Neighborhood risk factors for low birthweight in Baltimore
A multilevel analysis
Bibliographic Data
| ID | 11028360 |
|---|---|
| Authors | Patricia O’campo (0000-0003-4549-7324, Albany State University), Xinming Xue (0000-0003-2872-8119, Albany State University), M C Wang (0000-0002-8143-3259, Albany State University), Margaret O''Brien Caughy (0000-0002-3237-5259, Albany State University), M Caughy |
| Year | 1997 |
| Volume | 87 |
| Issue | 7 |
| Pages | 1113-1118 |
| Publication date | 1997-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.7.1113 |
| PMID | 9240099 |
| OpenAlex | W2149930175 |
| Language | EN |
| Citations received | 191 |
| References cited | 32 |
OBJECTIVES: Past research on low birthweight has focused on individual-level risk factors. We sought to assess the contribution of macrolevel social factors by using census tract-level data on social stratification, community empowerment, and environmental stressors. METHODS: Census tract-level information on social risk was linked to birth certificate records from Baltimore, Md, for the period 1985 through 1989. Individual level factors included maternal education, maternal age, medical assistance health insurance (Medicaid), and trimester of prenatal care initiation. Methods of multilevel modeling using two-stage regression analyses were employed. RESULTS: Macrolevel factors had both direct associations and interactions with low birthweight. All individual risk factors showed interaction with macrolevel variables; that is, individual-level risk factors for low birthweight behaved differently depending upon the characteristics of the neighborhood of residence. For example, women living in high-risk neighborhoods benefited less from prenatal care than did women living in lower-risk neighborhoods. CONCLUSIONS: Multilevel modeling is an important tool that allows simultaneous study of macro- and individual-level risk factors. Multilevel analyses should play a larger role in the formulation of public health policies
Birth certificate · Environmental health · Multilevel model · Population · Prenatal care · Residence · Demography · Food Security and Health in Diverse Populations · Gestational Diabetes Research and Management · Health disparities and outcomes · Medicine · Gerontology
The Influence of Regional Social Inequality and Labour Market Characteristics on Health
Integrating the Built and Social Environment into Health Assessments for Maternal and Child Health
Use of Segregation Indices, Townsend Index, and Air Toxics Data to Assess Lifetime Cancer Risk Disparities in Metropolitan Charleston, South Carolina, USA
Health and income inequalities in Europe
Promoting Equity in Health Through Research and Understanding
NYenviroScreen
Gentrification and Preterm Birth in New York City, 2008–2010
Neighborhood Effects on Health
Disentangling neighborhood contextual associations with child body mass index, diet, and physical activity
The ecology of unhealthy places
Children, housing, and health
Unfavourable birth outcomes of the Roma women in the Czech Republic and the potential explanations
Neighborhood Deprivation and Maternal Psychological Distress During Pregnancy
Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study
Socioeconomic Position and Health among Persons with Diabetes Mellitus
Socioeconomic Position and Major Mental Disorders
"Bodies Count," and Body Counts
Neighborhood Environment and Loss of Physical Function in Older Adults
Are Racial Disparities in Preterm Birth Larger in Hypersegregated Areas?
Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States
Neighborhood Support and the Birth Weight of Urban Infants
The Environmental “Riskscape” and Social Inequality
Neighborhood Social Environment and Risk of Death
Effect of neighbourhood income and maternal education on birth outcomes
Neighborhood Crime, Deprivation, and Preterm Birth
Social Stress in the Twenty-First Century
The Social Environment and Health
Integrated perinatal health framework
Neighborhoods and Health
Health disparities across the lifespan
Effects of Socioeconomic and Racial Residential Segregation on Preterm Birth
Racial and Ethnic Disparities in Birth Outcomes
Neighborhood characteristics associated with the location of food stores and food service places
The Social Ecology of Child Health and Well-Being
Neighborhood Poverty as a Predictor of Intimate Partner Violence Among White, Black, and Hispanic Couples in the United States
Racial and Spatial Relations as Fundamental Determinants of Health in Detroit
Income Inequality, Social Cohesion, and Class Relations
Risk factors for low birth weight
Twenty Years of Neighborhood Effect Research
Neighborhood context and reproductive health
Social Determinants of Health
Using Google Street View to Audit Neighborhood Environments
Socioeconomic Status and Health
Neighborhoods and child maltreatment
Area Characteristics and Individual-Level Socioeconomic Position Indicators in Three Population-Based Epidemiologic Studies
Multilevel Analysis in Public Health Research
Allostatic Load, Neighborhood Disadvantage, and Birth Outcomes
Methodology and Epistemology of Multilevel Analysis
Community Risk and Protective Factors and Adolescent Substance Use
Differing Postneonatal Mortality Rates of African-American and White Infants in Chicago
Predicting Stress Related to Basic Needs and Safety in Darfur Refugee Camps
Neighborhood Effects on the Self-Rated Health of Elders
Ethnographically Informed Community Evaluation
Women’s Lifelong Exposure to Neighborhood Poverty and Low Birth Weight
Is Neighborhood Deprivation Independently Associated with Maternal and Infant Health? Evidence from Florida and Washington
Race, Race-Based Discrimination, and Health Outcomes Among African Americans
Recent Immigration and Adverse Pregnancy Outcomes in an Urban Setting in Spain
Impact of Pre-Conception Health Care
The joint influence of area income, income inequality, and immigrant density on adverse birth outcomes
The Illinois Transgenerational Birth File
Neighborhood context and ethnicity differences in body mass index
Stressful life events, social health issues and low birthweight in an Australian population-based birth cohort
An Ecological Study to Identify Census Blocks Supporting a Higher Burden of Disease
Are there differences in birth weight between neighbourhoods in a Nordic welfare state
Prevalence and Factors Associated With Suicidal Ideation Among Adult Eritrean Refugees in Northern Ethiopia
Determining Gentrification’s Relationship to Birth Outcomes in Metropolitan California
Geosilhouettes
Preventing long-term welfare receipt
Analysis of Social Inequalities in Perinatal Health Using Census Data
An application of spatially autoregressive models to the study of US county mortality rates
Institutional racism, neighborhood factors, stress, and preterm birth
Neighborhood poverty and self-reported health among low-income, rural women, 50 years and older
The application of intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (Maihda) to examine birthweight inequities in New York City
Segregation and preterm birth
Living in violence
Neighbourhoods and potential access to health care
Evaluation of an Intervention to Increase Screening Colonoscopy in an Urban Public Hospital Setting
Neighborhood Inequalities in Adverse Pregnancy Outcomes in an Urban Setting in Spain
The Development of a Standardized Neighborhood Deprivation Index
Discriminatory Mass De-housing and Low-Weight Births
Injury-producing events among children in low-income communities
Development and Initial Testing of a New Socioeconomic Status Measure Based on Housing Data
A spatial–temporal analysis of low birth weight prevalence in Georgia, USA
Respiratory illness in Saskatoon infants
Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas
Community stress, demoralization, and body mass index
Violence Change and Cohort Trajectories
Explaining racial and ethnic inequalities in postpartum allostatic load
The Great Recession and adverse birth outcomes
How Planning and Zoning Contribute to Inequitable Development, Neighborhood Health, and Environmental Injustice
The Placental Microbiome
Low birth weight
Social contexts and children's health outcomes
Racial/ethnic minority segregation and low birth weight
Going upstream
Using internet-assisted geocoding of 1940 census addresses to reconstruct enumeration districts for use with redlining and longitudinal health datasets
Black Pregnant Women “Get the Most Judgment
Mental Health, Racial Discrimination, and Tobacco Use Differences Across Rural‐Urban California
The Association Between Rural‐Urban Continuum, Maternal Education and Adverse Birth Outcomes in Québec, Canada
Location, Location, Location
The Hierarchical Logistic Regression Model for Multilevel Analysis
The Measurement of Social Class in Epidemiology
Models for Longitudinal Data
Mortality among Infants of Black as Compared with White College-Educated Parents
Poverty and Health Prospective Evidence From the Alameda County Study
The Contribution of the Social Environment to Host Resistance1
The physical environment of street blocks and resident perceptions of crime and disorder
Community competence
The fallacy of the ecological fallacy
Overcoming the absence of socioeconomic data in medical records
Race and birthweight in biracial infants
Violence by male partners against women during the childbearing year
The differential effect of traditional risk factors on infant birthweight among blacks and whites in Chicago
The city and the child
Establishing and maintaining healthy environments
A critical appraisal of the demand/control model of the psychosocial work environment
Geographic Concentration of Poverty and Risk to Children in Urban Neighborhoods
Black/white differences in the relationship of maternal age to birthweight
Health status and the housing system
Social Hassles and Psychological Health in the Context of Chronic Crowding
Do Neighborhoods Influence Child and Adolescent Development
The Political Empowerment and Health Status of African-Americans
| Unique citing works | 191 |
|---|---|
| Citations per year | 6,59 |
| Citation span | 1997 - 2026 (30) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 180 |