Discriminatory Mass De-housing and Low-Weight Births: Scales of Geography, Time, and Level
Tóm tắt
Struening et al.1 demonstrated a widening disparity of low birthweight (LOB) rates among New York City health areas from 1980–1986, clearly a dynamic process. In contrast, the New York City Department of Health reported static citywide LOB rate in 1988–2008.2 Struening et al.1 is extended here at the health district level with mapping and regression analyses. Additionally, birthweight data are reported for babies born in 1998–2001 to a group of African-American and Dominican women in Upper Manhattan. The data reported in this paper indicate that both fetal programming of the mother herself (life course model) and stress during or shortly before pregnancy may play a role in LOB. Current stress may arise from past events. Intergenerational effects, thus, could arise from stresses on the grandmother and their residual impacts on the mother as well as new stresses on the mother as an adult. The average weight of babies born to the Upper Manhattan mothers who were born in 1970–1974 was 3,466 g, with 1.6% below 2,500 g; that of babies of mothers born in 1975–1979, 3,320 g, with 6% below 2,500 g. The latter group was born during the 1975–1979 housing destruction. Intergenerational impacts of that event may be reflected in this elevated rate of LOB. Health district maps of LOB incidence ranges show improvement from 1990–2000 and then deterioration in 2005 and 2008. Bivariate regressions of socioeconomic (SE) factors and LOB incidence showed many strong associations in 1990; but by 2000, the number and strength of these associations declined. In 1990, 2000, and 2008, black segregation was the SE factor most strongly associated with LOB. Black segregation and murder rate explained about 85% of the pattern of 1990 LOB. Regressing the 1970–1980 percent population change against the SE factors showed effects even in 2000. The 1990 murder rate and 1989 percentage of public assistance explained over half the 2008 LOB incidence pattern. The housing destruction of the 1970s continued to influence LOB incidence indirectly in 2008. The ability of community and individual to cope with current stressors may hinge on resilience status, which is shaped by past events and circumstances. The present interacts with the past in many ways. Serial displacement exemplifies this interaction of immense importance to public health.
Tài liệu tham khảo
Struening E, Wallace R, Moore R. Housing conditions and the quality of children at birth. Bull N Y Acad Med. 1990; 66(5): 463–478.
Statistical Analysis and Reporting Unit. Summary of Vital Statistics 2008. New York, NY: New York City Department of Health and Mental Hygiene Bureau of Vital Statistics; 2010: 53.
David R, Collins J. Differing birthweight among infants of US-born blacks, African-born blacks, and US-born whites. N Engl J Med. 1997; 337: 1209–1214.
Roberts E. Neighborhood social environments and the distribution of low birthweight in Chicago. Am J Public Health. 1997; 87: 597–603.
Texiera J, Fisk N, Glover V. Association between maternal anxiety in pregnancy and increased uterine artery resistance index: cohort based study. Br Med J. 1999; 318: 153–157.
Barker D, Osmond C, Kajantie E, Eriksson J. Growth and chronic disease: findings in the Helsinki Birth Cohort. Ann Hum Biol. 2009; 36: 445–458.
Raikkonen L, Pesonen A, Heinonen K, et al. Prenatal growth, postnatal growth, and trait anxiety in late adulthood—the Helsinki Birth Cohort Study. Acta Psychiatr Scand. 2010; 121: 227–235.
Sheriff M, Krebs C, Boonstra R. The ghosts of predators past: population cycles and the role of maternal programming under fluctuating predation risk. Ecology. 2010. doi:10.1890/09-1108.
Wallace D, Wallace R, Rauh V. Community stress, demoralization, and body mass index: evidence for social signal transduction. Soc Sci Med. 2003; 56: 2467–2478.
Geronimus A. Black/White differences in the relationship of maternal age to birthweight: a population-based test of the weathering hypothesis. Soc Sci Med. 1996; 42: 589–597.
Rauh V, Andrews H, Garfinkel R. The contribution of maternal age to racial disparities in birthweight: a multilevel perspective. Am J Public Health. 2001; 91: 1815–1824.
Healthy People 2010 objective for low-weight birth incidence: http://www.healthypeople/2010/document/html/objectives/16-10.htm
Love C, David R, Rankin K, Collins J. Exploring weathering: effects of lifelong economic environment and maternal age on low birth weight, small for gestational age, and preterm birth in African-American and white women. Am J Epidemiol. 2010; 172(2): 127–34.
Schempf A, Stobino D, O’Campo P. Neighborhood effects on birthweight: an exploration of psychosocial and behavioral pathways in Baltimore, 1995–1996. Soc Sci Med. 2009; 68: 100–110.
Nkansah-Amankra S, Luchok K, Hussey J, Watkins K, Xiaofeng L. Effects of maternal stress of low birth weight and preterm birth outcomes across neighborhoods of South Carolina. Matern Child Health J. 2010; 14: 215–226.
Grady S. Racial disparities in low birthweight and the contribution of residential segregation: a multilevel analysis. Soc Sci Med. 2006; 63: 3013–3029.
O’Campo P, Xue X, Wang M, Caughy M. Neighborhood risk factors for low birthweight in Baltimore a multilevel analysis. Am J Public Health. 1997; 87: 1113–1118.
Wallace D, Wallace R. Scales of geography, time, and population: the study of violence as a public health problem. Am J Public Health. 1998; 88: 1853–1858.
Holling C. Resilience and stability of ecological systems. Ann Rev Ecol Syst. 1973; 4: 1–23.
Granovetter M. The strength of weak ties. Am J Sociol. 1973; 78: 1360–1380.
Masten A, Obradovic J. Disaster preparation and recovery: lessons from research on resilience in human development. Ecology and Society. 2008; 13: article 9. http//www.Ecologyandsociety.org/vol13/iss1/art9.
Massey D, Denton N. American Apartheid: Segregation and the Making of the Underclass. Cambridge, MA: Harvard University Press; 1993.
Schwartz J. The New York Approach: Robert Moses, Urban Liberals, and Redevelopment of the Inner City. Columbus, OH: Ohio State University Press; 1993.
Wallace R. Urban desertification, public health and public order: planned shrinkage, violent death, substance abuse, and AIDS in the Bronx. Soc Sci Med. 1990; 31: 801–836.
Wallace R, Wallace D. Origins of public health collapse in New York City: the dynamics of planned shrinkage, contagious urban decay, and social disintegration. Bull N Y Acad Med. 1990; 66(5): 391–434.
Wallace D, Wallace R. A Plague on Your Houses: How New York City Was Burned Down and National Public Health Crumbled. London, England: Verso Press; 1998.
Sampson R, Raudenbush S, Earls F. Neighborhood and violent crime: a multilevel study of collective efficacy. Science. 1997; 277: 918–924.