ArticleFrontiers in public health2023
Association of maternal education, neighborhood deprivation, and racial segregation with gestational age at birth by maternal race/ethnicity and United States Census region in the ECHO cohorts.
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Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 12 citations in OpenAlex.
- Periconceptional neighborhood deprivation and risk of gestational and postpartum hypertensive disorders in a population-based cohort.American journal of preventive cardiology · 2026Article
- Allostatic Load, Neighborhood Disadvantage, and Birth Outcomes.Journal of racial and ethnic health disparities · 2026Article
- Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- The vaginal microbiome in pregnancy and preterm birth: mechanisms, disparities, and therapeutic opportunities.NPJ biofilms and microbiomes · 2026Review
- Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2025Article
- High-Risk Infant Developmental Outcome Is Associated with Medical Complexity and Neighborhood Opportunity.The Journal of pediatrics · 2025Article
- Expanding Research on Contextual Factors in Autism Research: What Took Us So Long?Autism research : official journal of the International Society for Autism Research · 2025Article
- Association of Growth During Infancy with Neurodevelopment and Obesity in Children Born Very Preterm: The Environmental Influences on Child Health Outcomes Cohort.The Journal of pediatrics · 2024Article
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Authors and funding
44 authors at 20 institutions in 1 country.
Anne L DunlopDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, United States.
Mohamad BurjakDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Lorraine T DeanDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Akram N AlshawabkehDepartment of Civil and Environmental Engineering, College of Engineering, Northeastern University, Boston, MA, United States.
Lyndsay A AvalosDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Judy L AschnerAlbert Einstein College of Medicine, Bronx, NY, United States.
Carrie V BretonDepartment of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, United States.
Mia A CharifsonDivision of Epidemiology, New York University Langone Health Grossman School of Medicine, New York, NY, United States.
Jose CorderoDepartment of Epidemiology and Biostatistics, University of Georgia College of Public Health, Athens, GA, United States.
Dana DabeleaLifecourse Epidemiology of Adiposity and Diabetes Center, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Viren D'SaDepartment of Pediatrics, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI, United States.
Cristiane S DuarteDivision of Child and Adolescent Psychiatry, Columbia University-New York State Psychiatric Institute, New York, NY, United States.
Amy J ElliottAvera Research Institute, Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, SD, United States.
Stephanie M EickGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Assiamira FerraraDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Raina N FichorovaDepartment of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
Jody M GanibanDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States.
James E GernDepartment of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.
Monique M HeddersonDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Julie B HerbstmanDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, United States.
Alison E HipwellDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, United States.
Kathi C HuddlestonCollege of Health and Human Services, George Mason University, Fairfax, VA, United States.
Margaret KaragasDepartment of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Catherine KarrDepartments of Pediatrics and Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, United States.
Jean M KerverDepartments of Epidemiology and Biostatistics and Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing, MI, United States.
Daphne Koinis-MitchellDepartment of Pediatrics, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI, United States.
Kristen LyallAJ Drexel Autism Institute, Drexel University, Philadelphia, PA, United States.
Juliette MadanDepartment of Epidemiology, Pediatrics and Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Carmen MarsitGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Cindy T McEvoyDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, United States.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, United States.
Emily OkenDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, United States.
T Michael O'SheaDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Amy M PadulaDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, United States.
Sheela SathyanarayanaDepartments of Pediatrics and Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, United States.
Susan SchantzBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States.
Rebecca J SchmidtDepartment of Public Health Sciences, MIND Institute, University of California, Davis, Davis, CA, United States.
Jessica SnowdenDepartments of Pediatrics and Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Joseph B StanfordDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.
Scott WeissDepartment of Medicine, Harvard School of Medicine, Boston, MA, United States.
Robert O WrightDepartment of Pediatrics, The Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Rosalind J WrightDepartment of Pediatrics, The Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Xueying ZhangDepartment of Pediatrics, The Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Monica McGrathDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Emory University · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USKaiser Permanente · USDartmouth College · USRhode Island Hospital · USUniversity of Washington · USBrigham and Women's Hospital · USCenter for Discovery · USColumbia University · USDrexel University · USGeorge Mason University · USGeorge Washington University · USGeorgia College & State University · USHarvard Pilgrim Health Care · USHarvard University · USMichigan State University · USNew York Psychoanalytic Society and Institute · USNew York University · USNortheastern University · US
Funding
Project-005U2COD023375 · OD · DUKE UNIVERSITY · PI JUNFENG ZHANG · 2016 to 2026
$215.9MECHODAC (Environmental Influences on Child Health Outcomes Data Analysis Center)U24OD023382 · OD · JOHNS HOPKINS UNIVERSITY · PI Diane J Catellier, LISA P JACOBSON · 2016 to 2026
$148.4MData Coordinating and Operations Center for the ECHO IDeA States Pediatric Clinical Trials NetworkU24OD024957 · OD · UNIV OF ARKANSAS FOR MED SCIS · PI COURTNEY, SHERRY, OUNPRASEUTH, SONGTHIP T. · 2016 to 2024
$80.8MWisconsin Infant Study Cohort (WISC) ECHO Pediatric Follow-UpUH3OD023282 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern · 2018 to 2026
$64.8MThe NYU Children’s Health & Environment Study: an ECHO CohortUH3OD023305 · OD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Akhgar Ghassabian, Leonardo Trasande · 2018 to 2026
$59.5MMount Sinai ECHO site for Perinatal Environment and Development StudiesUH3OD023337 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2018 to 2026
$54.1MConduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4MA prospective study of critical environmental exposures in formative early life that impact lifelong health in rural US children: the New Hampshire Birth Cohort StudyUH3OD023275 · OD · DARTMOUTH COLLEGE · PI MARGARET Rita KARAGAS, Juliette Madan · 2018 to 2026
$44.3MThe ECHO Measurement Core: A Framework and Resource for Assessing Environmental Exposure and Child HealthU24OD023319 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Courtney K Blackwell, RICHARD GERSHON · 2016 to 2026
$43.7MXENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Sheela Sathyanarayana · 1995 to 2026
$42.5MPrenatal and Early Childhood Pathways To Health: An Integrated Model of Chemical and Social Exposures, Biological Mechanisms, and Sex-Specific Effects on Neurodevelopment and Respiratory OutcomesUH3OD023271 · OD · UNIVERSITY OF WASHINGTON · PI BUSH, NICOLE RENEE, KARR, CATHERINE J · 2018 to 2022
$37.3MEnvironmental Influences on Childhood Outcomes in the Northern Plains Safe Passage Study CohortsUH3OD023279 · OD · AVERA MCKENNAN · PI Amy J Elliott, Christine W Hockett · 2018 to 2026
$31.7MNCATS NIH HHS UL1 TR004419NIEHS NIH HHS P30 ES007033NIEHS NIH HHS P30 ES017885NIEHS NIH HHS P30 ES030284NIEHS NIH HHS U24 ES028533NIH HHS U24 OD023319NIH HHS U24 OD023382NIH HHS U24 OD024957NIH HHS U2C OD023375NIH HHS UG3 OD023251NIH HHS UG3 OD023271NIH HHS UG3 OD023279NIH HHS UG3 OD023282NIH HHS UG3 OD023289NIH HHS UG3 OD023320NIH HHS UG3 OD023348NIH HHS UG3 OD035513NIH HHS UG3 OD035528NIH HHS UG3 OD035540NIH HHS UG3 OD035546NIH HHS UH3 OD023244NIH HHS UH3 OD023248NIH HHS UH3 OD023249NIH HHS UH3 OD023251NIH HHS UH3 OD023268NIH HHS UH3 OD023271NIH HHS UH3 OD023272NIH HHS UH3 OD023275NIH HHS UH3 OD023279NIH HHS UH3 OD023282NIH HHS UH3 OD023285NIH HHS UH3 OD023286NIH HHS UH3 OD023287NIH HHS UH3 OD023288NIH HHS UH3 OD023289NIH HHS UH3 OD023290NIH HHS UH3 OD023305NIH HHS UH3 OD023313NIH HHS UH3 OD023318NIH HHS UH3 OD023320NIH HHS UH3 OD023328NIH HHS UH3 OD023337NIH HHS UH3 OD023342NIH HHS UH3 OD023347NIH HHS UH3 OD023348NIH HHS UH3 OD023349NIH HHS UH3 OD035513NIH HHS UH3 OD035532
Abstract
Background: In the United States, disparities in gestational age at birth by maternal race, ethnicity, and geography are theorized to be related, in part, to differences in individual- and neighborhood-level socioeconomic status (SES). Yet, few studies have examined their combined effects or whether associations vary by maternal race and ethnicity and United States Census region. Methods: We assembled data from 34 cohorts in the Environmental influences on Child Health Outcomes (ECHO) program representing 10,304 participants who delivered a liveborn, singleton infant from 2000 through 2019. We investigated the combined associations of maternal education level, neighborhood deprivation index (NDI), and Index of Concentration at the Extremes for racial residential segregation (ICE Results: After adjustment for NDI and ICE Conclusion: In this study, maternal education was consistently associated with shorter duration of pregnancy and increased odds of preterm birth, including in models adjusted for NDI and ICE
Indexed as
Premature BirthSocial SegregationCensusesChildEducational StatusEthnicityFemaleGestational AgeHumansInfant, NewbornPregnancyUnited StatesECHO programgestational agepremature birthracial and ethnic health disparitiesresidential segregationsocioeconomic status
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