Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women
| Autor: | Andrea E. Cassidy-Bushrow, Charlotte Burmeister, Rosalind M. Peters, Lawrence F. Bielak, Dayna A. Johnson |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Article Subject lcsh:Gynecology and obstetrics Body Mass Index Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Residence Characteristics Odds Ratio Humans Medicine Obesity 030212 general & internal medicine Poverty lcsh:RG1-991 Menarche Gynecology 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Odds ratio medicine.disease Black or African American Pregnancy Complications Logistic Models Quartile Marital status Female business Body mass index Research Article Demography |
| Zdroj: | Journal of Pregnancy Journal of Pregnancy, Vol 2016 (2016) |
| ISSN: | 2090-2735 2090-2727 |
| Popis: | Introduction. Menarche is a critical time point in a woman’s reproductive system development; exposures at menarche may influence maternal health. Living in a poorer neighborhood is associated with adult obesity; however, little is known if neighborhood factors at menarche are associated with prepregnancy obesity.Methods. We examined the association of neighborhood-level poverty at menarche with prepregnancy body mass index category in 144 pregnant African-American women. Address at menarche was geocoded to census tract (closest to year of menarche); neighborhood-level poverty was defined as the proportion of residents living under the federal poverty level. Cumulative logistic regression was used to examine the association of neighborhood-level poverty at menarche, in quartiles, with categorical prepregnancy BMI.Results. Before pregnancy, 59 (41%) women were obese. Compared to women in the lowest neighborhood-level poverty quartile, women in the highest quartile had 2.9 [1.2, 6.9] times higher odds of prepregnancy obesity; this was slightly attenuated after adjusting for age, marital status, education, and parity (odds ratio: 2.3 [0.9, 6.3]).Conclusions. Living in a higher poverty neighborhood at menarche is associated with prepregnancy obesity in African-American women. Future studies are needed to better understand the role of exposures in menarche on health in pregnancy. |
| Databáze: | OpenAIRE |
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