ArticleBMC public health2019
Area-level deprivation and preterm birth: results from a national, commercially-insured population.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07115823 (A Longitudinal, Cohort Study Investigating the Impact of General Anaesthetic Caesarean Birth, With or Without ICU Admission, on Maternal Mental Health and Mother/Infant Bonding), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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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.
A Longitudinal, Cohort Study Investigating the Impact of General Anaesthetic Caesarean Birth, With or Without ICU Admission, on Maternal Mental Health and Mother/Infant Bonding
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mediators of socioeconomic inequalities in preterm birth: a systematic review.BMC public health · 2022Pooled it
- Periconceptional neighborhood deprivation and risk of gestational and postpartum hypertensive disorders in a population-based cohort.American journal of preventive cardiology · 2026Article
- Effects of prematurity and socio-economic status on early life language exposure: A video coding study.The British journal of developmental psychology · 2026Article
- Factors associated with enrollment in a randomized clinical trial of docosahexaenoic supplementation in toddlers born preterm.Clinical trials (London, England) · 2026Article
- Association between census-tract Social Vulnerability Index and preterm birth rates.Pregnancy (Hoboken, N.J.) · 2025Article
- An analytical pipeline for dose-response effect: laboratory tests assessment and early pregnancy preeclampsia risk.BMC pregnancy and childbirth · 2025Article
- Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Observational
- A qualitative exploration of perceptions of the aetiology of preterm birth among pregnant Black women.Midwifery · 2025Article
- Using national in vitro fertilization registries to validate clinical outcomes after in vitro fertilization covered by health insurance.Fertility and sterility · 2025Article
- Mediation of socioeconomic inequalities in preterm birth. A cohort analysis of Welsh linked data.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Cerebral visual impairment is permanent but not unchanging.Developmental medicine and child neurology · 2025Article
- Developing a logistic regression model to predict spontaneous preterm birth from maternal socio-demographic and obstetric history at initial pregnancy registration.BMC pregnancy and childbirth · 2024Article
- Neighborhood deprivation in relation to ovarian reserve and outcomes of ovarian stimulation among oocyte donors.Fertility and sterility · 2024Article
- Neighborhood Income Is Associated with Health Care Use in Pediatric Short Bowel Syndrome.The Journal of pediatrics · 2024Article
- Investigation of predictors of severity of diabetes complications among hospitalized patients with diabetes in Florida, 2016-2019.BMC public health · 2023Article
- A Web-Based Intervention to Address Risk Factors for Maternal Morbidity and Mortality (MAMA LOVE): Development and Evaluation Study.JMIR pediatrics and parenting · 2023Article
- County-Level Maternal Vulnerability and Preterm Birth in the US.JAMA network open · 2023Article
- Neighborhood Deprivation and Association With Neonatal Intensive Care Unit Mortality and Morbidity for Extremely Premature Infants.JAMA network open · 2023Article
- Associations between pregnancy glucose measurements and risk of preterm birth: a retrospective cohort study of commercially insured women in the United States from 2003 to 2021.Annals of epidemiology · 2023Article
- Neighborhood disadvantage is associated with decreased ovarian reserve in women with overweight and obesity.Fertility and sterility · 2023Article
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8 authors.
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Abstract
backgroundArea-level deprivation is associated with multiple adverse birth outcomes. Few studies have examined the mediating pathways through which area-level deprivation affects these outcomes. The objective of this study was to investigate the association between area-level deprivation and preterm birth, and examine the mediating effects of maternal medical, behavioural, and psychosocial factors.
methodsWe conducted a retrospective cohort study using national, commercial health insurance claims data from 2011, obtained from the Health Care Cost Institute. Area-level deprivation was derived from principal components methods using ZIP code-level data. Multilevel structural equation modeling was used to examine mediating effects.
resultsIn total, 138,487 women with a live singleton birth residing in 14,577 ZIP codes throughout the United States were included. Overall, 5.7% of women had a preterm birth. In fully adjusted generalized estimation equation models, compared to women in the lowest quartile of area-level deprivation, odds of preterm birth increased by 9.6% among women in the second highest quartile (odds ratio (OR) 1.096; 95% confidence interval (CI) 1.021, 1.176), by 11.3% in the third highest quartile (OR 1.113; 95% CI 1.035, 1.195), and by 24.9% in the highest quartile (OR 1.249; 95% CI 1.165, 1.339). Hypertension and infection moderately mediated this association.
conclusionsEven among commercially-insured women, area-level deprivation was associated with increased risk of preterm birth. Similar to individual socioeconomic status, area-level deprivation does not have a threshold effect. Implementation of policies to reduce area-level deprivation, and the screening and treatment of maternal mediators may be associated with a lower risk of preterm birth.
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