title: Neighborhood factors associated with physical activity and adequacy of weight gain during pregnancy.
abstract: Healthy diet, physical activity, smoking, and adequate weight gain are all associated with maternal health and fetal growth during pregnancy. Neighborhood characteristics have been associated with poor maternal and child health outcomes, yet conceptualization of potential mechanisms are still needed. Unique information captured by neighborhood inventories, mostly conducted in northern US and Canadian urban areas, has been shown to reveal important aspects of the community environment that are not captured by the demographic quantities in census data. This study used data from the Pregnancy, Nutrition, and Infection (PIN) prospective cohort study to estimate the influences of individual-level and neighborhood-level characteristics on health behaviors and adequacy of weight gain during pregnancy. Women who participated in the PIN study and who resided in Raleigh, North Carolina and its surrounding suburbs were included (n = 703). Results from a neighborhood data collection inventory identified three social constructs, physical incivilities, territoriality, and social spaces, which were hypothesized to influence maternal health behaviors. The physical incivility scale was associated with decreased odds (adjusted OR = 0.74, 95%CI = 0.57, 0.98) in participating in vigorous leisure activity before pregnancy after controlling for several individual confounders, and a crude association for decreased odds of excessive weight gain (OR = 0.79, 95%CI = 0.64, 0.98). The social spaces scale was associated with decreased odds for inadequate (adjusted OR = 0.74, 95%CI = 0.56, 0.98) and excessive (adjusted OR = 0.69, 95%CI = 0.54, 0.98) gestational weight gain. The social spaces scale was also associated with decreased odds of living greater than 3 miles from a supermarket (adjusted OR = 0.03, 95%CI = 0.00, 0.27). Territoriality was not associated with any pregnancy-related health behavior. None of the neighborhood constructs were associated with smoking or diet quality. Physical incivilities and social spaces neighborhood characteristics may be important to measure to improve our understanding of the potential mechanisms through which neighborhood environments influence health.
authors: Division of Prevention Sciences, Univeristy of California, San Francisco Center for Health and Community, Campus Box # 0844, 3333 California Street, Suite 465, San Francisco, CA 94118, USA. laraiab@chc.ucsf.edu
authors: Barbara
authors: B
authors: Laraia
authors: Lynne
authors: L
authors: Messer
authors: Kelly
authors: K
authors: Evenson
authors: Jay S
authors: JS
authors: Kaufman
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D004032:Diet; D004779:Environment Design; D015444:Exercise / Q000502:physiology*; D005260:Female; D047109:Fetal Development / Q000502:physiology; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D008429:Maternal Welfare; D009043:Motor Activity / Q000502:physiology*; D009657:North Carolina; D016017:Odds Ratio; D011247:Pregnancy; D011446:Prospective Studies; D012111:Residence Characteristics / Q000145:classification*; D015430:Weight Gain / Q000502:physiology*
references: Health Place. 2001 Sep;7(3):225-36
references: 11439257
references: Soc Sci Med. 2000 Jul;51(2):265-74
references: 10832573
references: Am J Obstet Gynecol. 2001 Oct;185(4):845-9
references: 11641663
references: Ann Epidemiol. 2002 Aug;12(6):410-8
references: 12160600
references: Am J Prev Med. 2002 Oct;23(3):187-94
references: 12350451
references: Am J Epidemiol. 2003 Jan 1;157(1):14-24
references: 12505886
references: Obstet Gynecol. 2003 Jan;101(1):140-7
references: 12517659
references: Int J Obes Relat Metab Disord. 2003 Jan;27(1):117-27
references: 12532163
references: Public Health Nutr. 2002 Dec;5(6):801-9
references: 12570888
references: J Epidemiol Community Health. 2003 Mar;57(3):186-99
references: 12594195
references: Pediatrics. 2003 May;111(5 Pt 2):1176-80
references: 12728134
references: Hypertension. 2003 Jun;41(6):1273-80
references: 12719446
references: J Epidemiol Community Health. 2003 Aug;57(8):606-11
references: 12883067
references: J Matern Fetal Neonatal Med. 2003 Jun;13(6):385-93
references: 12962263
references: Perspect Biol Med. 2003 Summer;46(3 Suppl):S53-64
references: 14563074
references: Ann Behav Med. 2004 Feb;27(1):60-7
references: 14979864
references: Am J Epidemiol. 2004 Apr 1;159(7):663-70
references: 15033644
references: Am J Public Health. 2004 Aug;94(8):1358-65
references: 15284044
references: Am J Epidemiol. 2004 Oct 15;160(8):758-65
references: 15466498
references: J Urban Health. 2004 Dec;81(4):671-81
references: 15466848
references: Prev Med. 2004 Nov;39(5):869-75
references: 15475018
references: JAMA. 1989 Jan 6;261(1):70-4
references: 2908998
references: J Am Diet Assoc. 1992 Jan;92(1):85-7
references: 1728630
references: Med Sci Sports Exerc. 1995 Feb;27(2):170-7
references: 7723638
references: Am J Public Health. 1997 Dec;87(12):1984-8
references: 9431288
references: Adv Data. 1997 Jul 25;(288):1-11
references: 10182807
references: Am J Public Health. 1998 Nov;88(11):1709-12
references: 9807543
references: Paediatr Perinat Epidemiol. 1999 Jan;13(1):114-25
references: 9987790
references: Prim Care. 1999 Sep;26(3):577-89
references: 10436288
references: Diabetes Res Clin Pract. 2004 Nov;66(2):203-15
references: 15533588
references: Paediatr Perinat Epidemiol. 2004 Nov;18(6):400-7
references: 15535815
references: Am J Prev Med. 2005 Feb;28(2 Suppl 2):105-16
references: 15694518
references: Am J Prev Med. 2005 Feb;28(2 Suppl 2):126-33
references: 15694520
references: Med Sci Sports Exerc. 2005 Oct;37(10):1748-53
references: 16260976
references: Am J Obstet Gynecol. 2005 Dec;193(6):1994-8
references: 16325602
references: Med Sci Sports Exerc. 2006 Jan;38(1):42-50
references: 16394952
references: Am J Public Health. 2006 Feb;96(2):325-31
references: 16380567
references: Am J Obstet Gynecol. 2000 Feb;182(2):465-72
references: 10694353
references: Public Health Nutr. 2007 Sep;10(9):920-6
references: 17381955
references: Biometrics. 2000 Jun;56(2):645-6
references: 10877330
references: Paediatr Perinat Epidemiol. 2000 Jul;14(3):211-8
references: 10949212
references: Med Sci Sports Exerc. 2000 Sep;32(9 Suppl):S498-504
references: 10993420
references: Am J Prev Med. 2006 Feb;30(2):144-52
references: 16459213
references: Am J Prev Med. 2006 Feb;30(2):153-159
references: 16459214
references: Arch Intern Med. 2006 Mar 13;166(5):543-8
references: 16534041
references: Int J Health Geogr. 2006;5:11
references: 16545132
references: Pediatr Int. 2006 Oct;48(5):470-8
references: 16970785
references: Lancet. 2006 Sep 30;368(9542):1164-70
references: 17011943
references: Tob Control. 2006 Dec;15(6):485-8
references: 17130379
references: Prev Med. 2007 Jan;44(1):59-63
references: 16959307
references: Am J Health Behav. 2007 Mar-Apr;31(2):215-22
references: 17269911
references: Obesity (Silver Spring). 2007 May;15(5):1311-8
references: 17495208
references: Natl Vital Stat Rep. 2001 Aug 28;49(7):1-14
references: 11561426