Next Article in Journal
The Level of Self-Esteem and Sexual Functioning in Women with Idiopathic Scoliosis: A Preliminary Study
Previous Article in Journal
Effect of Television on Obesity and Excess of Weight and Consequences of Health
Open AccessArticle

Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth

1
Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, USA
2
Los Angeles County, Department of Public Health, Maternal, Child, and Adolescent Health Programs, Los Angeles, CA, USA
3
Department of Biostatistics, University of California at Los Angeles, Los Angeles, CA 94158, USA
*
Author to whom correspondence should be addressed.
This research was performed while at Department of Biostatistics, University of California at Los Angeles, Los Angeles, CA 94158, USA
These authors contributed equally to this work.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2015, 12(8), 9427-9443; https://doi.org/10.3390/ijerph120809427
Received: 15 July 2015 / Revised: 4 August 2015 / Accepted: 6 August 2015 / Published: 12 August 2015
We examined the associations of mothers’ perception of neighborhood quality and maternal resilience with risk of preterm birth and whether maternal resilience moderated the effect of neighborhood quality perception. We analyzed data from 10,758 women with singleton births who participated in 2010–2012 Los Angeles Mommy and Baby surveys. Multilevel logistic regression models assessed the effects of mothers’ perception of neighborhood quality and maternal resilience on preterm birth (yes/no), controlling for potential confounders and economic hardship index, a city-level measure of neighborhood quality. Interaction terms were assessed for moderation. Mothers’ perception of neighborhood quality and maternal resilience were each uniquely associated with preterm birth, independent of potential confounders (p-values < 0.05). The risk of preterm birth among mothers who perceived their neighborhood as of poor quality was about 30% greater compared to mothers who perceived their neighborhood as of good quality; the risk was 12% greater among mothers with low resilience compared to those with high resilience. Effects of neighborhood quality were not modified by maternal resilience. The findings suggest that mothers’ perception of neighborhood quality and resilience are associated with the risk of preterm birth. Further research should explore whether initiatives aimed at improving neighborhood quality and women’s self-esteem may improve birth outcomes. View Full-Text
Keywords: neighborhood quality; maternal resilience; preterm births neighborhood quality; maternal resilience; preterm births
MDPI and ACS Style

Bhatia, N.; Chao, S.M.; Higgins, C.; Patel, S.; Crespi, C.M. Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth. Int. J. Environ. Res. Public Health 2015, 12, 9427-9443.

Show more citation formats Show less citations formats

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop