干旱区生态环境知识资源中心(Arid): Association of Living in a Food Desert With Pregnancy Morbidity

Arid

DOI	10.1097/A0G.0000000000003868
	Association of Living in a Food Desert With Pregnancy Morbidity
	Tipton, Matthew J.; Wagner, Sarah A.; Dixon, Alison; Westbay, Lauren; Darji, Himani; Graziano, Scott
通讯作者	Tipton, MJ (corresponding author), Loyola Univ Med Ctr, Dept Obstet & Gynecol, Chicago, IL 60660 USA.
来源期刊	OBSTETRICS AND GYNECOLOGY
ISSN	0029-7844
出版年	2020
卷号	136 期号:1 页码:140-145
英文摘要	OBJECTIVE: To evaluate whether women living in areas deemed food deserts had higher rates of pregnancy morbidity, specifically preeclampsia, gestational hypertension, gestational diabetes, prelabor rupture of membranes, preterm labor, than women who did not live in food deserts at the time of their pregnancy and delivery. METHODS: This was a retrospective observational study in which we reviewed electronic medical records of all patients who delivered at Loyola University Medical Center in Maywood, Illinois in 2014. The Economic Research Service of the U.S. Department of Agriculture publishes theFood Access Research Atlas, which presents a spatial overview of food access indicators for low-income and other Census tracts using different measures of supermarket accessibility. A spatial join between theFood Access Research Atlasand patient coordinates was performed to identify patient point locations and determine whether each patient was located within or outside of a food desert. RESULTS: Data for 1,003 deliveries at Loyola University Medical Center in 2014 were provided by the Loyola University Chicago Clinical Research Database. Two deliveries were excluded owing to inability to map address coordinates; thus 1,001 deliveries were analyzed. Of the 1,001 patients, 195 (19.5%) women were designated to food deserts. Multivariable analysis was done by adjusting for age, race, and medical insurance class. Having at least one morbid condition was the only variable that demonstrated a significant association with the food desert in multivariable analyses (47.2% vs 35.6%) (odds ratio [OR] 1.62, 95% CI 1.18-2.22) (adjusted OR 1.64, 95% CI 1.18-2.29). CONCLUSION: The odds of having at least one of the studied morbid conditions in pregnancy were greater for patients living in a food desert. As there is an association of morbidity in pregnancy with living in a food desert, intervention trials to improve the built food environment or mitigate the effect otherwise are needed.
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000546345400024
WOS关键词	AVAILABILITY ; DISEASE ; STORES ; RACE
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/349089
作者单位	Loyola Univ Med Ctr, Chicago, IL USA; Loyola Univ, Clin Res Off, Chicago, IL 60611 USA
推荐引用方式 GB/T 7714	Tipton, Matthew J.,Wagner, Sarah A.,Dixon, Alison,et al. Association of Living in a Food Desert With Pregnancy Morbidity[J],2020,136(1):140-145.
APA	Tipton, Matthew J.,Wagner, Sarah A.,Dixon, Alison,Westbay, Lauren,Darji, Himani,&Graziano, Scott.(2020).Association of Living in a Food Desert With Pregnancy Morbidity.OBSTETRICS AND GYNECOLOGY,136(1),140-145.
MLA	Tipton, Matthew J.,et al."Association of Living in a Food Desert With Pregnancy Morbidity".OBSTETRICS AND GYNECOLOGY 136.1(2020):140-145.