Dept. of Public Health and Preventive Medicine
Oregon Health & Science University
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
School of Medicine
Wentz, Anna E., "Size for gestational age and neighborhood deprivation measured with increasing proximity to homes" (2013). Scholar Archive. 958.