ArticleJournal of urban health : bulletin of the New York Academy of Medicine2016
Neighborhood Context and Preterm Delivery among African American Women: the Mediating Role of Psychosocial Factors.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Measures of Racism and Discrimination in Preterm Birth Studies.Obstetrics and gynecology · 2023Pooled it
- The Association of Perceived Stress, Glucocorticoids Receptors, and Corticotropin-Releasing Hormone Gene Expression During Pregnancy.Biological research for nursing · 2025Article
- A qualitative exploration of perceptions of the aetiology of preterm birth among pregnant Black women.Midwifery · 2025Article
- Neighborhood Walkability as a Risk Factor for Preterm Birth Phenotypes in Two Philadelphia Hospitals from 2013-2016.International journal of environmental research and public health · 2023Article
- Black fathers' contributions to maternal mental health.Archives of women's mental health · 2023Article
- Neighborhood disadvantage and the racial disparity in postpartum hypertension.American journal of obstetrics & gynecology MFM · 2023Article
- Insecure Birth: A Qualitative Study of Everyday Violence During Pregnancy in Port au Prince, Haiti.Maternal and child health journal · 2022Article
- Social Determinants of Health and Depression among African American Adults: A Scoping Review of Current Research.International journal of environmental research and public health · 2022Article
- Methodologic Considerations for Epigenomic Investigation of Preterm Birth in African American Women.Western journal of nursing research · 2022Article
- Urban residential tree canopy and perceived stress among pregnant women.Environmental research · 2021Article
- Neighborhood Evictions, Marital/Cohabiting Status, and Preterm Birth among African American Women.Ethnicity & disease · 2021Article
- How Depressive Symptoms among African American Women Relate to Measures of Social Disorder in Her Childhood and Pregnancy Neighborhood.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Trauma, psychiatric disorders, and treatment history among pregnant African American women.Psychological trauma : theory, research, practice and policy · 2020Article
- Relationships between psychosocial stressors among pregnant women in San Francisco: A path analysis.PloS one · 2020Article
- Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico.PloS one · 2020Article
- Joint Impact of Synthetic Chemical and Non-chemical Stressors on Children's Health.Current environmental health reports · 2019Review
- Early-life neighborhood context, perceived stress, and preterm birth in African American Women.SSM - population health · 2019Article
- Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
Preterm delivery (PTD), or birth before 37 completed weeks of gestation, is a serious public health issue, and racial disparities persist. In a recently published study, perceptions of the residential environment (or neighborhood context) were associated with PTD rates among urban African American women with low educational attainment (≤12 years); however, the mechanisms of these associations are unknown. Given this gap in the literature, we used data from the Life Influences on Fetal Environments Study of postpartum African American women from Metropolitan Detroit, Michigan (2009-2011; n = 399), to examine whether psychosocial factors (depressive symptomology, psychological distress, and perceived stress) mediate associations between perceptions of the neighborhood context and PTD. Validated scales were used to measure women's perceptions of their neighborhood safety, walkability, healthy food availability (higher=better), and social disorder (higher=more disorder). The psychosocial indicators were measured with the Center for Epidemiologic Studies-Depression Scale, Kessler's Psychological Distress Scale (K6), and Cohen's Perceived Stress Scale. Statistical mediation was assessed using an unadjusted logistic regression-based path analysis for estimating direct and indirect effects. The associations between perceived walkability, food availability, and social disorder were not mediated by psychosocial factors. However, perceptions of neighborhood safety were inversely associated with depressive symptoms which were positively associated with PTD rates. Also, higher perceived neighborhood social disorder was associated with higher PTD rates, net of the indirect paths through psychosocial factors. Future research should identify other mechanisms of the perceived neighborhood context-PTD associations, which would inform PTD prevention efforts among high-risk groups.
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Registered trials
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.