| Title: |
Birth outcomes in relation to neighborhood food access and individual food insecurity during pregnancy in the Environmental Influences on Child Health Outcomes (ECHO)-wide cohort study |
| Authors: |
Aris, Izzuddin M; Lin, Pi-I D; Wu, Allison J; Dabelea, Dana; Lester, Barry M; Wright, Rosalind J; Karagas, Margaret R; Kerver, Jean M; Dunlop, Anne L; Joseph, Christine LM; Camargo, Carlos A; Ganiban, Jody M; Schmidt, Rebecca J; Strakovsky, Rita S; McEvoy, Cindy T; Hipwell, Alison E; O’Shea, Thomas Michael; McCormack, Lacey A; Maldonado, Luis E; Niu, Zhongzheng; Ferrara, Assiamira; Zhu, Yeyi; Chehab, Rana F; Kinsey, Eliza W; Bush, Nicole R; Nguyen, Ruby HN; Carroll, Kecia N; Barrett, Emily S; Lyall, Kristen; Sims-Taylor, Lauren M; Trasande, Leonardo; Biagini, Jocelyn M; Breton, Carrie V; Patti, Marisa A; Coull, Brent; Amutah-Onukagha, Ndidiamaka; Hacker, Michele R; James-Todd, Tamarra; Oken, Emily; Outcomes, ECHO components—Coordinating Center program collaborators for Environmental Influences on Child Health; Smith, PB; Newby, LK; Center, Data Analysis; Jacobson, LP; Catellier, DJ; Fuselier, G; Core, Person-Reported Outcomes; Gershon, R; Cella, D; Awardees and Cohorts, ECHO; Teitelbaum, SL; Stroustrup, A; Merhar, S; Lampland, A; Reynolds, A; Hudak, M; Pryhuber, G; Moore, P; Washburn, L; Gatzke-Kopp, L; Swingler, M; Laham, FR; Mansbach, JM; Wu, S; Spergel, JM; Celedón, JC; Puls, HT; Teach, SJ; Porter, SC; Waynik, IY; Iyer, SS; Samuels-Kalow, ME; Thompson, AD; Stevenson, MD; Bauer, CS; Inhofe, NR; Boos, M; Macias, CG; Mitchell, D Koinis; Duarte, CS; Monk, C; Posner, J; Canino, G; Croen, L; Gern, J; Zoratti, E; Seroogy, C; Bendixsen, C; Jackson, D; Bacharier, L; O’Connor, G; Kattan, M; Wood, R; Rivera-Spoljaric, K; Hershey, G; Johnson, C; Bastain, T; Farzan, S |
| Source: |
American Journal of Clinical Nutrition, vol 119, iss 5 |
| Publisher Information: |
eScholarship, University of California |
| Publication Year: |
2024 |
| Collection: |
University of California: eScholarship |
| Subject Terms: |
32 Biomedical and Clinical Sciences (for-2020); 3210 Nutrition and Dietetics (for-2020); 3202 Clinical Sciences (for-2020); Conditions Affecting the Embryonic and Fetal Periods (rcdc); Social Determinants of Health (rcdc); Rural Health (rcdc); Pregnancy (rcdc); Basic Behavioral and Social Science (rcdc); Prevention (rcdc); Behavioral and Social Science (rcdc); Health Disparities (rcdc); Infant Mortality (rcdc); Clinical Research (rcdc); Perinatal Period - Conditions Originating in Perinatal Period (rcdc); Pediatric Research Initiative (rcdc); Health Disparities and Racial or Ethnic Minority Health Research (rcdc); Maternal Health (rcdc); Obesity (rcdc); Women's Health (rcdc); Nutrition (rcdc); Minority Health (rcdc); 3.1 Primary prevention interventions to modify behaviours or promote wellbeing (hrcs-rac); Reproductive health and childbirth (hrcs-hc); 2 Zero Hunger (sdg); Humans (mesh); Female (mesh); Pregnancy (mesh); Food Insecurity (mesh); Cohort Studies (mesh); Adult (mesh) |
| Time: |
1216 - 1226 |
| Description: |
BACKGROUND: Limited access to healthy foods, resulting from residence in neighborhoods with low-food access or from household food insecurity, is a public health concern. Contributions of these measures during pregnancy to birth outcomes remain understudied. OBJECTIVES: We examined associations between neighborhood food access and individual food insecurity during pregnancy with birth outcomes. METHODS: We used data from 53 cohorts participating in the nationwide Environmental Influences on Child Health Outcomes-Wide Cohort Study. Participant inclusion required a geocoded residential address or response to a food insecurity question during pregnancy and information on birth outcomes. Exposures include low-income-low-food-access (LILA, where the nearest supermarket is >0.5 miles for urban or >10 miles for rural areas) or low-income-low-vehicle-access (LILV, where few households have a vehicle and >0.5 miles from the nearest supermarket) neighborhoods andindividual food insecurity. Mixed-effects models estimated associations with birth outcomes, adjusting for socioeconomic and pregnancy characteristics. RESULTS: Among 22,206 pregnant participants (mean age 30.4 y) with neighborhood food access data, 24.1% resided in LILA neighborhoods and 13.6% in LILV neighborhoods. Of 1630 pregnant participants with individual-level food insecurity data (mean age 29.7 y), 8.0% experienced food insecurity. Residence in LILA (compared with non-LILA) neighborhoods was associated with lower birth weight [β -44.3 g; 95% confidence interval (CI): -62.9, -25.6], lower birth weight-for-gestational-age z-score (-0.09 SD units; -0.12, -0.05), higher odds of small-for-gestational-age [odds ratio (OR) 1.15; 95% CI: 1.00, 1.33], and lower odds of large-for-gestational-age (0.85; 95% CI: 0.77, 0.94). Similar findings were observed for residence in LILV neighborhoods. No associations of individual food insecurity with birth outcomes were observed. CONCLUSIONS: Residence in LILA or LILV neighborhoods during pregnancy is associated with ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
qt6w23q8p3; https://escholarship.org/uc/item/6w23q8p3; https://escholarship.org/content/qt6w23q8p3/qt6w23q8p3.pdf |
| DOI: |
10.1016/j.ajcnut.2024.02.022 |
| Availability: |
https://escholarship.org/uc/item/6w23q8p3; https://escholarship.org/content/qt6w23q8p3/qt6w23q8p3.pdf; https://doi.org/10.1016/j.ajcnut.2024.02.022 |
| Rights: |
public |
| Accession Number: |
edsbas.8EBCDD7D |
| Database: |
BASE |