Observational studyBMC pregnancy and childbirth2021
Identifying urban built environment factors in pregnancy care and maternal mental health outcomes.
Observational study in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Maternal air pollution exposure and postpartum depression: a systematic review and meta-analysis.Journal of global health · 2026Pooled it
- Implementation of a clinical decision support tool for postpartum depression: protocol for a prospective randomised clinical trial.BMJ open · 2026Article
- Association Between Extreme Heat and Externalizing Symptoms in Pre- and Early Adolescence: Findings From the ABCD Study.JAACAP open · 2025Article
- Closing-the-loop: a novel care coordination tool to reduce maternal healthcare utilization postpartum and collaboratively build interventions to address community needs.BMC pregnancy and childbirth · 2025Article
- Privacy Concerns Versus Personalized Health Content-Pregnant Individuals' Willingness to Share Personal Health Information on Social Media: Survey Study.JMIR formative research · 2025Article
- Agenda setting for health equity assessment through the lenses of social determinants of health using machine learning approach: a framework and preliminary pilot study.BioData mining · 2025Article
- A Community-Based Intervention for Mental Health and Wellbeing in Pregnancy and Postpartum: One Healthy Start Site's Story.International journal of women's health · 2025Article
- Predicting Prenatal Depression and Assessing Model Bias Using Machine Learning Models.Biological psychiatry global open science · 2024Article
- Clinical practice guidelines on the environment and mental well-being.Indian journal of psychiatry · 2024Article
- Air Pollution and Perinatal Mental Health: A Comprehensive Overview.Journal of clinical medicine · 2023Review
- Automated classification of lay health articles using natural language processing: a case study on pregnancy health and postpartum depression.Frontiers in psychiatry · 2023Article
- Sensing and Artificial Intelligent Maternal-Infant Health Care Systems: A Review.Sensors (Basel, Switzerland) · 2022Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundsRisk factors related to the built environment have been associated with women's mental health and preventive care. This study sought to identify built environment factors that are associated with variations in prenatal care and subsequent pregnancy-related outcomes in an urban setting.
methodsIn a retrospective observational study, we characterized the types and frequency of prenatal care events that are associated with the various built environment factors of the patients' residing neighborhoods. In comparison to women living in higher-quality built environments, we hypothesize that women who reside in lower-quality built environments experience different patterns of clinical events that may increase the risk for adverse outcomes. Using machine learning, we performed pattern detection to characterize the variability in prenatal care concerning encounter types, clinical problems, and medication prescriptions. Structural equation modeling was used to test the associations among built environment, prenatal care variation, and pregnancy outcome. The main outcome is postpartum depression (PPD) diagnosis within 1 year following childbirth. The exposures were the quality of the built environment in the patients' residing neighborhoods. Electronic health records (EHR) data of pregnant women (n = 8,949) who had live delivery at an urban academic medical center from 2015 to 2017 were included in the study.
resultsWe discovered prenatal care patterns that were summarized into three common types. Women who experienced the prenatal care pattern with the highest rates of PPD were more likely to reside in neighborhoods with homogeneous land use, lower walkability, lower air pollutant concentration, and lower retail floor ratios after adjusting for age, neighborhood average education level, marital status, and income inequality.
conclusionsIn an urban setting, multi-purpose and walkable communities were found to be associated with a lower risk of PPD. Findings may inform urban design policies and provide awareness for care providers on the association of patients' residing neighborhoods and healthy pregnancy.
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