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Matern Child Health J. 2009 May;13(3):326-33. doi: 10.1007/s10995-008-0354-0. Epub 2008 May 6.

Women's lifelong exposure to neighborhood poverty and low birth weight: a population-based study.

Author information

1
Division of Neonatology, Children's Memorial Hospital, 2300 Children's Plaza, #45, Chicago, IL 60614, USA. jcollins@northwestern.edu

Abstract

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.

PMID:
18459039
DOI:
10.1007/s10995-008-0354-0
[Indexed for MEDLINE]

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