multilevel analysis.
Article in Maternal and child health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Neighborhood disadvantage and menstrual disturbances in a preconception cohort.Fertility and sterility · 2026Article
- Neighborhood stress and social vulnerability in relation to placental metals concentrations.BMC public health · 2026Article
- Article
- Historical Neighborhood Redlining and Fertility in a Cohort of US Black Women.Epidemiology (Cambridge, Mass.) · 2026Article
- Neighborhood disadvantage and fecundability in a cohort of US Black women.Environmental epidemiology (Philadelphia, Pa.) · 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
- Associations between individual and structural level discrimination and psychological and physiological stress indicators during pregnancy.npj women's health · 2025Article
- Neighborhood eviction trajectories and odds of moderate and serious psychological distress during pregnancy among African American women.American journal of epidemiology · 2024Article
- The Mediating Effect of Maternal Wellbeing on the Association between Neighborhood Perception and Child Wellbeing: A Longitudinal Investigation.Maternal and child health journal · 2022Article
- Association Between Neighborhood Disadvantage and Fertility Among Pregnancy Planners in the US.JAMA network open · 2022Article
- Article
- Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico.PloS one · 2020Article
- Characteristics of the Family Support Network of Pregnant Adolescents and Its Association with Gestational Weight Gain and Birth Weight of Newborns.International journal of environmental research and public health · 2019Article
- Experiences of Intimate Partner and Neighborhood Violence and Their Association With Mental Health in Pregnant Women.Journal of interpersonal violence · 2018Article
- The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women.Public health nursing (Boston, Mass.)Article
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Authors and funding
5 authors.
Funding
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Abstract
Maternal psychosocial distress is conceptualized as an important factor underlying the association between neighborhood deprivation and pregnancy outcomes. However, empirical studies to examine effects of neighborhood deprivation on psychosocial distress during pregnancy are scant. Based on a large multicenter cohort of pregnant women in Montreal, we examined (1) the extent to which psychosocial distress is clustered at the neighborhood-level, (2) the extent to which the clustering is explained by neighborhood material or social deprivation, and (3) whether associations between neighborhood deprivation and psychosocial distress persist after accounting for neighborhood composition (individual-level characteristics) using multilevel analyses. For 5,218 women residing in 740 neighborhoods, a prenatal interview at 24-26 gestational weeks measured both general and pregnancy-related psychological distress using well-validated scales: perceived stress, social support, depressive symptoms, optimism, commitment to the pregnancy, pregnancy-related anxiety, and maternal locus-of-control. Neighborhood deprivation indices were linked to study participants by their residential postal code. Neighborhood-level clustering (intraclass correlation) ranged from 1 to 2 % for perceived stress (lowest), optimism, pregnancy-related anxiety, and commitment to pregnancy to 4-6 % for perceived social support, depressive symptoms, and maternal locus of control (highest). Neighborhood material deprivation explained far more of the clustering (23-75 %) than did social deprivation (no more than 4 %). Although both material and social deprivation were associated with psychological distress in unadjusted analyses, the associations disappeared after accounting for individual-level socioeconomic characteristics. Our results highlight the importance of accounting for individual-level socioeconomic characteristics in studies of potential neighborhood effects on maternal mental health.
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