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Associations between Historical Redlining and the Risk of Pregnancy Complications and Adverse Birth Outcomes in Massachusetts, 1995-2015.
Chan, Marissa; Parikh, Shivani; Willcocks, Emma; Lytel-Sternberg, Jennie; Castro, Edgar; Tabb, Loni Philip; Schwartz, Joel; James-Todd, Tamarra.
Afiliación
  • Chan M; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Parikh S; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Willcocks E; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Lytel-Sternberg J; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Castro E; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Tabb LP; Department of Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, Pennsylvania, USA.
  • Schwartz J; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
  • James-Todd T; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
J Womens Health (Larchmt) ; 2024 Jul 09.
Article en En | MEDLINE | ID: mdl-38980750
ABSTRACT

Objective:

To assess the impact of historical redlining on the risk of pregnancy complications and adverse birth outcomes in Massachusetts (MA) from 1995 to 2015.

Methods:

In total, 288,787 pregnant people from the MA Birth Registry had information on parental characteristics, pregnancy factors, and redlining data at parental residences at the time of delivery. Historic redlining data were based on MA Home Owners' Loan Corporation (HOLC) security maps, with grades assigned (A "best," B "still desirable," C "definitely declining," and D "hazardous"). We used covariate-adjusted binomial regression models to examine associations between HOLC grade and each chronic condition and pregnancy/birth outcome.

Results:

Living in HOLC grades B through D compared with A was associated with an increased risk of entering pregnancy with chronic conditions and adverse pregnancy/birth outcomes. The strongest associations were seen with pregestational diabetes (adjusted risk ratio [RR] Grade D 1.7, 95% confidence interval [CI] 1.3, 2.4) and chronic hypertension (adjusted RR Grade D 1.5, 95% CI 1.1, 1.9).

Conclusions:

Historical redlining policies from the 1930s were associated with adverse pregnancy outcomes and chronic conditions; associations were strongest for chronic conditions in pregnancy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos