Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Am J Public Health. 2012 Dec;102(12):2255-61. doi: 10.2105/AJPH.2012.300782. Epub 2012 Oct 18.
We assessed the longitudinal association between housing transitions and pregnancy outcomes in a sample of public housing residents.
A cohort of 2670 Black women residing in Atlanta, Georgia, housing projects with 1 birth occurring between 1994 and 2007 was created from maternally linked longitudinal birth files and followed for subsequent births. Traditional regression and marginal structural models adjusting for time-varying confounding estimated the risk of preterm low birth weight (LBW) or small for gestational age LBW by maternal housing transition patterns.
Women moving from public to private housing as a result of housing project demolition were at elevated risk for preterm LBW (risk ratio = 1.74; 95% confidence interval = 1.00-3.04) compared with women not affected by project demolition. Other non-policy-related housing transition patterns were not associated with pregnancy outcomes.
Further longitudinal study of housing transitions among public housing residents is needed to better understand the relationship between housing, neighborhoods, housing policy, and perinatal outcomes.
我们评估了住房变动与一个公共住房居民样本妊娠结局之间的纵向关联。
创建了一个居住在佐治亚州亚特兰大市住房项目中的 2670 名黑人妇女队列，她们在 1994 年至 2007 年间有 1 次分娩，并对随后的分娩进行了随访。传统的回归和调整随时间变化的混杂因素的边缘结构模型，根据产妇住房变动模式，估计了早产低出生体重（LBW）或小于胎龄 LBW 的风险。
与未受项目拆除影响的妇女相比，由于住房项目拆除而从公共住房搬入私人住房的妇女早产 LBW 的风险增加（风险比=1.74；95%置信区间=1.00-3.04）。其他非政策相关的住房变动模式与妊娠结局无关。
需要进一步对公共住房居民的住房变动进行纵向研究，以更好地了解住房、社区、住房政策和围产期结局之间的关系。
