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首页> 外文期刊>Annals of epidemiology >Strong upward neighborhood mobility and preterm birth: a matched-sibling design approach
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Strong upward neighborhood mobility and preterm birth: a matched-sibling design approach

机译:强大的邻近流动性和早产:一种匹配的兄弟设计方法

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Purpose: Much cross-sectional work reports an association between neighborhood disadvantage and adverse birth outcomes. Limitations of this work include that mothers with pre-existing unmeasured morbidity may "select" into, or out of, certain neighborhoods. This selection issue remains a key rival explanation for work concerned with place-based disparities in birth outcomes. We move beyond a cross-sectional approach and exploit a sibling-linked data set in California to test whether upwardly mobile mothers, who move from a very high to a very low disadvantaged neighborhood, exhibit a lower than expected risk of preterm birth (PTB) (i.e., delivery <37 weeks).
机译:目的:很多横断面作报告了邻里缺点和不良出生结果之间的关联。 这项工作的局限性包括具有预先存在的未测量发病率的母亲可以“选择”进入或脱离某些社区。 此选择问题仍然是与出生结果中基于地方的差异有关的关键竞争对手解释。 我们超出了横断面的方法,利用加利福尼亚州的兄弟姐妹联系数据,以测试向上移动母亲是否从一个非常低到一个非常低的弱势邻域移动,表现出低于预期出生的风险(PTB) (即,递送<37周)。

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