ArticleInternational journal of environmental research and public health2024
Association of Food Desert Residency and Preterm Birth in the United States.
Article in International journal of environmental research and public health, 2024. 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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Who cites it
8 citing papers in PubMed.
- Growth at 2 years in children born preterm: donor milk versus preterm formula.Pediatric research · 2026Trial
- Enhancing organizational resilience of emergency medical services through a designated intervention program.Israel journal of health policy research · 2026Article
- African American Food Environments and Anti-Inflammatory Intake in Pregnancy.International journal of environmental research and public health · 2026Article
- Interventions to address inequities in infant mortality and morbidity in the NICU and beyond: A focus on the mother-infant dyad.Seminars in perinatology · 2025Review
- Association Between Food Desert Residence and Ischemic Stroke Risk: A Population-Based Study.Neurology · 2025Article
- Multidimensional predictors of preterm birth risk among black and white primiparous women in the U.S.: insights from machine learning.BMC pregnancy and childbirth · 2025Article
- Drivers of care and outcomes for people facing fetal conditions in the United States: a conceptual framework.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Stress-induced developmental plasticity and spontaneous preterm birth: A justice-oriented eco-evo-devo review.European journal of obstetrics & gynecology and reproductive biology: X · 2025Review
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Authors and funding
6 authors.
Funding
Abstract
introductionFood deserts are a major public health concern. Inadequate access to healthy food has been associated with poor nutrition and the development of dietary related chronic conditions.
objectiveTo determine the association between geographic access to nutritious food and preterm birth and whether gestational hypertension mediates this relationship.
methodsFood access data was retrieved from the U.S. Department of Agriculture Food Access Research Atlas (2019) and used to quantify the percentage of Census tracts within each county that were food deserts: low-income tracts with limited access to grocery stores, supermarkets, or other sources of healthy, nutritious foods. These data were merged with US birth records from 2018 to 2019 by using the maternal county of residence (
resultsIn the fully adjusted model, we found a dose-response relationship. As the prevalence of tract-level food deserts within counties increased, so did the likelihood of preterm birth (mid-range: odds ratio (OR) = 1.04, 95% confidence interval (C.I.) 1.01-1.07; high: OR = 1.07, 95% C.I. 1.03-1.11). Similar results were seen in the White-Black stratified models. However, a disparity remained as Black birthing people had the highest odds for preterm birth. Lastly, gestational hypertension appears to mediate the relationship between nutritious food access and preterm birth (natural indirect effect (NIE) = 1.01, 95% CI = 1.00, 1.01).
conclusionIt is salient, particularly for Black birthing people who experience high rates of adverse birth outcomes, that the role of food desert residency be explored within maternal and child health disparities.
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