Tukuru, Sade
(2024)
Exploring the Cross-Sectional Association Between Metropolitan Residence and Preterm Birth in Black Individuals Using the National Survey of Family Growth.
Master Essay, University of Pittsburgh.
Abstract
Preterm birth is one of perinatal health’s most significant, intractable problems. It is associated with morbidity for both the newborn and the birthing person throughout the life course. Compounding the issue of preterm birth are the large health disparities between racial groups in the United States, with Black women experiencing preterm birth at higher rates than their White counterparts. Recent research has suggested the role of environmental factors in preterm birth risk, but there is no consistent evidence for the role of urbanicity or rurality in preterm birth. Thus, the main objective of this analysis was to describe and compare the prevalence of Black preterm births by metropolitan status using the National Survey of Family Growth (NSFG) 2017-2019. We also explored whether maternal age, education level, poverty status, health insurance coverage, or marital status explain an association between metropolitan status and preterm birth. The data were analyzed using bivariate analysis and logistic regression, including adding covariates to the model to assess their impact. There were no statistically significant associations between metropolitan status and preterm birth in the unadjusted (OR: 1.02; CI: 0.56-1.87) or fully adjusted (OR: 0.97; CI: 0.54-1.73) models. The role of urbanicity in preterm birth risk among Black women needs to be explored further by incorporating covariates that measure structural risk factors such as discrimination and reproductive health policy landscape, as well as doing more within-group analysis to understand better and ameliorate this significant public health problem.
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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
|
| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Member | Hill, Ashley | avh16@pitt.edu | avh16 | UNSPECIFIED | | Committee Member | Hawkins, Marquis | mah400@pitt.edu | mah400 | UNSPECIFIED | | Committee Member | Elias, Thistle | elias@pitt.edu | elias | UNSPECIFIED |
|
| Date: |
21 May 2024 |
| Date Type: |
Completion |
| Submission Date: |
25 April 2024 |
| Access Restriction: |
2 year -- Restrict access to University of Pittsburgh for a period of 2 years. |
| Number of Pages: |
34 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Epidemiology |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
preterm, metropolitan, rural, equity |
| Date Deposited: |
21 May 2024 14:09 |
| Last Modified: |
21 May 2024 14:09 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/46317 |
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