Residential mobility during pregnancy and birth outcomes in the United States: The environmental influences on Child Health Outcomes (ECHO) Cohort (2010-2019).
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D'Adamo Angela, Kress Amii M, Habre Rima, Towe-Goodman Nissa, Desjardins Michael R, Alshawabkeh Akram, Aris Izzuddin M, Camargo Carlos A, Carroll Kecia N, Cassidy-Bushrow Andrea E, Chu Su H, Civil Yolaine, Craft Alexandrea L, Croen Lisa A, Deoni Sean, Dsa Viren, Dunlop Anne L, Elliott Amy J, Ferrara Assiamira, Ganiban Jody M, Ghassabian Akhgar, Hartert Tina, Watts Delma-Jean, Karagas Margaret R, Karr Catherine J, Koinis-Mitchell Daphne, Kramer Michael, McEvoy Cindy T, Mirzakhani Hooman, O'Connor Thomas G, Perng Wei, Schmidt Rebecca J, Shah Uzma, Tung Irene, Wright Rosalind J, Knapp Emily A, ECHO Cohort Consortium
Аннотация
METHODS: We used data from the Environmental influences on Child Health Outcomes (ECHO) Cohort Study (2010-2019) with nSES data from the American Community Survey (ACS) matched by time and location to monthly residential histories. We used multivariable logistic models with Generalized Estimating Equations to identify factors associated with moving and quantify exposure misclassification in model estimates.
RESULTS: Approximately 7 % of 15,376 participants moved at least once during pregnancy. Maternal age (OR: 0.97, 95 % CI: 0.95, 0.98) and other race vs. White (OR: 0.39, 95 % CI: 0.20, 0.80) were associated with lower odds of moving; lower neighborhood-level education (OR: 1.34, 95 % CI: 1.11, 1.62) and living in urban neighborhoods (OR: 3.03, 95 % CI: 1.39, 6.59) were associated with higher odds. Among movers, estimates between nSES and birth outcomes changed ≥ 16 % by address assignment; birthweight-for-gestational-age z-score was significant only when using nSES at delivery.
CONCLUSION: Sociodemographic and nSES characteristics are associated with moving during pregnancy; movers may experience exposure misclassification and underestimated effects on birth outcomes.