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Unemployment during the Great Recession and Large-for-Gestational-Age births
BACKGROUND: Several studies have suggested that record high unemployment during the Great Recession was associated with deleterious changes in diet and weight-related health. However, studies have yet to explore whether the Great Recession was also associated with obesity-related health in utero. ME...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259553/ https://www.ncbi.nlm.nih.gov/pubmed/32469967 http://dx.doi.org/10.1371/journal.pone.0233734 |
Sumario: | BACKGROUND: Several studies have suggested that record high unemployment during the Great Recession was associated with deleterious changes in diet and weight-related health. However, studies have yet to explore whether the Great Recession was also associated with obesity-related health in utero. METHODS: We investigated whether increasing county-level unemployment was associated with large-for-gestational-age (LGA) births, using repeated cross-sectional data from California birth records between 2008 and 2011 (n = 1,715,052). LGA was defined as >90(th) percentile, using the Oken reference. We use the annual 1-year lagged value for county-level unemployment (2007–2010) and limit our analyses to singleton, term births. Linear probability models, with county and year fixed-effects were used to examine the unemployment-LGA association. All models control for county-level foreclosure rates, child gender, and maternal age, parity, education, and race/ethnicity. RESULTS: An increase in county-level unemployment was not statistically significantly associated with the prevalence of LGA (percentage point [PP]: 0.12; 95% CI: -0.02, 0.25). But, over the period of observation, for every one standard deviation increase in unemployment, LGA prevalence increased by 5% and p = 0.08. CONCLUSIONS: These results cautiously suggest some deleterious effects of the Great Recession on obesity-related health in utero. |
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