Department of Public Health and Recreation, College of Health and Human Sciences, San José State University, One Washington Square, San Jose, CA, 95192-0052, USA.
School of Public Health, University of California, Berkeley, 2121 Berkeley Way, Room 5302, CA, 94720-7360, Berkeley, USA.
J Urban Health. 2022 Jun;99(3):492-505. doi: 10.1007/s11524-022-00624-8. Epub 2022 Apr 6.
Black women have the highest incidence of preterm birth (PTB). Upstream factors, including neighborhood context, may be key drivers of this increased risk. This study assessed the relationship between neighborhood quality, defined by the Healthy Places Index, and PTB among Black women who lived in Oakland, California, and gave birth between 2007 and 2011 (N = 5418 women, N = 107 census tracts). We found that, compared with those living in lower quality neighborhoods, women living in higher quality neighborhoods had 20-38% lower risk of PTB, independent of confounders. Findings have implications for place-based research and interventions to address racial inequities in PTB.
黑人女性的早产（PTB）发生率最高。上游因素，包括社区环境，可能是导致这种风险增加的关键因素。本研究评估了健康场所指数定义的社区质量与 2007 年至 2011 年间在加利福尼亚州奥克兰居住并分娩的黑人女性 PTB 之间的关系（N=5418 名女性，N=107 个普查区）。我们发现，与居住在低质量社区的女性相比，居住在高质量社区的女性发生 PTB 的风险降低了 20-38%，这与混杂因素无关。这些发现对基于地点的研究和干预措施具有重要意义，可以解决 PTB 方面的种族不平等问题。
