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African American women's lifetime upward economic mobility and preterm birth: the effect of fetal programming

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  • Collins Jr., J.W.
  • Rankin, K.M.
  • David, R.J.

Abstract

We investigated whether African American mothers' upward economic mobility across the life course and having been of low birth weight are associated with the preterm birth of their children. We performed stratified and multilevel logistic regression analyses on an Illinois transgenerational data set of African American infants (born 1989-1991) and their mothers (n = 11 265; born 1956-1976) with appended US Census income information. African American mothers with a lifelong residence in impoverished neighborhoods had a preterm birthrate of 18.7%. African American mothers with early life impoverishment who experienced low, modest, or high upward economic mobility by adulthood had lower preterm birthrates of 16.0% (rate ratio [RR] = 0.9; 95% confidence interval [CI] = 0.8, 0.9), 15.2% (RR = 0.8; 95% CI = 0.7, 0.9), and 12.4% (RR = 0.7; 95% CI = 0.6, 0.8), respectively. In multilevel logistic regression models of former low birth weight and non-low birth weight mothers aged 20 to 35 years, the adjusted odds ratio (95% confidence interval) of preterm birth for those who experienced high upward economic mobility (vs those with lifelong impoverishment) was 0.9 (0.5-1.6) and 0.7 (0.5-0.9), respectively. African American mother's upward economic mobility from early life impoverishment is associated with a decreased risk of preterm birth. However, consistent with fetal programming, this phenomenon fails to occur among mothers born at low birth weight.

Suggested Citation

  • Collins Jr., J.W. & Rankin, K.M. & David, R.J., 2011. "African American women's lifetime upward economic mobility and preterm birth: the effect of fetal programming," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 714-719.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.195024_3
    DOI: 10.2105/AJPH.2010.195024
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    Cited by:

    1. Emily W. Harville & John W. Apolzan & Lydia A. Bazzano, 2018. "Maternal Pre-Pregnancy Cardiovascular Risk Factors and Offspring and Grandoffspring Health: Bogalusa Daughters," IJERPH, MDPI, vol. 16(1), pages 1-13, December.
    2. Bina Shrimali, 2018. "Housing Stability and Family Health: An Issue Brief," Community Development Research Brief, Federal Reserve Bank of San Francisco, issue 1, pages 1-11.
    3. Vu, Cecilia & Arcaya, Mariana C. & Kawachi, Ichiro & Williams, David R., 2023. "Moving to opportunity? Low birth weight outcomes among Southern-born Black mothers during the Great Migration," Social Science & Medicine, Elsevier, vol. 328(C).
    4. Ncube, Collette N. & Enquobahrie, Daniel A. & Albert, Steven M. & Herrick, Amy L. & Burke, Jessica G., 2016. "Association of neighborhood context with offspring risk of preterm birth and low birthweight: A systematic review and meta-analysis of population-based studies," Social Science & Medicine, Elsevier, vol. 153(C), pages 156-164.
    5. Richards, Jennifer L. & Chapple-McGruder, Theresa & Williams, Bryan L. & Kramer, Michael R., 2015. "Does neighborhood deprivation modify the effect of preterm birth on children's first grade academic performance?," Social Science & Medicine, Elsevier, vol. 132(C), pages 122-131.

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