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首页> 外文期刊>International Journal of Environmental Research and Public Health >Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth
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Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth

机译：母亲对邻里质量和母体适应能力的感知与早产风险的关系

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We examined the associations of mothers’ perception of neighborhood quality and maternal resilience with risk of preterm birth and whether maternal resilience moderated the effect of neighborhood quality perception. We analyzed data from 10,758 women with singleton births who participated in 2010–2012 Los Angeles Mommy and Baby surveys. Multilevel logistic regression models assessed the effects of mothers’ perception of neighborhood quality and maternal resilience on preterm birth (yeso), controlling for potential confounders and economic hardship index, a city-level measure of neighborhood quality. Interaction terms were assessed for moderation. Mothers’ perception of neighborhood quality and maternal resilience were each uniquely associated with preterm birth, independent of potential confounders (p-values < 0.05). The risk of preterm birth among mothers who perceived their neighborhood as of poor quality was about 30% greater compared to mothers who perceived their neighborhood as of good quality; the risk was 12% greater among mothers with low resilience compared to those with high resilience. Effects of neighborhood quality were not modified by maternal resilience. The findings suggest that mothers’ perception of neighborhood quality and resilience are associated with the risk of preterm birth. Further research should explore whether initiatives aimed at improving neighborhood quality and women’s self-esteem may improve birth outcomes.
机译：我们研究了母亲对邻里质量和母体适应能力的感知与早产风险之间的关系，以及母体适应能力是否减轻了邻里质量感知的影响。我们分析了参与2010-2012年洛杉矶妈妈和婴儿调查的10758名单胎妇女的数据。多级Logistic回归模型评估了母亲对邻里质量和母亲弹性的感知对早产的影响（是/否），控制了潜在的混杂因素和经济困难指数（城市水平的邻里质量指标）。评估互动条件是否适度。母亲对邻里质量和母体适应力的看法均与早产有着独特的联系，而与潜在的混杂因素无关（p值<0.05）。与认为邻里质量良好的母亲相比，认为邻里质量较差的母亲早产的风险要高约30％。与高弹性的母亲相比，低弹性的母亲的患病风险高12％。孕产妇的适应能力并未改变邻里质量的影响。研究结果表明，母亲对邻里质量和复原力的感知与早产风险有关。进一步的研究应探讨旨在改善邻里质量和女性自尊的计划是否可以改善出生结局。

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