Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women
Cassidy-Bushrow, Andrea E.
Peters, Rosalind M.
Bielak, Lawrence F.
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CitationCassidy-Bushrow, Andrea E., Rosalind M. Peters, Charlotte Burmeister, Lawrence F. Bielak, and Dayna A. Johnson. 2016. “Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women.” Journal of Pregnancy 2016 (1): 4769121. doi:10.1155/2016/4769121. http://dx.doi.org/10.1155/2016/4769121.
AbstractIntroduction:. 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.
Citable link to this pagehttp://nrs.harvard.edu/urn-3:HUL.InstRepos:27822227
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