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- W2990153657 abstract "Introduction: Studies conducted in metropolitan areas suggest that exposure to neighborhood greenness is associated with increased birth weight, with stronger associations for those of lower socioeconomic status (SES). We evaluated associations of residential greenness and birth outcomes across a range of community types from rural to urban, while restricting analysis to appropriate analytic groups. Methods: We used neonate electronic health record data from 2006-2013 from the Geisinger Health System (GHS) in Pennsylvania. We assigned residential greenness based on mother's geocoded address using the normalized difference vegetation index from MODIS satellite imagery. Birth outcomes were birth weight, preterm birth, 5 minute Apgar score, and small-for-gestational-age. We evaluated associations between prenatal residential greenness (quartiles 2-4 vs. 1) and birth outcomes while accounting for clustering of babies within mothers and mothers within communities, while controlling for confounding variables. We stratified analyses by community type (i.e., city [urban], borough [small town], and township [suburban/rural]) because of poor overlap in the distributions of greenness. Analysis was restricted to families in the Q2-4 greenness groups who had similar probabilities of living in the Q1 greenness group and vice versa. Results: We identified 16,299 neonates born at GHS between 2006-2013; restricting to exchangeable groups left 10,573 mother/neonate pairs. In preliminary analysis, greenness was not associated with birth outcomes. Several other predictor variables were associated with birth outcomes (e.g., pre-pregnancy BMI, SES, and distance to nearest road). Results assessing the interaction between individual and community SES and greenness will be presented. Conclusions: Greenness may not have the same effect in urban and rural areas and future studies should be aware of the potential for non-comparable groups among those living in green vs. non-green areas." @default.
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- W2990153657 date "2015-08-20" @default.
- W2990153657 modified "2023-09-26" @default.
- W2990153657 title "Associations Of Greenness And Birth Outcomes In A Range Of Pennsylvania Communities" @default.
- W2990153657 doi "https://doi.org/10.1289/isee.2015.2015-1140" @default.
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