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首页> 外文期刊>Annals of epidemiology >Neighborhood socioeconomic status, maternal race and preterm delivery. A case-control study.
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Neighborhood socioeconomic status, maternal race and preterm delivery. A case-control study.

机译：邻里社会经济状况，孕产妇种族和早产。病例对照研究。

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PURPOSE: To explore associations between neighborhood socioeconomic context and preterm delivery, independent of maternal and family socioeconomic status, in African-American and white women.METHODS: A case-control study of African-American (n = 417) and white (n = 1244) women delivering infants at the University of California, San Francisco's Moffitt Hospital, between 1980 and 1990.RESULTS: Neighborhood socioeconomic contexts were associated with preterm delivery but associations were non-linear and varied with race/ethnicity. For African-American women, living in a neighborhood with either high or low median household income was associated with an increased risk of spontaneous preterm delivery, as was living in a neighborhood with large increases or decreases in the proportion of African-American residents during the study decade. Residence in neighborhoods with high and low rates of male unemployment was associated with a decreased risk of preterm delivery. Among white women only large positive and negative changes in neighborhood male unemployment were associated with risk of preterm delivery.CONCLUSIONS: Neighborhood factors and changes in neighborhoods over time are related to preterm delivery, although the mechanisms linking local environments to maternal risk remain to be specified.
机译：目的：探讨非裔美国人和白人妇女的邻里社会经济背景与早产之间的关系，而与产妇和家庭的社会经济状况无关。方法：一项非裔美国人（n = 417）和白人（n = 1244）妇女在1980年至1990年之间在加利福尼亚大学旧金山分校的莫菲特医院分娩。结果：邻里的社会经济背景与早产有关，但关联是非线性的，并且随着种族/种族而变化。对于非洲裔美国妇女而言，住在家庭收入中位数较高或较低的社区与自发早产的风险增加相关，在此期间居住在非洲裔美国居民比例大幅增加或减少的社区中学习十年。居住在男性失业率高低的社区与早产风险降低相关。在白人女性中，只有近邻男性失业的积极和消极变化与早产风险有关。结论：邻里因素和邻里随时间的变化与早产有关，尽管仍需指定将当地环境与孕产妇风险联系起来的机制。

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