Background: Numerous studies find that socially disadvantaged women are more likely than socially advantaged women to deliver infants that weigh less than normal and/or are born weeks prior to their due date. However, little is known about the pathways that link maternal social disadvantage to birth outcomes. Using data from a prospective cohort study, we examined whether antenatal psychosocial stress, substance use, and maternal health conditions in pregnancy mediated the pathway between maternal social disadvantage and birth outcomes.
Methods: Analyses used structural equation modeling to examine data from a community clinic-based sample (n=2168) of pregnant women who completed questionnaires assessing psychosocial functioning and health behaviors as well as sociodemographic characteristics, which were matched with subsequent birth outcome data.
Results: Analyses revealed maternal social disadvantage predicted poorer birth outcomes through a mediated pathway including maternal health conditions in pregnancy.
Conclusions: The findings demonstrate that maternal social disadvantage is associated with poor health status in pregnancy, which in turn adversely affects birth outcomes. Results argue for more systematic attention to the roles of social disadvantage, including life course perspectives that trace social disadvantage prior to and through pregnancy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3366100 | PMC |
| http://dx.doi.org/10.1089/jwh.2011.2766 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Intimate partner violence among transgender people in Brazil: a cross-sectional study, 2015-2021.
Epidemiol Serv Saude
January 2025
Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Departamento de Saúde Coletiva, Goiânia, GO, Brasil.
Objective: To identify social vulnerability profiles of transgender people who have experienced intimate partner violence in Brazil and to assess the association with recurrent violence and referrals to support services.
Methods: This was a cross-sectional study of reported cases of violence against transgender people in Brazil (2015-2021) utilizing data from SINAN/DATASUS. Sociodemographic profiles were defined using two-step cluster analysis and associations estimated by means of binary logistic regression, with odds ratios (OR) and confidence intervals (CI).
Hybrid coral reef restoration can be a cost-effective nature-based solution to provide protection to vulnerable coastal populations.
Sci Adv
January 2025
Center for Coastal Climate Resilience, University of California Santa Cruz, Santa Cruz, CA 95060, USA.
Coral reefs can mitigate flood damages by providing protection to tropical coastal communities whose populations are dense, growing fast, and have predominantly lower-middle income. This study provides the first fine-scale, regionally modeled valuations of how flood risk reductions associated with hybrid coral reef restoration could benefit people, property, and economic activity along Florida and Puerto Rico's 1005 kilometers of reef-lined coasts. Restoration of up to 20% of the regions' coral reefs could provide flood reduction benefits greater than costs.
View Article and Find Full Text PDF"If children don't feel safe, they won't come back": A qualitative exploration of parents' perceptions of health coordinators in a family-based programme in socially disadvantaged communities.
Public Health Pract (Oxf)
June 2025
Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, 141 83, Huddinge, Sweden.
Background: Families residing in disadvantaged communities encounter inequalities that restrict their engagement in physical activity. Family-based interventions and health coordinators have been proposed as promising approaches to encourage physical activity among parents and children. However, there is a paucity of knowledge regarding family experiences of such programmes and the ways health coordinators facilitate continued participation in programmes delivered in disadvantaged communities.
View Article and Find Full Text PDFSocial Vulnerability and Biological Aging in New York City: An Electronic Health Records-Based Study.
J Urban Health
January 2025
Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1057, New York, NY, 10029, USA.
Chronological age is not an accurate predictor of morbidity and mortality risk, as individuals' aging processes are diverse. Phenotypic age acceleration (PhenoAgeAccel) is a validated biological age measure incorporating chronological age and biomarkers from blood samples commonly used in clinical practice that can better reflect aging-related morbidity and mortality risk. The heterogeneity of age-related decline is not random, as environmental exposures can promote or impede healthy aging.
View Article and Find Full Text PDFThe economic inequality effect of environmental policies--a case from China's "authoritarian environmentalism" actions.
J Environ Manage
January 2025
School of Economics and Management, China University of Geosciences, Wuhan, 430074, China. Electronic address:
Command-and-control environmental policies are crucial for achieving sustainable development across environmental, economic, and social dimensions. However, these policies often neglect the impact on vulnerable populations and impoverished regions. This paper reveals the mechanisms and impacts of CAC exacerbating regional economic inequality under resource endowment differences through empirical analysis of county panel data in China from 2010 to 2021.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!