Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany

Wandschneider L, Sauzet O, Breckenkamp J, Spallek J, Razum O (2020)
Frontiers in Public Health 8: 136.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
Introduction: The location of residence is a factor possibly contributing to social inequalities and emerging evidence indicates that it already affects perinatal development. The underlying pathways remain unknown; theory-based and hypothesis-driven analyses are lacking. To address these challenges, we aim to establish to what extent small-area characteristics contribute to low birth weight (LBW), independently of individual characteristics. First, we select small-area characteristics based on a conceptual model and measure them. Then, we empirically analyse the impact of these characteristics on LBW. Material and methods: Individual data were provided by the birth cohort study “Health of infants and children in Bielefeld/Germany.” The sample consists of 892 eligible women and their infants distributed over 80 statistical districts in Bielefeld. Small-area data were obtained from local noise maps, emission inventory, Google Street View and civil registries. A linear multilevel analysis with a two-level structure (individuals nested within statistical districts) was conducted. Results: The effects of the selected small-area characteristics on LBW are small to non-existent, no significant effects are detected. The differences in proportion of LBW based on marginal effects are small, ranging from zero to 1.1%. Newborns from less aesthetic and subjectively perceived unsafe neighbourhoods tend to have higher proportions of LBW. Discussion: We could not find evidence for negative effects of small-area factors on LBW, but our study confirms that obtaining adequate sample size, reliable measure of exposure and using available data for operationalisation of the small-area context represent the core challenges in this field of research. Introduction
Erscheinungsjahr
2020
Zeitschriftentitel
Frontiers in Public Health
Band
8
Art.-Nr.
136
eISSN
2296-2565
Page URI
https://pub.uni-bielefeld.de/record/2943398

Zitieren

Wandschneider L, Sauzet O, Breckenkamp J, Spallek J, Razum O. Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany. Frontiers in Public Health. 2020;8: 136.
Wandschneider, L., Sauzet, O., Breckenkamp, J., Spallek, J., & Razum, O. (2020). Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany. Frontiers in Public Health, 8, 136. doi:10.3389/fpubh.2020.00136
Wandschneider, L., Sauzet, O., Breckenkamp, J., Spallek, J., and Razum, O. (2020). Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany. Frontiers in Public Health 8:136.
Wandschneider, L., et al., 2020. Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany. Frontiers in Public Health, 8: 136.
L. Wandschneider, et al., “Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany”, Frontiers in Public Health, vol. 8, 2020, : 136.
Wandschneider, L., Sauzet, O., Breckenkamp, J., Spallek, J., Razum, O.: Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany. Frontiers in Public Health. 8, : 136 (2020).
Wandschneider, Lisa, Sauzet, Odile, Breckenkamp, Jürgen, Spallek, Jacob, and Razum, Oliver. “Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany”. Frontiers in Public Health 8 (2020): 136.
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