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Objective To ascertain the relation of men’s lifelong class status (as measured by neighborhood income) to the rates of early (< 34 weeks) and late (34–36 weeks) preterm birth (PTB). Methods Stratified and multilevel, multivariable binomial regression analyses were computed on the Illinois transgenera- tional birth-file of infants (born 1989–1991) and their parents (born 1956–1976) with appended U.S. census income infor - mation. The median family income of men’s census tract residence at two-time periods were utilized to assess lifelong class status (defined by residence in either the lower or upper half of neighborhood income distribution). Results In Cook County Illinois, the preterm rate for births (n = 8115) to men with a lifelong lower class status was twice that of births (n = 10,330) to men with a lifelong upper class status: 13% versus 6.0%, RR = 2.2 (2.0, 2.4). This differential was greatest in early PTB rates: 3.9% versus 1.4%, RR = 3.0 (2.5, 3.7). The relation of men’s lifelong class status to both PTB components persisted among non-teens, married, college-educated, and non-Latina White women, respectively. The adjusted (controlling for maternal demographic characteristics) RR of early and late PTB for men with a lifelong lower (versus upper) class status
Maternal and Child Health Journal – Springer Journals
Published: Oct 16, 2019
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