Author

Anna E. Wentz

Date

July 2013

Document Type

Thesis

Degree Name

M.P.H.

Department

Dept. of Public Health and Preventive Medicine

Institution

Oregon Health & Science University

Abstract

Background. Adverse birth outcomes disproportionately affect racial and ethnic minorities in the US and are associated with both short- and long-term health consequences. Individual risk factors for birth outcomes are shaped by environmental context, and neighborhood socioeconomic deprivation is a consistent predictor of low birthweight. The association with large birth size has not been explored, and the proximity within which neighborhood deprivation might influence birth outcomes is unknown. Methods. A continuous neighborhood deprivation index (NDI) was generated for 1, 3, 5, and 8km buffers for the subset of 2004-2007 Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) respondents in the Portland Tri-County Area. Multinomial logistic regression models estimated the effects of NDI on small (SGA) and large (LGA) compared to appropriate (AGA) size-for-gestational-age. Analysis was stratified by race/ethnicity and adjusted for individual risk factors. Results. High neighborhoo

Identifier

doi:10.6083/M46T0JPJ

School

School of Medicine

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