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Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth

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  • Namrata Bhatia

    (Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, USA
    This research was performed while at Department of Biostatistics, University of California at Los Angeles, Los Angeles, CA 94158, USA)

  • Shin Margaret Chao

    (Los Angeles County, Department of Public Health, Maternal, Child, and Adolescent Health Programs, Los Angeles, CA, USA
    These authors contributed equally to this work.)

  • Chandra Higgins

    (Los Angeles County, Department of Public Health, Maternal, Child, and Adolescent Health Programs, Los Angeles, CA, USA
    These authors contributed equally to this work.)

  • Suvas Patel

    (Los Angeles County, Department of Public Health, Maternal, Child, and Adolescent Health Programs, Los Angeles, CA, USA
    These authors contributed equally to this work.)

  • Catherine M. Crespi

    (Department of Biostatistics, University of California at Los Angeles, Los Angeles, CA 94158, USA)

Abstract

We examined the associations of mothers’ perception of neighborhood quality and maternal resilience with risk of preterm birth and whether maternal resilience moderated the effect of neighborhood quality perception. We analyzed data from 10,758 women with singleton births who participated in 2010–2012 Los Angeles Mommy and Baby surveys. Multilevel logistic regression models assessed the effects of mothers’ perception of neighborhood quality and maternal resilience on preterm birth (yes/no), controlling for potential confounders and economic hardship index, a city-level measure of neighborhood quality. Interaction terms were assessed for moderation. Mothers’ perception of neighborhood quality and maternal resilience were each uniquely associated with preterm birth, independent of potential confounders ( p -values < 0.05). The risk of preterm birth among mothers who perceived their neighborhood as of poor quality was about 30% greater compared to mothers who perceived their neighborhood as of good quality; the risk was 12% greater among mothers with low resilience compared to those with high resilience. Effects of neighborhood quality were not modified by maternal resilience. The findings suggest that mothers’ perception of neighborhood quality and resilience are associated with the risk of preterm birth. Further research should explore whether initiatives aimed at improving neighborhood quality and women’s self-esteem may improve birth outcomes.

Suggested Citation

  • Namrata Bhatia & Shin Margaret Chao & Chandra Higgins & Suvas Patel & Catherine M. Crespi, 2015. "Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth," IJERPH, MDPI, vol. 12(8), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:8:p:9427-9443:d:54057
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    References listed on IDEAS

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    1. Rossen, L.M. & Schoendorf, K.C., 2014. "Trends in racial and ethnic disparities in infant mortality rates in the united states, 1989-2006," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 1549-1556.
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    Cited by:

    1. Anthony L Nardone & Joan A Casey & Kara E Rudolph & Deborah Karasek & Mahasin Mujahid & Rachel Morello-Frosch, 2020. "Associations between historical redlining and birth outcomes from 2006 through 2015 in California," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-18, August.

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