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The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City.

Publication ,  Journal Article
Duh-Leong, C; Shonna Yin, H; Gross, RS; Elbel, B; Thorpe, LE; Trasande, L; White, MJ; Perrin, EM; Fierman, AH; Lee, DC
Published in: J Urban Health
June 2022

Infants born with low or high ("at-risk") birthweights are at greater risk of adverse health outcomes across the life course. Our objective was to examine whether geographic hotspots of low and high birthweight prevalence in New York City had different patterns of neighborhood risk factors. We performed census tract-level geospatial clustering analyses using (1) birthweight prevalence and maternal residential address from an all-payer claims database and (2) domains of neighborhood risk factors (socioeconomic and food environment) from national and local datasets. We then used logistic regression analysis to identify specific neighborhood risk factors associated with low and high birthweight hotspots. This study examined 2088 census tracts representing 419,025 infants. We found almost no overlap (1.5%) between low and high birthweight hotspots. The majority of low birthweight hotspots (87.2%) overlapped with a socioeconomic risk factor and 95.7% overlapped with a food environment risk factor. Half of high birthweight hotspots (50.0%) overlapped with a socioeconomic risk factor and 48.8% overlapped with a food environment risk factor. Low birthweight hotspots were associated with high prevalence of excessive housing cost, unemployment, and poor food environment. High birthweight hotspots were associated with high prevalence of uninsured persons and convenience stores. Programs and policies that aim to prevent disparities in infant birthweight should examine the broader context by which hotspots of at-risk birthweight overlap with neighborhood risk factors. Multi-level strategies that include the neighborhood context are needed to address prenatal pathways leading to low and high birthweight outcomes.

Duke Scholars

Published In

J Urban Health

DOI

EISSN

1468-2869

Publication Date

June 2022

Volume

99

Issue

3

Start / End Page

482 / 491

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Residence Characteristics
  • Public Health
  • Pregnancy
  • New York City
  • Infant, Newborn
  • Infant, Low Birth Weight
  • Infant
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Duh-Leong, C., Shonna Yin, H., Gross, R. S., Elbel, B., Thorpe, L. E., Trasande, L., … Lee, D. C. (2022). The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City. J Urban Health, 99(3), 482–491. https://doi.org/10.1007/s11524-022-00662-2
Duh-Leong, Carol, H. Shonna Yin, Rachel S. Gross, Brian Elbel, Lorna E. Thorpe, Leonardo Trasande, Michelle J. White, Eliana M. Perrin, Arthur H. Fierman, and David C. Lee. “The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City.J Urban Health 99, no. 3 (June 2022): 482–91. https://doi.org/10.1007/s11524-022-00662-2.
Duh-Leong C, Shonna Yin H, Gross RS, Elbel B, Thorpe LE, Trasande L, et al. The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City. J Urban Health. 2022 Jun;99(3):482–91.
Duh-Leong, Carol, et al. “The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City.J Urban Health, vol. 99, no. 3, June 2022, pp. 482–91. Pubmed, doi:10.1007/s11524-022-00662-2.
Duh-Leong C, Shonna Yin H, Gross RS, Elbel B, Thorpe LE, Trasande L, White MJ, Perrin EM, Fierman AH, Lee DC. The Prenatal Neighborhood Environment and Geographic Hotspots of Infants with At-risk Birthweights in New York City. J Urban Health. 2022 Jun;99(3):482–491.
Journal cover image

Published In

J Urban Health

DOI

EISSN

1468-2869

Publication Date

June 2022

Volume

99

Issue

3

Start / End Page

482 / 491

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Residence Characteristics
  • Public Health
  • Pregnancy
  • New York City
  • Infant, Newborn
  • Infant, Low Birth Weight
  • Infant
  • Humans
  • Female