ArticleHealth & place2022
Associations between combined exposure to environmental hazards and social stressors at the neighborhood level and individual perinatal outcomes in the ECHO-wide cohort.
Article in Health & place, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Distributed lag interaction model with index modification.Biostatistics (Oxford, England) · 2025Article
- Associations of maternal neighborhood and trauma-related stressors with mitochondrial DNA copy number and telomere length in maternal and cord blood.Scientific reports · 2025Article
- Prenatal exposure to organophosphate ester flame retardants and behavioral outcomes in early childhood in the Environmental influences on Child Health Outcomes (ECHO) cohort.Environment international · 2025Article
- High-Risk Infant Developmental Outcome Is Associated with Medical Complexity and Neighborhood Opportunity.The Journal of pediatrics · 2025Article
- How the Environmental Influences on Child Health Outcome (ECHO) cohort can spur discoveries in environmental epidemiology.American journal of epidemiology · 2024Article
- Advancing Understanding of Chemical Exposures and Maternal-child Health Through the U.S. Environmental Influences on Child Health Outcomes (ECHO) Program: A Scoping Review.Current environmental health reports · 2024Article
- Neighborhood deprivation in relation to ovarian reserve and outcomes of ovarian stimulation among oocyte donors.Fertility and sterility · 2024Article
- Penalized distributed lag interaction model: Air pollution, birth weight, and neighborhood vulnerability.Environmetrics · 2024Article
- Cumulative Exposures to Environmental and Socioeconomic Risk Factors in Milwaukee County, Wisconsin.GeoHealth · 2024Article
- Opportunities for Examining Child Health Impacts of Early-Life Nutrition in the ECHO Program: Maternal and Child Dietary Intake Data from Pregnancy to Adolescence.Current developments in nutrition · 2023Article
- Associations between neighborhood stress and maternal sex steroid hormones in pregnancy.BMC pregnancy and childbirth · 2023Article
- The Environmental Influences on Child Health Outcomes (ECHO)-Wide Cohort.American journal of epidemiology · 2023Article
- Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort.International journal of environmental research and public health · 2023Article
- Environmental justice burden and Black-White disparities in spontaneous preterm birth in Harris County, Texas.Frontiers in reproductive health · 2023Article
Corrections and comments
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Authors and funding
30 authors at 18 institutions in 1 country.
Funding
Abstract
Limited studies examine how prenatal environmental and social exposures jointly impact perinatal health. Here we investigated relationships between a neighborhood-level combined exposure (CE) index assessed during pregnancy and perinatal outcomes, including birthweight, gestational age, and preterm birth. Across all participants, higher CE index scores were associated with small decreases in birthweight and gestational age. We also observed effect modification by race; infants born to Black pregnant people had a greater risk of preterm birth for higher CE values compared to White infants. Overall, our results suggest that neighborhood social and environmental exposures have a small but measurable joint effect on neonatal indicators of health.
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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.