The relationship of neighborhood socioeconomic characteristics to birthweight among 5 ethnic groups in California.
OBJECTIVE
This study sought to examine relationships between neighborhood socioeconomic characteristics and birthweight, accounting for individual socioeconomic characteristics, among 5 ethnic groups.


METHODS
Birth records were linked to census block-group data for 22 304 women delivering infants at 18 California hospitals during 1994-1995. Information on income and additional factors was obtained from a surveyed subset of 8457 women. Neighborhood levels of poverty, unemployment, and education were examined.


RESULTS
After adjustment for mothers' individual socioeconomic characteristics and other risk factors, less-favorable neighborhood socioeconomic characteristics were associated with lower birthweight among Blacks and Asians. No consistent relationship between neighborhood socioeconomic characteristics and birthweight was found among Whites, US-born Latinas, or foreign-born Latinas overall, but birthweight increased with less-favorable neighborhood socioeconomic characteristics among foreign-born Latinas in high-poverty or high-unemployment neighborhoods. These findings were not explained by measured behavioral or cultural factors.


CONCLUSIONS
In addition to individual socioeconomic characteristics, living in neighborhoods that are less socioeconomically advantaged may differentially influence birthweight, depending on women's ethnicity and nativity.
Pearl
M
M
Department of Family and Community Medicine, University of California, San Francisco, USA. mpearl@dhs.ca.gov
Braveman
P
P
Abrams
B
B
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D002140:California / Q000453:epidemiology; D019352:Censuses; D004812:Epidemiologic Methods; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D005843:Geography; D006305:Health Status Indicators; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D011204:Poverty Areas; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000208:ethnology*; D012111:Residence Characteristics / Q000145:classification*; D017062:Small-Area Analysis; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data