Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study
Abstract Background Area-level socioeconomic characteristics have been shown to be related to health status and mortality however, little is known about the association between residential community characteristics in relation to postpartum women’s health. Methods Data from the longitudinal, multi-s...
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doaj-826c492641a04a7685e9bd1d43d3914c2020-11-25T02:18:35ZengBMCHealth and Quality of Life Outcomes1477-75252020-02-0118111010.1186/s12955-020-1275-xNeighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site studyVered Kaufman-Shriqui0Patricia O’Campo1Vachan Misir2Peter Schafer3Julia Morinis4Maxine Vance5Christine Dunkel Schetter6Tonse N. K. Raju7Marianne M. Hillemeier8Robin Lanzi9Vernon M. Chinchilli10for the Community Child Health Network (CCHN) of Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentDepartment of Nutrition Sciences, School of Health Sciences, Ariel UniversityAlma and Baxter Richard Chair in Inner City Health, St. Michael’s HospitalThe Center for Urban Health Solutions (C-UHS), St, Michael’s HospitalBaltimore Healthy StartThe Center for Urban Health Solutions (C-UHS), St, Michael’s HospitalSenior Director of Clinical Affairs and Quality Assurance, Baltimore Healthy Start, IncDepartment of Psychology, University of CaliforniaEunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of HealthDepartment of Health Policy and Administration, Pennsylvania State UniversityDepartment of Health Behavior, School of Public Health, University of Alabama at BirminghamDepartment of Public Health Sciences, A210, Penn State College of MedicineAbstract Background Area-level socioeconomic characteristics have been shown to be related to health status and mortality however, little is known about the association between residential community characteristics in relation to postpartum women’s health. Methods Data from the longitudinal, multi-site Community Child Health Network (CCHN) study were used. Postpartum women (n = 2510), aged 18–40 were recruited from 2008 to 2012 within a month of delivery. Socioeconomic data was used to create deprivation indices. Census data were analysed using principal components analysis (PCA) and logistic regression to assess the association between deprivation indices (DIs) and various health indicators. Results PCA resulted in two unique DIs that accounted for 67.5% of the total variance of the combined all-site area deprivation. The first DI was comprised of variables representing a high percentage of Hispanic or Latina, foreign-born individuals, dense households (more than one person per room of residence), with less than a high-school education, and who spent more than 30% of their income on housing costs. The second DI was comprised of a high percentage of African-Americans, single mothers, and high levels of unemployment. In a multivariate logistic regression model, using the quartiles of each DI, women who reside in the geographic area of Q4-Q2 of the second DI, were almost twice as likely to have more than three adverse health conditions compared to those who resided in the least deprived areas. (Q2vs.Q1:OR = 2.09,P = 0.001,Q3vs.Q1:OR = 1.89,P = 0.006,Q4vs.Q1:OR = 1.95,P = 0.004 respectively). Conclusions Our results support the utility of examining deprivation indices as predictors of maternal postpartum health.http://link.springer.com/article/10.1186/s12955-020-1275-xMaternal healthPostpartum periodSocioeconomic factorsResidence characteristics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vered Kaufman-Shriqui Patricia O’Campo Vachan Misir Peter Schafer Julia Morinis Maxine Vance Christine Dunkel Schetter Tonse N. K. Raju Marianne M. Hillemeier Robin Lanzi Vernon M. Chinchilli for the Community Child Health Network (CCHN) of Eunice Kennedy Shriver National Institute of Child Health and Human Development |
spellingShingle |
Vered Kaufman-Shriqui Patricia O’Campo Vachan Misir Peter Schafer Julia Morinis Maxine Vance Christine Dunkel Schetter Tonse N. K. Raju Marianne M. Hillemeier Robin Lanzi Vernon M. Chinchilli for the Community Child Health Network (CCHN) of Eunice Kennedy Shriver National Institute of Child Health and Human Development Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study Health and Quality of Life Outcomes Maternal health Postpartum period Socioeconomic factors Residence characteristics |
author_facet |
Vered Kaufman-Shriqui Patricia O’Campo Vachan Misir Peter Schafer Julia Morinis Maxine Vance Christine Dunkel Schetter Tonse N. K. Raju Marianne M. Hillemeier Robin Lanzi Vernon M. Chinchilli for the Community Child Health Network (CCHN) of Eunice Kennedy Shriver National Institute of Child Health and Human Development |
author_sort |
Vered Kaufman-Shriqui |
title |
Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study |
title_short |
Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study |
title_full |
Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study |
title_fullStr |
Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study |
title_full_unstemmed |
Neighbourhood-level deprivation indices and postpartum women’s health: results from the Community Child Health Network (CCHN) multi-site study |
title_sort |
neighbourhood-level deprivation indices and postpartum women’s health: results from the community child health network (cchn) multi-site study |
publisher |
BMC |
series |
Health and Quality of Life Outcomes |
issn |
1477-7525 |
publishDate |
2020-02-01 |
description |
Abstract Background Area-level socioeconomic characteristics have been shown to be related to health status and mortality however, little is known about the association between residential community characteristics in relation to postpartum women’s health. Methods Data from the longitudinal, multi-site Community Child Health Network (CCHN) study were used. Postpartum women (n = 2510), aged 18–40 were recruited from 2008 to 2012 within a month of delivery. Socioeconomic data was used to create deprivation indices. Census data were analysed using principal components analysis (PCA) and logistic regression to assess the association between deprivation indices (DIs) and various health indicators. Results PCA resulted in two unique DIs that accounted for 67.5% of the total variance of the combined all-site area deprivation. The first DI was comprised of variables representing a high percentage of Hispanic or Latina, foreign-born individuals, dense households (more than one person per room of residence), with less than a high-school education, and who spent more than 30% of their income on housing costs. The second DI was comprised of a high percentage of African-Americans, single mothers, and high levels of unemployment. In a multivariate logistic regression model, using the quartiles of each DI, women who reside in the geographic area of Q4-Q2 of the second DI, were almost twice as likely to have more than three adverse health conditions compared to those who resided in the least deprived areas. (Q2vs.Q1:OR = 2.09,P = 0.001,Q3vs.Q1:OR = 1.89,P = 0.006,Q4vs.Q1:OR = 1.95,P = 0.004 respectively). Conclusions Our results support the utility of examining deprivation indices as predictors of maternal postpartum health. |
topic |
Maternal health Postpartum period Socioeconomic factors Residence characteristics |
url |
http://link.springer.com/article/10.1186/s12955-020-1275-x |
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