Women's Lifelong Exposure to Neighborhood Poverty and Low Birth Weight: A Population-Based Study
Women's Lifelong Exposure to Neighborhood Poverty and Low Birth Weight: A Population-Based Study
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DOI：
10.1007/s10995-008-0354-0
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发表时间：
2009-05-01
影响因子：
2.3
通讯作者：
Rankin, Kristin M.
中科院分区：
文献类型：
--
作者：
Collins, James W., Jr.;Wambach, Jennifer;Rankin, Kristin M.
目的探讨妇女长期居住环境与低出生体重儿的关系。方法：我们进行了种族特定的分层和多变量二项回归分析的伊利诺伊州的非拉丁裔白色和非洲裔美国婴儿（1989-1991年）和他们的母亲（1956-1975年）的生命记录数据集与附加的美国人口普查收入信息。结果终身居住在低收入社区的非拉丁裔白色妇女（N = 267）的低出生体重（< 2,500 g）发生率为10.1%，而终身居住在高收入社区的白色妇女（N = 10,647）的发生率为5.1%; RR = 2.0（1.4-2.9）。终生居住在低收入社区的非裔美国妇女（N = 18，297）的低出生体重发生率为17%，而终生居住在高收入地区的非裔美国妇女（N = 546）的低出生体重发生率为11.7%; RR = 1.5（1.2-1.8）。调整后的低出生体重的人口归因风险（PAR）百分比终身居住在低收入社区的非拉丁裔白色和非洲裔美国妇女分别为1.6%和23.6%。结论非拉丁裔白色和非洲裔美国妇女的低收入社区的终身居住是一个危险因素LBW，然而，非洲裔美国人经历了更大的公共卫生负担，从这种现象。
Objective To determine whether women's lifelong residential environment is associated with infant low birth weight. Methods We performed race-specific stratified and multivariate binomial regression analyses on an Illinois vital record dataset of non-Latino White and African-American infants (1989-1991) and their mothers (1956-1975) with appended United States census income information. Results Non-Latino White women (N = 267) with a lifelong residence in low-income neighborhoods had a low birth weight (< 2,500 g) incidence of 10.1% vs. 5.1% for White women (N = 10,647) with a lifelong residence in high-income neighborhoods; RR = 2.0 (1.4-2.9). African-American women (N = 18,297) with a lifelong residence in low-income neighborhoods had a low birth weight incidence of 17% vs. 11.7% for African-American women (N = 546) with a lifelong residence in high-income areas; RR = 1.5 (1.2-1.8). The adjusted population attributable risk (PAR) percent of LBW for lifelong residence in low-income neighborhoods was 1.6% for non-Latino White and 23.6% for African-American women. Conclusions Non-Latino White and African-American women's lifelong residence in low-income neighborhoods is a risk factor for LBW; however, African-Americans experience a greater public health burden from this phenomenon.