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Socioeconomic movement between successive deliveries

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TitleInfo
Title
Socioeconomic movement between successive deliveries
SubTitle
impact on preterm delivery in a diverse racial and ethnic population
Name (type = personal)
NamePart (type = family)
David
NamePart (type = given)
Alice
NamePart (type = date)
1967-
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Alice David
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Rhoads
NamePart (type = given)
George G
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George G Rhoads
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Advisory Committee
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chair
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Echeverria
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Sandra E
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Sandra E Echeverria
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Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Henry
NamePart (type = given)
Kevin -
DisplayForm
Kevin - Henry
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Ananth
NamePart (type = given)
Cande V
DisplayForm
Cande V Ananth
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = personal)
NamePart (type = family)
Schisterman
NamePart (type = given)
Enrique F
DisplayForm
Enrique F Schisterman
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact)
2015
DateOther (qualifier = exact); (type = degree)
2015-01
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2015
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
BACKGROUND: Numerous studies have shown that women who live in more deprived neighborhoods are at higher risk of preterm delivery than those in wealthier neighborhoods, even after controlling for individual socioeconomic status. Since socioeconomic status and personal characteristics affect the choice of neighborhood of residence, these studies are likely to be confounded by unmeasured differences between the woman living in the better and worse neighborhoods. This dissertation has attempted to examine the effect of neighborhood socioeconomic status (NSES) using a better study design by following up women who moved between successive deliveries. METHODS: All newborns to the same mother in the Electronic Birth Certificate database were linked to create a longitudinal dataset. Neighborhood information was obtained from Census 2000 to calculate a neighborhood deprivation score. Quintiles of this score formed the socioeconomic neighborhood strata, the highest score being most deprived. Lowest three quintiles were combined to form one neighborhood stratum the other two quintile formed two more strata. Logistic regression was used to estimate the change in risk of preterm delivery associated with change in NSES for women who moved between successive pregnancies. Stratified Analysis by race/ethnicity was also done. RESULTS: Moving to a worse socioeconomic neighborhood increased the risk of preterm delivery but moving to a better neighborhood did not reduce the risk, when comparing women who moved to better or worse neighborhood to those who remained in the same neighborhood. On stratifying by race/ethnicity this was observed for Non-Hispanic (NH) Blacks only. However, when comparing a woman after she relocated to her outcome before relocating, the change of neighborhood made no difference. On stratifying by race/ ethnicity, NH Blacks alone had an increase in risk of preterm delivery for those who moved to a worse neighborhood. Similarly teenagers who moved to worse neighborhoods were also at increased risk of preterm delivery. CONCLUSION: Neighborhood effect on preterm delivery is very small in this cohort. Improvements in the externalities of neighborhood environments would be unlikely to have a short term effect on preterm birth rates. Nevertheless there is a suggestion in this data that at-risk women may do worse in deprived neighborhoods than they would do in more favorable circumstances.
Subject (authority = RUETD)
Topic
Public Health
Subject (authority = ETD-LCSH)
Topic
Premature infants
Subject (authority = ETD-LCSH)
Topic
Social status--Health aspects
Subject (authority = ETD-LCSH)
Topic
Neighborhoods--Health aspects
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_6174
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xi, 123 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Alice David
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T34B3305
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
David
GivenName
Alice
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-01-06 23:46:41
AssociatedEntity
Name
Alice David
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-01-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2017-01-30
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2017.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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RULTechMD (ID = TECHNICAL1)
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ETD
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windows xp
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