Neighborhood Deprivation and Preterm Birth among Non-Hispanic Black and White Women in Eight Geographic Areas in the United States

• Published in: American journal of epidemiology Vol. 167; no. 2; pp. 155 - 163
• Main Authors: O'Campo, Patricia, Burke, Jessica G., Culhane, Jennifer, Elo, Irma T., Eyster, Janet, Holzman, Claudia, Messer, Lynne C., Kaufman, Jay S., Laraia, Barbara A.
• Format: Journal Article
• Language: English
• Published: Cary, NC Oxford University Press 15.01.2008; Oxford Publishing Limited (England)
• Subjects: Adult; African Americans; Analysis. Health state; Biological and medical sciences; Black or African American; Black People - statistics & numerical data; Epidemiology; ethnic groups; Female; General aspects; Humans; Maryland - epidemiology; Maternal Age; Medical research; Medical sciences; Michigan - epidemiology; Miscellaneous; Neighborhoods; North Carolina - epidemiology; Odds Ratio; Pennsylvania - epidemiology; Pregnancy; Premature birth; Premature Birth - ethnology; Public health. Hygiene; Public health. Hygiene-occupational medicine; Regression Analysis; residence characteristics; Residence Characteristics - statistics & numerical data; social class; social environment; Socioeconomic Factors; United States; White people; White People - statistics & numerical data; United States; North America; America; North Carolina; Maryland; Michigan; Pennsylvania; premature birth; residence characteristics; United States; social environment; ethnic groups; social class; Social environment; Human; Social influence; Ethnic origin; Poverty; Negroid; Residential neighborhoods; Social class; Epidemiology; Ethnic group; Prematurity; Caucasoid; Social aspect; Public health; Geographical variation
• ISSN: 0002-9262; 1476-6256; 1476-6256
• DOI: 10.1093/aje/kwm277

Disparities in preterm birth by race and ethnic group have been demonstrated in the United States. Recent research has focused on the impact of neighborhood context on racial disparities in pregnancy outcomes. The authors utilized vital-record birth certificate data and US Census data from eight geographic areas in four states (Maryland, Michigan, North Carolina, and Pennsylvania) to examine the relation between neighborhood deprivation and preterm birth among non-Hispanic White and Black women. The years covered by the data varied by site and ranged from 1995 to 2001. Results were adjusted for maternal age and education, and specific attention was paid to racial and geographic differences in the relation between neighborhood deprivation and preterm birth. Preterm birth rates were higher for non-Hispanic Blacks (10.42–15.97%) than for non-Hispanic Whites (5.77–9.13%), and neighborhood deprivation index values varied substantially across the eight areas. A significant association was found between neighborhood deprivation and risk of preterm birth; for the first quintile of the deprivation index versus the fifth, the adjusted summary odds ratio was 1.57 (95% confidence interval: 1.41, 1.74) for non-Hispanic Whites and 1.15 (95% confidence interval: 1.08, 1.23) for non-Hispanic Blacks. In this study, deprivation at the neighborhood level was significantly associated with increased risk of preterm birth among both non-Hispanic White women and non-Hispanic Black women.