Evidence map›Paper›PMID 36997868›Full record

ArticleBMC public health2023

Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission.

David W Sosnowski, Alejandra Ellison-Barnes, Joan Kaufman, Cathrine Hoyo, Susan K Murphy, Raquel G Hernandez, Joddy Marchesoni, Lauren M Klein, Sara B Johnson

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Expected and Desirable Preterm and Small Infant Growth Patterns.Advances in nutrition (Bethesda, Md.) · 2024
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

David W SosnowskiDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. dsosnow1@jhu.edu.
Alejandra Ellison-BarnesDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, USA.
Joan KaufmanCenter for Child and Family Traumatic Stress, Kennedy Krieger Institute, Baltimore, USA.
Cathrine HoyoDepartment of Biological Sciences and Center for Human Health, North Carolina State University, Raleigh, USA.
Susan K MurphyDepartment of Obstetrics and Gynecology, Duke University Medical Center, Durham, USA.
Raquel G HernandezJohns Hopkins All Children's Hospital, Baltimore, USA.
Joddy MarchesoniDepartment of Biological Sciences and Center for Human Health, North Carolina State University, Raleigh, USA.
Lauren M KleinDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, USA.
Sara B JohnsonDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Funding

Social adversities, epigenetics, and the obesity epidemicR01MD011746 · NIMHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI HOYO, CATHRINE · 2017 to 2021
$4.4M
Prenatal stress and diet, and the fetal epigenomeR01MD017696 · NIMHD · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Cathrine Hoyo · 2022 to 2026
$3.2M
NIMHD NIH HHS R01 MD011746NIMHD NIH HHS R01 MD017696
6 · The paper itself

Abstract

backgroundTo examine whether financial stress during pregnancy mediates the association between maternal exposure to adverse childhood experiences (ACEs) and three birth outcomes (i.e., gestational age, birth weight, and admission to the neonatal intensive care unit [NICU]).

methodsData were obtained from a prospective cohort study of pregnant women and their infants in Florida and North Carolina. Mothers (n = 531; M

resultsThere was evidence of an indirect association between maternal exposure to childhood adversity and infant gestational age at birth (b = -0.03, 95% CI = -0.06 - -0.01) and infant birth weight (b = -8.85, 95% CI = -18.60 - -1.28) such that higher maternal ACE score was associated with earlier gestational age and lower infant birth weight through increases in financial distress during pregnancy. There was no evidence of an indirect association between maternal exposure to childhood adversity and infant NICU admission (b = 0.01, 95% CI = -0.02-0.08).

conclusionsFindings demonstrate one pathway linking maternal childhood adversity to a potentially preterm birth or shorter gestational age, in addition to low birth weight at delivery, and present an opportunity for targeted intervention to support expecting mothers who face financial stress.

Indexed as

Adverse Childhood ExperiencesPremature BirthAdultBirth WeightFemaleFinancial StressGestational AgeHumansInfantInfant, NewbornIntensive Care Units, NeonatalMothersPregnancyProspective StudiesChildhood traumaInfantObstetricsPoverty

Identifiers

PMID36997868
PMCPMC10064571

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Registered trials

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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.