Neighborhood Privilege, Preterm Delivery, and Related Racial/Ethnic Disparities: An Intergenerational Application of the Index of Concentration at the Extremes.

Neighborhood Privilege, Preterm Delivery, and Related Racial/Ethnic Disparities: An Intergenerational Application of the Index of Concentration at the Extremes.
Am J Epidemiol. 2020 Jan 07;:
Authors: Shrimali BP, Pearl M, Karasek D, Reid C, Abrams B, Mujahid M
Abstract
Neighborhood conditions are linked to preterm delivery and related racial/ethnic disparities. We assessed whether early childhood and adulthood experiences of neighborhood privilege, measured by the Index of Concentration at the Extremes (ICE), were associated with preterm delivery and related disparities using intergenerationally linked birth records of 379,794 California-born primiparous mothers (born 1982-1997) and their infants (born 1997-2011). ICE measures during early childhood and adulthood approximated racial/ethnic and economic dimensions of neighborhood privilege and disadvantage separately (ICE-income, ICE- race/ethnicity) and in combination (ICE-income+race/ethnicity). Results of our generalized estimating equation models with robust standard errors showed associations for ICE-income and ICE-income+race/ethnicity. For example, ICE-income+race/ethnicity was associated with preterm delivery in both early childhood (RR=1.12, 95% CI: 1.08, 1.17) and adulthood (RR=1.07, 95% CI: 1.03, 1.11). Non-Hispanic Black and Hispanic women had higher risk of preterm delivery than White women (RR=1.32, 95% CI: 1.28, 1.37; and RR=1.11, 95% CI: 1.08, 1.14 respectively adjusti...

Source: Am J Epidemiol - January 6, 2020 Category: Epidemiology Authors: Shrimali BP, Pearl M, Karasek D, Reid C, Abrams B, Mujahid M Tags: Am J Epidemiol Source Type: research