Next Article in Journal
Are Demanding Job Situations Associated with Alcohol-Related Presenteeism? The WIRUS-Screening Study
Next Article in Special Issue
Breastfeeding Practice and Association between Characteristics and Experiences of Mothers Living in Bangkok
Previous Article in Journal
Comparison of ARIMA and LSTM in Forecasting the Incidence of HFMD Combined and Uncombined with Exogenous Meteorological Variables in Ningbo, China
Previous Article in Special Issue
Incidence, Risk Factors, and Outcomes of Preterm and Early Term Births: A Population-Based Register Study
Article

Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes

1
Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY 12144, USA
2
Department of Psychology, University at Albany College of Arts and Sciences, 1400 Washington Street, Albany, NY 12222, USA
3
Department of Anthropology, University at Albany College of Arts and Sciences, 1400 Washington Street, Albany, NY 12222, USA
4
Department of Environmental Health Sciences, University at Albany School of Public Health, Rensselaer, NY 12144, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Cathy Vaillancourt, Kelsey Needham Dancause and Suzanne King
Int. J. Environ. Res. Public Health 2021, 18(11), 6161; https://doi.org/10.3390/ijerph18116161
Received: 5 May 2021 / Revised: 3 June 2021 / Accepted: 3 June 2021 / Published: 7 June 2021
(This article belongs to the Special Issue Prenatal Stress, Health Behaviors and Child Development)
Neighborhood and individual level risks commonly co-occur for pregnant women and may cumulatively contribute to birth outcomes. Moreover, the relationship between favorable social and environmental neighborhood conditions and perinatal outcomes has been understudied. This study considered the accumulated impact of prenatal exposure to positive neighborhood social, environmental, and educational conditions in relation to maternal health during pregnancy and birth size outcomes. In a prospective study of a multi-ethnic and socioeconomically diverse cohort (n = 239) of pregnant women and their infants, neighborhoods were characterized by the Child Opportunity Index (COI), a census-tract composite indicator representing favorable social, environmental, and educational community conditions. Adjusted generalized estimating equations showed that favorable neighborhood conditions promoted the growth of longer and heavier infant bodies, and reduced the risk of intrauterine growth restriction. The associations were stronger for female versus male infants, though not significantly different. Moreover, COI was associated with better maternal mental health and diet during pregnancy; diet significantly mediated the association between COI and birth size outcomes. This study underscores the importance of considering the accumulated benefit of neighborhood assets for maternal and infant health. Interventions that capitalizes on the full range of contextual assets in which mothers live may promote pregnancy health and fetal growth. View Full-Text
Keywords: developmental origins of health and disease; child opportunity index; pregnancy health; birth outcomes; social and environmental determinants of health developmental origins of health and disease; child opportunity index; pregnancy health; birth outcomes; social and environmental determinants of health
Show Figures

Figure 1

MDPI and ACS Style

Appleton, A.A.; Lin, B.; Holdsworth, E.A.; Feingold, B.J.; Schell, L.M. Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes. Int. J. Environ. Res. Public Health 2021, 18, 6161. https://doi.org/10.3390/ijerph18116161

AMA Style

Appleton AA, Lin B, Holdsworth EA, Feingold BJ, Schell LM. Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes. International Journal of Environmental Research and Public Health. 2021; 18(11):6161. https://doi.org/10.3390/ijerph18116161

Chicago/Turabian Style

Appleton, Allison A., Betty Lin, Elizabeth A. Holdsworth, Beth J. Feingold, and Lawrence M. Schell 2021. "Prenatal Exposure to Favorable Social and Environmental Neighborhood Conditions Is Associated with Healthy Pregnancy and Infant Outcomes" International Journal of Environmental Research and Public Health 18, no. 11: 6161. https://doi.org/10.3390/ijerph18116161

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop