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dc.contributor.authorSchölmerich, Vera L. N.en_US
dc.contributor.authorErdem, Özcanen_US
dc.contributor.authorBorsboom, Gerarden_US
dc.contributor.authorGhorashi, Hallehen_US
dc.contributor.authorGroenewegen, Peteren_US
dc.contributor.authorSteegers, Eric A. P.en_US
dc.contributor.authorKawachi, Ichiroen_US
dc.contributor.authorDenktaş, Semihaen_US
dc.date.accessioned2014-07-07T18:13:31Z
dc.date.issued2014en_US
dc.identifier.citationSchölmerich, Vera L. N., Özcan Erdem, Gerard Borsboom, Halleh Ghorashi, Peter Groenewegen, Eric A. P. Steegers, Ichiro Kawachi, and Semiha Denktaş. 2014. “The Association of Neighborhood Social Capital and Ethnic (Minority) Density with Pregnancy Outcomes in the Netherlands.” PLoS ONE 9 (5): e95873. doi:10.1371/journal.pone.0095873. http://dx.doi.org/10.1371/journal.pone.0095873.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:12406896
dc.description.abstractBackground: Perinatal morbidity rates are relatively high in the Netherlands, and significant inequalities in perinatal morbidity and mortality can be found across neighborhoods. In socioeconomically deprived areas, ‘Western’ women are particularly at risk for adverse birth outcomes. Almost all studies to date have explained the disparities in terms of individual determinants of birth outcomes. This study examines the influence of neighborhood contextual characteristics on birth weight (adjusted for gestational age) and preterm birth. We focused on the influence of neighborhood social capital – measured as informal socializing and social connections between neighbors – as well as ethnic (minority) density. Methods: Data on birth weight and prematurity were obtained from the Perinatal Registration Netherlands 2000–2008 dataset, containing 97% of all pregnancies. Neighborhood-level measurements were obtained from three different sources, comprising both survey and registration data. We included 3.422 neighborhoods and 1.527.565 pregnancies for the birth weight analysis and 1.549.285 pregnancies for the premature birth analysis. Linear and logistic multilevel regression was performed to assess the associations of individual and neighborhood level variables with birth weight and preterm birth. Results: We found modest but significant neighborhood effects on birth weight and preterm births. The effect of ethnic (minority) density was stronger than that of neighborhood social capital. Moreover, ethnic (minority) density was associated with higher birth weight for infants of non-Western ethnic minority women compared to Western women (15 grams; 95% CI: 12,4/17,5) as well as reduced risk for prematurity (OR 0.97; CI 0,95/0,99). Conclusions: Our results indicate that neighborhood contexts are associated with birth weight and preterm birth in the Netherlands. Moreover, ethnic (minority) density seems to be a protective factor for non-Western ethnic minority women, but not for Western women. This helps explain the increased risk of Western women in deprived neighborhoods for adverse birth outcomes found in previous studies.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0095873en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4012999/pdf/en
dash.licenseLAAen_US
dc.subjectComputer and Information Sciencesen
dc.subjectNetwork Analysisen
dc.subjectSocial Networksen
dc.subjectMedicine and Health Sciencesen
dc.subjectEpidemiologyen
dc.subjectEpidemiological Methods and Statisticsen
dc.subjectSocial Epidemiologyen
dc.subjectHealth Careen
dc.subjectSocioeconomic Aspects of Healthen
dc.subjectPublic and Occupational Healthen
dc.subjectBehavioral and Social Aspects of Healthen
dc.subjectWomen's Healthen
dc.subjectMaternal Healthen
dc.subjectBirthen
dc.subjectLabor and Deliveryen
dc.subjectPreterm Laboren
dc.subjectPregnancyen
dc.subjectObstetrics and Gynecologyen
dc.subjectPeople and Placesen
dc.subjectDemographyen
dc.subjectPopulation Minoritiesen
dc.subjectPopulation Groupingsen
dc.subjectEthnicitiesen
dc.subjectSocial Sciencesen
dc.subjectEconomicsen
dc.subjectHuman Capitalen
dc.subjectSociologyen
dc.titleThe Association of Neighborhood Social Capital and Ethnic (Minority) Density with Pregnancy Outcomes in the Netherlandsen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dc.date.available2014-07-07T18:13:31Z
dc.identifier.doi10.1371/journal.pone.0095873*


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