Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes.
Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes.
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DOI：
10.3390/ijerph18116161
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发表时间：
2021-06-07
影响因子：
--
通讯作者：
Schell LM
中科院分区：
文献类型：
--
作者：
Appleton AA;Lin B;Holdsworth EA;Feingold BJ;Schell LM
Neighborhood and individual level risks commonly co-occur for pregnant women and may cumulatively contribute to birth outcomes. Moreover, the relationship between favorable social and environmental neighborhood conditions and perinatal outcomes has been understudied. This study considered the accumulated impact of prenatal exposure to positive neighborhood social, environmental, and educational conditions in relation to maternal health during pregnancy and birth size outcomes. In a prospective study of a multi-ethnic and socioeconomically diverse cohort (n = 239) of pregnant women and their infants, neighborhoods were characterized by the Child Opportunity Index (COI), a census-tract composite indicator representing favorable social, environmental, and educational community conditions. Adjusted generalized estimating equations showed that favorable neighborhood conditions promoted the growth of longer and heavier infant bodies, and reduced the risk of intrauterine growth restriction. The associations were stronger for female versus male infants, though not significantly different. Moreover, COI was associated with better maternal mental health and diet during pregnancy; diet significantly mediated the association between COI and birth size outcomes. This study underscores the importance of considering the accumulated benefit of neighborhood assets for maternal and infant health. Interventions that capitalizes on the full range of contextual assets in which mothers live may promote pregnancy health and fetal growth.
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影响因子：
3.4
作者：
Grieger JA;Hutchesson MJ;Cooray SD;Bahri Khomami M;Zaman S;Segan L;Teede H;Moran LJ
通讯作者：
Moran LJ
影响因子：
5.4
作者：
Waaler Loland V;Ågesen FN;Lynge TH;Pinborg A;Jabbari R;Warming PE;Pedersen MA;Risgaard B;Winkel BG;Tfelt-Hansen J
通讯作者：
Tfelt-Hansen J
影响因子：
2.4
作者：
Fenton TR;Kim JH
通讯作者：
Kim JH
影响因子：
2.3
作者：
Accortt, Eynav Elgavish;Cheadle, Alyssa C. D.;Schetter, Christine Dunkel
通讯作者：
Schetter, Christine Dunkel
影响因子：
7.9
作者：
Cowell WJ;Wright RJ
通讯作者：
Wright RJ