Adverse birth outcomes have been linked to neighborhood level socioeconomic status. However, little work has examined the influence of social and economic change over time (i.e., gentrification) on health. This study aims to assess the association between gentrification and preterm birth (PTB) while examining the modifying effect of maternal race/ethnicity and educational attainment. New York City births, 2008–2010, (n = 126,165) were linked to a measure of gentrification at the community district level (n = 59). The gentrification measure was calculated using percent change in education level, poverty level, and median household income (MHI) between the 2005–2009 American Community Survey and the 1990 Census. PTB was defined as clinical gestational age less than 37 weeks. Generalized estimating equations were utilized to examine the association. Gentrification (i.e., increase in residents with a college education, increase in MHI, and decrease in residents living below the poverty line) was not associated with PTB. However, among Non-Hispanic Blacks, very high gentrification was adversely associated with PTB (AOR, 1.16; 95 % CI, 1.01–1.33) as compared to those who lived in a very low gentrified neighborhood. Among non-Hispanic Whites, living in a very high gentrified neighborhood was protective as compared to living in a very low gentrified neighborhood (AOR, 0.78; 95 % CI, 0.64–0.94). Although there is a need to develop a more nuanced measure of gentrification, these results indicate that changes in the economic character of a neighborhood may have a significant influence on birth outcomes.
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Anderson RT, Sorlie P, Backlund E, Johnson N, Kaplan GA. Mortality effects of community socioeconomic status. Epidemiology. 1997; 8(1): 42–47.
Bosma H, van de Mheen HD, Borsboom GJ, Mackenbach JP. Neighborhood socioeconomic status and all-cause mortality. Am J Epidemiol. 2001; 153(4): 363–371.
Diez-Roux AV, Nieto FJ, Muntaner C, et al. Neighborhood environments and coronary heart disease: a multilevel analysis. Am J Epidemiol. 1997; 146(1): 48–63.
Borrell LN, Diez Roux AV, Rose K, Catellier D, Clark BL. Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study. Int J Epidemiol. Apr 2004; 33(2): 398–407.
Collins JW Jr, David RJ. The differential effect of traditional risk factors on infant birthweight among blacks and whites in Chicago. Am J Public Health. Jun 1990; 80(6): 679–681.
O’Campo P, Burke JG, Culhane J, et al. Neighborhood deprivation and preterm birth among non-Hispanic Black and White women in eight geographic areas in the United States. Am J Epidemiol. 2008; 167(2): 155–163.
O’Campo P, Xue X, Wang MC, Caughy M. Neighborhood risk factors for low birthweight in Baltimore: a multilevel analysis. Am J Public Health. Jul 1997; 87(7): 1113–1118.
Pearl M, Braveman P, Abrams B. The relationship of neighborhood socioeconomic characteristics to birthweight among 5 ethnic groups in California. Am J Public Health. Nov 2001; 91(11): 1808–1814.
Huynh M, Parker JD, Harper S, Pamuk E, Schoendorf KC. Contextual effect of income inequality on birth outcomes. Int J Epidemiol. Aug 2005; 34(4): 888–895.
Kaufman JS, Dole N, Savitz DA, Herring AH. Modeling community-level effects on preterm birth. Ann Epidemiol. May 2003; 13(5): 377–384.
Masi CM, Hawkley LC, Piotrowski ZH, Pickett KE. Neighborhood economic disadvantage, violent crime, group density, and pregnancy outcomes in a diverse, urban population. Soc Sci Med. Dec 2007; 65(12): 2440–2457.
Messer LC, Kaufman JS, Dole N, Savitz DA, Laraia BA. Neighborhood crime, deprivation, and preterm birth. Ann Epidemiol. Jun 2006; 16(6): 455–462.
Kennedy M, Leonard P. Dealing with Neighborhood Change: A Primer on Gentrification and Policy Choices. New York: The Brookings Institution Center on Urban and Metropolitan Policy; 2001.
Fullilove MT, Wallace R. Serial forced displacement in American cities, 1916–2010. J Urban Health. Jun 2011; 88(3): 381–389.
Larson HG, Hansen AL. Gentrificaton—gentle or traumatic? Urban renewal policies and socioeconomic transformations in Copenhagen. Urban Stud. 2008; 45(12): 20.
Marcuse P. Gentrification, abandonment, and displacement: connections, causes, and policy responses in New York City. J Urban Contemp Law. 1985; 28: 195–240.
Wilson S, Hutson M, Mujahid M. How planning and zoning contribute to inequitable development, neighborhood health, and environmental injustice. Environ Justice. 2008; 1(4): 6.
Pickett KE, Ahern JE, Selvin S, Abrams B. Neighborhood socioeconomic status, maternal race and preterm delivery: a case–control study. Ann Epidemiol. Aug 2002; 12(6): 410–418.
Robert SA, Reither EN. A multilevel analysis of race, community disadvantage, and body mass index among adults in the US. Soc Sci Med. Dec 2004; 59(12): 2421–2434.
Steptoe A, Feldman PJ. Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med. Summer 2001; 23(3): 177–185.
Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am J Obstet Gynecol. 2010; 202(1): 61 e61–67.
Rich-Edwards JW, Grizzard TA. Psychosocial stress and neuroendocrine mechanisms in preterm delivery. Am J Obstet Gynecol. May 2005; 192(5 Suppl): S30–35.
Planning NDo. Community District Profiles. Available at: http://www.nyc.gov/html/dcp/html/lucds/cdstart.shtml. Accessed July 10, 2013.
Unit MsCA. About Community Boards. Available at: http://www.nyc.gov/html/cau/html/cb/about.shtml#govt. Accessed July 10, 2013.
Census. American Community Survey: Comparing ACS Data. US Census Bureau. Available at: http://www.census.gov/acs/www/guidance_for_data_users/comparing_data/#. Accessed July 18, 2012, 2012.
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Huynh, M., Maroko, A.R. Gentrification and Preterm Birth in New York City, 2008–2010. J Urban Health 91, 211–220 (2014). https://doi.org/10.1007/s11524-013-9823-x
- Preterm birth
- Socio-economic status
- Urban renewal