Conceptualizing neighborhood space: consistency and variation of associations for neighborhood factors and pregnancy health across multiple neighborhood units.

Published

Journal Article

The purpose of this research was to assess the consistency of associations between neighborhood characteristics and pregnancy-related behaviors and outcomes across four nested neighborhood boundaries using race-stratified fixed-slope random-intercept multilevel logistic models. High incivilities was associated with increased smoking, inadequate weight gain and pregnancy-induced hypertension (PIH), while walkability was associated with decreased smoking and PIH for white women across all neighborhood definitions. For African American women, high incivilities was associated with increased smoking and inadequate gestational weight gain, while more walkable neighborhoods appeared protective against smoking and inadequate weight gain in all but the smallest neighborhoods. Associations with neighborhood attributes were similar in effect size across geographies, but less precise as neighborhoods became smaller.

Full Text

Cited Authors

  • Messer, LC; Vinikoor-Imler, LC; Laraia, BA

Published Date

  • July 2012

Published In

Volume / Issue

  • 18 / 4

Start / End Page

  • 805 - 813

PubMed ID

  • 22551891

Pubmed Central ID

  • 22551891

Electronic International Standard Serial Number (EISSN)

  • 1873-2054

International Standard Serial Number (ISSN)

  • 1353-8292

Digital Object Identifier (DOI)

  • 10.1016/j.healthplace.2012.03.012

Language

  • eng