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Maternal weathering and risk of preterm delivery.

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Title: Maternal weathering and risk of preterm delivery.
Authors: Holzman C (AUTHOR), Eyster J (AUTHOR), Kleyn M (AUTHOR), Messer LC (AUTHOR), Kaufman JS (AUTHOR), Laraia BA (AUTHOR), O'Campo P (AUTHOR), Burke JG (AUTHOR), Culhane J (AUTHOR), Elo IT (AUTHOR)
Source: American Journal of Public Health. Oct2009, Vol. 99 Issue 10, p1864-1871. 8p.
Subjects: Maternal age, Risk factors in premature labor, Cigarette smokers, Black people, White people, Aging
Abstract: OBJECTIVES: We compared the association between advancing maternal age and risk of preterm delivery across 4 groups (Black smokers, Black nonsmokers, White smokers, White nonsmokers) and within the context of neighborhood deprivation levels. METHODS: We obtained data from linked census and birth records for singletons (n = 182 938) delivered by women aged 20 to 39 years in Philadelphia, Pennsylvania; Baltimore, Maryland; 16 Michigan cities; 3 Maryland counties; and 2 North Carolina counties. Results from area-specific multilevel logistic regression models were combined to obtain pooled estimates of relations between maternal age and risk of preterm delivery. We repeated the models after categorizing women by neighborhood deprivation level (low, medium, and high). RESULTS: Among multiparous women, there was a significant age-related increase in preterm delivery in 3 of the 4 groups. The adjusted odds ratio per 5-year age increase was 1.31 in Black smokers, 1.11 in Black nonsmokers, and 1.16 in White smokers. In each group, the odds ratio increased as neighborhood deprivation increased. CONCLUSIONS: These results support the 'weathering' hypothesis, suggesting that Black women, women with high-risk behaviors, and women living in high-deprivation neighborhoods may develop 'accelerated aging' that increases preterm delivery risk. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Maternal weathering and risk of preterm delivery.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Oct2009, Vol. 99 Issue 10, p1864-1871. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Maternal+age%22">Maternal age</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+factors+in+premature+labor%22">Risk factors in premature labor</searchLink><br /><searchLink fieldCode="DE" term="%22Cigarette+smokers%22">Cigarette smokers</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Aging%22">Aging</searchLink>
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  Data: OBJECTIVES: We compared the association between advancing maternal age and risk of preterm delivery across 4 groups (Black smokers, Black nonsmokers, White smokers, White nonsmokers) and within the context of neighborhood deprivation levels. METHODS: We obtained data from linked census and birth records for singletons (n = 182 938) delivered by women aged 20 to 39 years in Philadelphia, Pennsylvania; Baltimore, Maryland; 16 Michigan cities; 3 Maryland counties; and 2 North Carolina counties. Results from area-specific multilevel logistic regression models were combined to obtain pooled estimates of relations between maternal age and risk of preterm delivery. We repeated the models after categorizing women by neighborhood deprivation level (low, medium, and high). RESULTS: Among multiparous women, there was a significant age-related increase in preterm delivery in 3 of the 4 groups. The adjusted odds ratio per 5-year age increase was 1.31 in Black smokers, 1.11 in Black nonsmokers, and 1.16 in White smokers. In each group, the odds ratio increased as neighborhood deprivation increased. CONCLUSIONS: These results support the 'weathering' hypothesis, suggesting that Black women, women with high-risk behaviors, and women living in high-deprivation neighborhoods may develop 'accelerated aging' that increases preterm delivery risk. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.2008.151589
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      – SubjectFull: Cigarette smokers
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              Text: Oct2009
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