Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA.
J Urban Health. 2013 Apr;90(2):197-211. doi: 10.1007/s11524-012-9739-x.
This study examines the association between neighborhood socioeconomic status (SES) and preterm birth among U.S. black women. A composite variable for neighborhood SES, derived from 7 U.S. Census Bureau indicators, was assessed in relation to self-reported preterm birth (505 spontaneous and 452 medically indicated) among 6,390 women in the Black Women's Health Study who delivered singleton births during 1995-2003. The odds ratio (OR) for preterm birth, comparing the lowest (most deprived) to the highest (least deprived) quartiles of neighborhood SES, was 0.98 (95% CI, 0.80, 1.20) after adjustment for individual-level characteristics. Low neighborhood SES was not associated with spontaneous or medically indicated preterm birth overall or within strata of maternal age, education, or geographic region. The only significant finding was higher odds of medically indicated preterm birth associated with low neighborhood SES among unmarried women. Low neighborhood SES was not materially associated with preterm birth in this study of U.S. Black women.
本研究考察了美国黑人妇女的社区社会经济地位（SES）与早产之间的关联。使用美国人口普查局的 7 项指标得出了社区 SES 的综合变量，并评估了该变量与黑人社群妇女健康研究中 6390 名女性的早产（505 例自发性早产和 452 例医学指征性早产）之间的关系，这些女性在 1995 年至 2003 年期间单胎分娩。在调整了个体水平特征后，与社会经济地位最低（最贫困）和最高（最不贫困）四分位区间相比，早产的比值比（OR）为 0.98（95%CI，0.80，1.20）。低社会经济地位的社区与整体自发性或医学指征性早产之间没有关联，也与母亲年龄、教育程度或地理位置的分层无关。唯一显著的发现是，在未婚女性中，低社会经济地位的社区与医学指征性早产的发生几率更高有关。在这项对美国黑人妇女的研究中，低社会经济地位的社区与早产没有明显关联。
