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Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women
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 p...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932170/ https://www.ncbi.nlm.nih.gov/pubmed/27418977 http://dx.doi.org/10.1155/2016/4769121 |
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author | Cassidy-Bushrow, Andrea E. Peters, Rosalind M. Burmeister, Charlotte Bielak, Lawrence F. Johnson, Dayna A. |
author_facet | Cassidy-Bushrow, Andrea E. Peters, Rosalind M. Burmeister, Charlotte Bielak, Lawrence F. Johnson, Dayna A. |
author_sort | Cassidy-Bushrow, Andrea E. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4932170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49321702016-07-14 Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women Cassidy-Bushrow, Andrea E. Peters, Rosalind M. Burmeister, Charlotte Bielak, Lawrence F. Johnson, Dayna A. J Pregnancy Research Article 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. Hindawi Publishing Corporation 2016 2016-06-22 /pmc/articles/PMC4932170/ /pubmed/27418977 http://dx.doi.org/10.1155/2016/4769121 Text en Copyright © 2016 Andrea E. Cassidy-Bushrow et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Cassidy-Bushrow, Andrea E. Peters, Rosalind M. Burmeister, Charlotte Bielak, Lawrence F. Johnson, Dayna A. Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title | Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title_full | Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title_fullStr | Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title_full_unstemmed | Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title_short | Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women |
title_sort | neighborhood-level poverty at menarche and prepregnancy obesity in african-american women |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932170/ https://www.ncbi.nlm.nih.gov/pubmed/27418977 http://dx.doi.org/10.1155/2016/4769121 |
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