Socioeconomic Domains And Associations With Preterm Birth  

Oleh:

Messer, Lynne C. ; Vinikoor, Lisa C ; Laraia, Barbara A ; Kaufman, Jay S. ; Eyster, Janet ; Holzman, Claudia ; Culhane, Jennifer ; Elo, Irma ; Burke, Jessica G. ; O'Campo, Patricia

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 67 no. 8 (Oct. 2008), page 1247-1257.
Topik: USA Neighborhood Effects Racial Inequalities Preterm Birth Domains Socioeconomic Multilevel Modeling

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.23 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Neighborhood socioeconomic effects on health have been estimated using multiple variables and indices. This inconsistent estimation approach makes comparison across geographic areas challenging. In this paper, we developed indices representing specific socioeconomic domains that can be reproduced in other areas to estimate elements of the neighborhood socioeconomic environment on health outcomes, specifically preterm birth. Using year 2000 U.S. census data and principal components analysis, socioeconomic indices were developed representing a priori – defined domains of education, employment, housing, occupation, poverty and residential stability. These socioeconomic indices were subsequently used in race-stratified multilevel logistic regression models of preterm birth in eight socioeconomically distinct study areas in the U.S. Maternal residence was obtained from birth records and was geocoded to census tracts. In maternal age and education adjusted models, living in tracts with high unemployment, low education, poor housing, low proportion of managerial or professional occupation and high poverty was associated with increased odds of preterm birth for non-Hispanic white women at most sites. Among non-Hispanic black women, similar associations were noted for tract-level low education, high unemployment, low occupation, and high poverty, but the effect estimates were generally smaller than those seen for white women. Increasing amounts of residential stability were not associated with preterm birth in these analyses. We combined the domain estimates across the eight study sites to produce pooled effect estimates for the socioeconomic domains on preterm birth. The research reported here

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