Staff View
Intergenerational change in maternal education and risk of preterm birth and small-for-gestational age in white non-Hispanic, black non-Hispanic and Hispanic women in New Jersey

Descriptive

TitleInfo
Title
Intergenerational change in maternal education and risk of preterm birth and small-for-gestational age in white non-Hispanic, black non-Hispanic and Hispanic women in New Jersey
Name (type = personal)
NamePart (type = family)
Jain
NamePart (type = given)
Neetu Jitendra
NamePart (type = date)
1975-
DisplayForm
Neetu Jitendra Jain
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Rhoads
NamePart (type = given)
George G
DisplayForm
George G Rhoads
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Janevic
NamePart (type = given)
Teresa
DisplayForm
Teresa Janevic
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Strickland
NamePart (type = given)
Pamela Ohman
DisplayForm
Pamela Ohman Strickland
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Smulian
NamePart (type = given)
John C
DisplayForm
John C Smulian
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
School of Graduate Studies
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2018
DateOther (qualifier = exact); (type = degree)
2018-01
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2018
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Aims In this thesis we examine the effect of grandmother’s education on the risk of preterm birth (PTB) and small-for-gestational (SGA) in her grandchildren after accounting for mother’s education. Background Maternal lifelong socioeconomic status (SES) is believed to affect reproductive health. There are many studies that have shown strong association of mother’s current SES with adverse birth outcomes. However, few studies have investigated associations with mother’s childhood SES or grandparents’ education. In U.S. blacks, previous data suggest that improvement in SES from childhood to adulthood is associated with improved social and mental health outcomes, but perinatal outcomes have rarely been assessed. Methods We created a transgenerational dataset to examine the effect of grandmother’s education, a dimension of SES, on risk of PTB and SGA in grandchildren. Using Link King Software we matched female infants listed on NJ birth certificates in 1979-1983 to mothers listed on NJ birth certificates for the years 1999-2011. Thus grandmothers were the women delivering in 1979-1983, and mothers were those born to the grandmothers who in turn delivered grandchildren in 1999-2011. We performed descriptive tabulations and multivariate logistic regression to create risk estimates using Statistical Analysis System (SAS) software. Results In total we linked 107,347 grandmother and mother pairs. After exclusions (multiple births, gestational age of less than 20 weeks and greater than 47 weeks and other races) there were 99,463 pairs available for analysis. Overall, maternal education was associated inversely with PTB and SGA births in each of the largest demographic groups (non-Hispanic whites and blacks and Hispanics). There was a substantial inter-generational increase in education between grandmothers and mothers in each group, but it was most striking in Hispanics. SGA was more common in 1979-83 births than in 1999-2011. After adjusting for potential confounders, grandmother’s education was as strongly associated with PTB of grandchildren as was mother’s education. SGA in grandchildren was more common among low-education mothers, but grandmother’s education had little effect. Although the overall SGA rates were higher in blacks and Hispanics as compared to whites, the effect of lower maternal education on risk of SGA was strongest in whites, and after adjusting for confounders it lost significance in blacks and Hispanics especially in the 1999-2011 births. Father’s education was inversely related to PTB and SGA in all three ethnic groups and across both generations. Conclusions In summary, we found that maternal education was an important predictor of PTB and SGA both in 1979-82 and in 1999-2011. Grandmother’s education was as strong a predictor of PTB in grandchildren as mothers. However, grandmother’s education was not strongly related to SGA in the grandchildren. Our results suggest that mother’s childhood and preconception socioeconomic environment, including the educational level of her childhood household, are independent predictors for delivering preterm, but have less effect on intra-uterine growth.
Subject (authority = RUETD)
Topic
Public Health
Subject (authority = ETD-LCSH)
Topic
Pregnant women--New Jersey
Subject (authority = ETD-LCSH)
Topic
Prenatal care--New Jersey
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_8671
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (x, 95 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Neetu Jitendra Jain
RelatedItem (type = host)
TitleInfo
Title
School of Graduate Studies Electronic Theses and Dissertations
Identifier (type = local)
rucore10001600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3WS8XF4
Genre (authority = ExL-Esploro)
ETD doctoral
Back to the top

Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Jain
GivenName
Neetu
MiddleName
Jitendra
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2018-01-12 08:13:33
AssociatedEntity
Name
Neetu Jain
Role
Copyright holder
Affiliation
Rutgers University. School of Graduate Studies
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.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top

Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
CreatingApplication
Version
1.4
ApplicationName
GPL Ghostscript 9.0
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2018-01-12T12:58:55
DateCreated (point = start); (encoding = w3cdtf); (qualifier = exact)
2018-01-12T12:58:55
Back to the top
Version 8.5.3
Rutgers University Libraries - Copyright ©2024