ArticleAmerican journal of public health2015
Neighborhood disadvantage, preconception stressful life events, and infant birth weight.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Parental Preconception Adversity and Offspring Health in African Americans: A Systematic Review of Intergenerational Studies.Trauma, violence & abuse · 2023Pooled it
- Public Health's Approach to Systemic Racism: a Systematic Literature Review.Journal of racial and ethnic health disparities · 2019Pooled it
- Intergenerational Effects of Maternal Stressful Life Events Before Pregnancy on Offspring Growth: A Lifecourse Approach from a Prospective Cohort.International journal of women's health · 2026Article
- Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico.PloS one · 2020Article
- Disparities in Outcomes and Resource Use After Hospitalization for Cardiac Surgery by Neighborhood Income.Pediatrics · 2018Article
- Article
- Measuring lifetime stress exposure and protective factors in life course research on racial inequality and birth outcomes.Stress (Amsterdam, Netherlands) · 2017Article
- Living in violence: Neighborhood domestic violence and small for gestational age births.Health & place · 2017Article
- Exploring the Experience of Life Stress Among Black Women with a History of Fetal or Infant Death: a Phenomenological Study.Journal of racial and ethnic health disparities · 2017Article
- Infant birthweight in the US: the role of preconception stressful life events and substance use.Archives of women's mental health · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe sought to determine whether the effects of preconception stressful life events (PSLEs) on birth weight differed by neighborhood disadvantage.
methodsWe drew our data from the Early Childhood Longitudinal Study, Birth Cohort (2001-2002; n = 9300). We created a neighborhood disadvantage index (NDI) using county-level data from the 2000 US Census. We grouped the NDI into tertiles that represented advantaged, middle advantaged, and disadvantaged neighborhoods. Stratified multinomial logistic regressions estimated the effect of PSLEs on birth weight, controlling for confounders.
resultsWe found a gradient in the relationship between women's exposure to PSLEs and having a very low birth weight (VLBW) infant by NDI tertile; the association was strongest in disadvantaged neighborhoods (adjusted odd ratio [AOR] = 1.62; 95% confidence interval [CI] = 1.04, 2.53), followed by middle (AOR = 1.39; 95% CI = 1.00, 1.93) and advantaged (AOR = 1.29; 95% CI = 0.91, 1.82) neighborhoods. We observed a similar gradient for women with chronic conditions and among minority mothers.
conclusionsWomen who experienced PSLEs, who had chronic conditions, or were racial/ethnic minorities had the greatest risk of having VLBW infants if they lived in disadvantaged neighborhoods; this suggests exacerbation of risk within disadvantaged environments. Interventions to reduce rates of VLBW should focus on reducing the deleterious effects of stressors and on improving neighborhood conditions.
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Registered trials
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