Neighbourhood deprivation and small-for-gestational-age term births in the United States.
Neighbourhood deprivation and small-for-gestational-age term births in the United States.
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DOI：
10.1111/j.1365-3016.2008.00991.x
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发表时间：
2009-01
影响因子：
2.8
通讯作者：
Holzman C
中科院分区：
文献类型：
--
作者：
Elo IT;Culhane JF;Kohler IV;O'Campo P;Burke JG;Messer LC;Kaufman JS;Laraia BA;Eyster J;Holzman C
居住环境受到越来越多的关注，因为它可能是美国出生结果中种族/族裔和社会经济差异的一个促成因素。这项研究利用生命统计出生记录数据，在八个地理区域：马里兰州的巴尔的摩市、巴尔的摩县、蒙哥马利县和乔治王子县、密歇根州的16个合用城市、北卡罗来纳州的达勒姆县和维克县，以及宾夕法尼亚州的费城，研究了社区剥夺与非西班牙裔白人和非西班牙裔黑人足月小于胎龄儿(SGA)出生风险的关系。采用多水平随机截距Logistic回归模型，并进行统计检验，以检验邻里剥夺与SGA之间的关联是否因种族/民族和研究地点而异。在所有地区，非西班牙裔黑人患SGA的风险(范围：10.8%-17.5%)高于非西班牙裔白人(范围：5.1%-9.2%)，城市高于郊区。在所有地区，非西班牙裔黑人生活在比非西班牙裔白人更贫穷的社区。然而，调整后的邻里剥夺和SGA术语之间的联系并没有因种族/民族或研究地点的不同而有显著差异。汇总的完全调整的合并优势比，表明剥夺得分增加一个标准差的效果，非西班牙裔白人为1.15[95%CI：1.08-1.22]，非西班牙裔黑人为1.09[95%CI：1.05-1.14]。因此，在非西班牙裔白人和非西班牙裔黑人中，邻里关系的剥夺与SGA一词的联系都很弱。
Residential context has received increased attention as a possible contributing factor to race/ethnic and socioeconomic disparities in birth outcomes in the United States. Utilizing vital statistics birth record data, this study examined the association between neighbourhood deprivation and the risk of a term small-for-gestational-age (SGA) birth among non-Hispanic whites and non-Hispanic blacks in eight geographic areas: Baltimore City, Baltimore County, Montgomery County and Prince Georges County in Maryland, 16 pooled cities in Michigan, Durham County and Wake County in North Carolina, and Philadelphia, Pennsylvania. Multilevel random intercept logistic regression models were employed and statistical tests were performed to examine if the association between neighbourhood deprivation and SGA varied by race/ethnicity and study site. The risk of term SGA was higher among non-Hispanic blacks (range: 10.8%–17.5%) than non-Hispanic whites (range: 5.1%–9.2%) in all areas and it was higher in cities than in suburban locations. In all areas, non-Hispanic blacks lived in more deprived neighbourhoods than non-Hispanic whites. However, the adjusted associations between neighbourhood deprivation and term SGA did not vary significantly by race/ethnicity or study site. The summary fully-adjusted pooled odds ratios, indicating the effect of one standard deviation increase in the deprivation score, were 1.15 [95% CI: 1.08–1.22] for non-Hispanic whites and 1.09 [95% CI: 1.05–1.14] for non-Hispanic blacks. Thus, neighbourhood deprivation was weakly associated with term SGA among both non-Hispanic whites and non-Hispanic blacks.
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