Yale University

Neighborhood socioeconomic disadvantage and gestational weight gain and loss.

TitleNeighborhood socioeconomic disadvantage and gestational weight gain and loss.
Publication TypeJournal Article
Year of Publication2014
AuthorsMendez, Dara D., Donna Almario Doebler, Kevin H. Kim, Ndidi N. Amutah, Anthony Fabio, and Lisa M. Bodnar
JournalMaternal and child health journal
Volume18
Issue5
Pagination1095-103
Date Published2014 Jul
ISSN1573-6628
KeywordsAdult, African Americans, Censuses, European Continental Ancestry Group, Female, Humans, Pennsylvania, Pregnancy, Residence Characteristics, Risk Factors, Socioeconomic Factors, Weight Gain, Weight Loss
AbstractWe explored the relationship between neighborhood socioeconomic disadvantage (NSED) and gestational weight gain and loss and if the association differed by race. A census tract level NSED index (categorized as low, mid-low, mid-high, and high) was generated from 12 measures from the 2000 US Census data. Gestational weight gain and other individual-level characteristics were derived from vital birth records for Allegheny County, PA for 2003-2010 (n = 55,608). Crude and adjusted relative risks were estimated using modified multilevel Poisson regression models to estimate the association between NSED and excessive and inadequate gestational weight gain (GWG) and weight loss (versus adequate GWG). Black women lived in neighborhoods that were more likely to be socioeconomically disadvantaged compared to white women. Almost 55% of women gained an excessive amount of weight during pregnancy, and 2% lost weight during pregnancy. Black women were more likely than white women to have inadequate weight gain or weight loss. Mid-high (aRR = 1.3, 95% CI 1.2, 1.3) and high (aRR = 1.5, 95% CI 1.5, 1.6) NSED compared to low NSED was associated with inadequate weight gain while NSED was not associated with excessive weight gain. Among black women, high versus low NSED was associated with weight loss during pregnancy (RR = 1.6, 95% CI 1.1, 2.5). Among white women, each level of NSED compared to low NSED was associated with weight loss during pregnancy. This study demonstrates how neighborhood socioeconomic characteristics can contribute to our understanding of inadequate weight gain and weight loss during pregnancy, having implications for future research and interventions designed to advance pregnancy outcomes.
DOI10.1007/s10995-013-1339-1
Alternate JournalMatern Child Health J

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