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Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes

Author

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  • Allison A. Appleton

    (Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Betty Lin

    (Department of Psychology, University at Albany College of Arts and Sciences, 1400 Washington Street, Albany, NY 12222, USA)

  • Elizabeth A. Holdsworth

    (Department of Anthropology, University at Albany College of Arts and Sciences, 1400 Washington Street, Albany, NY 12222, USA)

  • Beth J. Feingold

    (Department of Environmental Health Sciences, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Lawrence M. Schell

    (Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY 12144, USA
    Department of Anthropology, University at Albany College of Arts and Sciences, 1400 Washington Street, Albany, NY 12222, USA)

Abstract

Neighborhood and individual level risks commonly co-occur for pregnant women and may cumulatively contribute to birth outcomes. Moreover, the relationship between favorable social and environmental neighborhood conditions and perinatal outcomes has been understudied. This study considered the accumulated impact of prenatal exposure to positive neighborhood social, environmental, and educational conditions in relation to maternal health during pregnancy and birth size outcomes. In a prospective study of a multi-ethnic and socioeconomically diverse cohort ( n = 239) of pregnant women and their infants, neighborhoods were characterized by the Child Opportunity Index (COI), a census-tract composite indicator representing favorable social, environmental, and educational community conditions. Adjusted generalized estimating equations showed that favorable neighborhood conditions promoted the growth of longer and heavier infant bodies, and reduced the risk of intrauterine growth restriction. The associations were stronger for female versus male infants, though not significantly different. Moreover, COI was associated with better maternal mental health and diet during pregnancy; diet significantly mediated the association between COI and birth size outcomes. This study underscores the importance of considering the accumulated benefit of neighborhood assets for maternal and infant health. Interventions that capitalizes on the full range of contextual assets in which mothers live may promote pregnancy health and fetal growth.

Suggested Citation

  • Allison A. Appleton & Betty Lin & Elizabeth A. Holdsworth & Beth J. Feingold & Lawrence M. Schell, 2021. "Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6161-:d:570451
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    References listed on IDEAS

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    1. Sheena E. Martenies & Mingyu Zhang & Anne E. Corrigan & Anton Kvit & Timothy Shields & William Wheaton & Deana Around Him & Judy Aschner & Maria M. Talavera-Barber & Emily S. Barrett & Theresa M. Bast, 2023. "Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort," IJERPH, MDPI, vol. 20(14), pages 1-21, July.

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