Center for Health Policy and Inequalities Research, Duke Global Health Institute, 2812 Erwin Rd, Suite 403, Durham NC 27705, USA.
Health Place. 2012 Jul;18(4):805-13. doi: 10.1016/j.healthplace.2012.03.012. Epub 2012 Apr 5.
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.
本研究旨在使用按种族分层的固定斜率随机截距多层逻辑模型，评估在四个嵌套邻里边界中，邻里特征与妊娠相关行为和结局之间的一致性。高不文明行为与吸烟增加、体重增加不足和妊娠高血压（PIH）有关，而可步行性与所有邻里定义下的白人女性吸烟减少和 PIH 有关。对于非裔美国女性，高不文明行为与吸烟和妊娠体重增加不足有关，而在除最小邻里之外的所有邻里中，更适合步行的邻里似乎可以预防吸烟和体重增加不足。与邻里属性的关联在不同地理区域的效果大小相似，但随着邻里的缩小，其精确性降低。
