Multilevel factors influencing preterm birth in an urban setting
Racial disparity in preterm is a major problem in the US. Although significant strides have been made in identifying some of the risk factors, the complexities between community and individual factors are not understood. This study examines the influence of individual and community level factors aff...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2014-01-01
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| Series: | Urban, Planning and Transport Research |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21650020.2014.896223 |
| _version_ | 1819032026507902976 |
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| author | Saba W. Masho Meaghan S. Munn Phillip W. Archer |
| author_facet | Saba W. Masho Meaghan S. Munn Phillip W. Archer |
| author_sort | Saba W. Masho |
| collection | DOAJ |
| description | Racial disparity in preterm is a major problem in the US. Although significant strides have been made in identifying some of the risk factors, the complexities between community and individual factors are not understood. This study examines the influence of individual and community level factors affecting preterm birth among Black and White women in an urban setting. A 10-year live birth registry dataset from a mid-sized, racially diverse city was analyzed (N = 30,591). Data were geocoded and merged with block group level Census data. Five hierarchical models were examined using PROC GLIMMIX. Education, illicit drug use, pregnancy complications, previous preterm birth, paternal presence, inadequate and adequate plus prenatal care, and poverty were associated with preterm births in both Blacks and Whites. In Black women, increasing maternal age, maternal smoking, and a previous infant death were significant predictors of preterm births, which was not the case for White women. Residing in medium or high poverty neighborhoods resulted in 19% and 28% higher odds, respectively, of preterm birth for Black women. In addition to individual level factors, neighborhood poverty is an important risk factor influencing preterm birth. It is essential to engage multisectoral agencies in addressing factors influencing preterm birth. |
| first_indexed | 2024-12-21T06:55:24Z |
| format | Article |
| id | doaj.art-0191ef7cd6d1449fb0d74eb2abe7fc12 |
| institution | Directory Open Access Journal |
| issn | 2165-0020 |
| language | English |
| last_indexed | 2024-12-21T06:55:24Z |
| publishDate | 2014-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Urban, Planning and Transport Research |
| spelling | doaj.art-0191ef7cd6d1449fb0d74eb2abe7fc122022-12-21T19:12:21ZengTaylor & Francis GroupUrban, Planning and Transport Research2165-00202014-01-0121364810.1080/21650020.2014.896223896223Multilevel factors influencing preterm birth in an urban settingSaba W. Masho0Meaghan S. Munn1Phillip W. Archer2Virginia Commonwealth UniversityVirginia Commonwealth UniversityVirginia Union UniversityRacial disparity in preterm is a major problem in the US. Although significant strides have been made in identifying some of the risk factors, the complexities between community and individual factors are not understood. This study examines the influence of individual and community level factors affecting preterm birth among Black and White women in an urban setting. A 10-year live birth registry dataset from a mid-sized, racially diverse city was analyzed (N = 30,591). Data were geocoded and merged with block group level Census data. Five hierarchical models were examined using PROC GLIMMIX. Education, illicit drug use, pregnancy complications, previous preterm birth, paternal presence, inadequate and adequate plus prenatal care, and poverty were associated with preterm births in both Blacks and Whites. In Black women, increasing maternal age, maternal smoking, and a previous infant death were significant predictors of preterm births, which was not the case for White women. Residing in medium or high poverty neighborhoods resulted in 19% and 28% higher odds, respectively, of preterm birth for Black women. In addition to individual level factors, neighborhood poverty is an important risk factor influencing preterm birth. It is essential to engage multisectoral agencies in addressing factors influencing preterm birth.http://dx.doi.org/10.1080/21650020.2014.896223premature birthhealth status disparitiesmultilevel analysis |
| spellingShingle | Saba W. Masho Meaghan S. Munn Phillip W. Archer Multilevel factors influencing preterm birth in an urban setting Urban, Planning and Transport Research premature birth health status disparities multilevel analysis |
| title | Multilevel factors influencing preterm birth in an urban setting |
| title_full | Multilevel factors influencing preterm birth in an urban setting |
| title_fullStr | Multilevel factors influencing preterm birth in an urban setting |
| title_full_unstemmed | Multilevel factors influencing preterm birth in an urban setting |
| title_short | Multilevel factors influencing preterm birth in an urban setting |
| title_sort | multilevel factors influencing preterm birth in an urban setting |
| topic | premature birth health status disparities multilevel analysis |
| url | http://dx.doi.org/10.1080/21650020.2014.896223 |
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