期刊
PAEDIATRIC AND PERINATAL EPIDEMIOLOGY
卷 24, 期 3, 页码 249-254出版社
WILEY
DOI: 10.1111/j.1365-3016.2010.01107.x
关键词
gestational diabetes; maternal obesity; healthy food outlets
资金
- CDC Grant for Public Health Research Dissertation
- National Center for Chronic Disease Prevention and Health Promotion [1R36DP001163-01]
The association between neighbourhood characteristics and gestational diabetes has not been examined previously. We investigated the relationship between the number of healthy food outlets ( supermarkets; fruit/vegetable and natural food stores), and unhealthy food outlets ( fast food; pizza; bodegas; bakeries; convenience, candy/nut and meat stores) in census tract of residence, and gestational diabetes in New York City. Gestational diabetes, census tract and individual-level covariates were ascertained from linked birth-hospital data for 210 926 singleton births from 2001 to 2002 and linked to commercial data on retail food outlets. Adjusted odds ratios (aOR) were estimated using a multilevel logistic model. No association between food environment measures and gestational diabetes was found, with aORs ranging from 0.95 to 1.04. However, an increased odds of pre-pregnancy weight >200 lbs for women living in a given neighbourhood with no healthy food outlets [aOR = 1.14, 95% CI 1.07, 1.21] or only one healthy food place [aOR = 1.10, 95% CI 1.04, 1.18] relative to two or more healthy food outlets was found. Due to probable misclassi. cation of neighbourhood food environment and pre-pregnancy obesity results are likely to be biased towards the null. Future research, including validity studies, on the neighbourhood
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