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Title: Economic Contraction and Maternal Health Behaviors During Pregnancy in a National Sample of U.S. Women
Resulting in 1 citation.
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Margerison-Zilko, Claire E. |
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Economic Contraction and Maternal Health Behaviors During Pregnancy in a National Sample of U.S. Women Annals of Epidemiology 24,6 (June 2014): 432-440. Also: http://www.sciencedirect.com/science/article/pii/S1047279714000763 Cohort(s): NLSY79 Publisher: Elsevier Keyword(s): Alcohol Use; Economic Changes/Recession; Pre/post Natal Behavior; Pregnancy and Pregnancy Outcomes; Smoking (see Cigarette Use); Unemployment Rate, Regional; Weight Purpose: The purpose of this study was to examine associations between maternal exposure to unexpected economic contraction and health behaviors during pregnancy, using methods to account for impacts of economic contraction on selection into pregnancy. Methods: Data on health behaviors among 7,074 pregnancies in the National Longitudinal Survey of Youth 1979 were linked to monthly unemployment rates in maternal state of residence. The study examined associations between exposure to unexpected economic contraction (higher than expected state-level unemployment) during each trimester of pregnancy and maternal smoking, alcohol use, and gestational weight gain using generalized linear models. Results: Economic contraction was not associated with maternal smoking or gestational weight gain. Associations between economic contraction and maternal alcohol use differed by maternal race/ethnicity and education. Among Black/non-Hispanic women, exposure to economic contraction during the first and second trimester of pregnancy were associated with a 42% (95% CI: 1.08, 1.85) and 33% (95% CI: 1.01, 1.74) increased risk of alcohol use, respectively. Conclusions: Findings suggest that exposure to extreme economic contraction during pregnancy may be associated with increased use of alcohol with differences by maternal race/ethnicity and educational attainment. Economic contraction was not associated with other maternal pregnancy behaviors. |
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Bibliography Citation
Margerison-Zilko, Claire E. "Economic Contraction and Maternal Health Behaviors During Pregnancy in a National Sample of U.S. Women." Annals of Epidemiology 24,6 (June 2014): 432-440.
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