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Socioeconomic status, neighborhood social conditions, and neural tube defects

Author

Listed:
  • Wasserman, C.R.
  • Shaw, G.M.
  • Selvin, S.
  • Gould, J.B.
  • Syme, S.L.

Abstract

Objectives. This study evaluated the contributions of lower socioeconomic status (SES) and neighborhood socioeconomic characteristics to neural tube defect etiology. The influence of additional factors, including periconceptional multivitamin use and race/ethnicity, was also explored. Methods. Data derived from a case-control study of California pregnancies from 1989 to 1991. Mothers of 538 (87.8% of eligible) case infants/fetuses with neural tube defects and mothers of 539 (88.2%) nonmalformed infants were interviewed about their SES. Reported addresses were linked to 1990 US census information to characterize neighborhoods. Results. Twofold elevated risks were observed for several SES indicators. Risks were somewhat confounded by vitamin sue, race/ethnicity, age, body mass index, and fever but remained elevated after adjustment. A risk gradient was seen with increasing number of lower SES indicators. Women with 1 to 3 and 4 to 6 lower SES indicators had adjusted odds ratios of 1.6 (1.1-2.2) and 3.2 (1.9-5.4), respectively, compared with women with no lower SES indicators. Conclusions. Both lower SES and residence in a SES-lower neighborhood increased the risk of an neural tube defect-affected pregnancy, with risks increasing across a gradient of SES indicators.

Suggested Citation

  • Wasserman, C.R. & Shaw, G.M. & Selvin, S. & Gould, J.B. & Syme, S.L., 1998. "Socioeconomic status, neighborhood social conditions, and neural tube defects," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1674-1680.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1674-1680_4
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    Cited by:

    1. Chunzhu Wei & Pablo Cabrera-Barona & Thomas Blaschke, 2016. "Local Geographic Variation of Public Services Inequality: Does the Neighborhood Scale Matter?," IJERPH, MDPI, vol. 13(10), pages 1-20, October.
    2. Root, Elisabeth D. & Meyer, Robert E. & Emch, Michael, 2011. "Socioeconomic context and gastroschisis: Exploring associations at various geographic scales," Social Science & Medicine, Elsevier, vol. 72(4), pages 625-633, February.
    3. Séverine Deguen & Wahida Kihal & Maxime Jeanjean & Cindy Padilla & Denis Zmirou-Navier, 2016. "Neighborhood Deprivation and Risk of Congenital Heart Defects, Neural Tube Defects and Orofacial Clefts: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-25, October.
    4. Minke R. C. van Minde & Marlou L. A. de Kroon & Meertien K. Sijpkens & Hein Raat & Eric A. P. Steegers & Loes C. M. Bertens, 2021. "Associations between Socio-Economic Status and Unfavorable Social Indicators of Child Wellbeing; a Neighbourhood Level Data Design," IJERPH, MDPI, vol. 18(23), pages 1-11, December.
    5. Vinikoor-Imler, L.C. & Messer, L.C. & Evenson, K.R. & Laraia, B.A., 2011. "Neighborhood conditions are associated with maternal health behaviors and pregnancy outcomes," Social Science & Medicine, Elsevier, vol. 73(9), pages 1302-1311.
    6. Mohammad M. Agha & Richard H. Glazier & Rahim Moineddin & Aideen M. Moore & Astrid Guttmann, 2013. "Food Fortification and Decline in the Prevalence of Neural Tube Defects: Does Public Intervention Reduce the Socioeconomic Gap in Prevalence?," IJERPH, MDPI, vol. 10(4), pages 1-12, March.

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