@article{33a301ad0d69449796a7848b44954571,
title = "Birth outcomes in relation to neighborhood food access and individual food insecurity during pregnancy in the Environmental Influences on Child Health Outcomes (ECHO)-wide cohort study",
abstract = "Background: Limited access to healthy foods, resulting from residence in neighborhoods with low-food access or from household food insecurity, is a public health concern. Contributions of these measures during pregnancy to birth outcomes remain understudied. Objectives: We examined associations between neighborhood food access and individual food insecurity during pregnancy with birth outcomes. Methods: We used data from 53 cohorts participating in the nationwide Environmental Influences on Child Health Outcomes-Wide Cohort Study. Participant inclusion required a geocoded residential address or response to a food insecurity question during pregnancy and information on birth outcomes. Exposures include low-income-low-food-access (LILA, where the nearest supermarket is >0.5 miles for urban or >10 miles for rural areas) or low-income-low-vehicle-access (LILV, where few households have a vehicle and >0.5 miles from the nearest supermarket) neighborhoods and individual food insecurity. Mixed-effects models estimated associations with birth outcomes, adjusting for socioeconomic and pregnancy characteristics. Results: Among 22,206 pregnant participants (mean age 30.4 y) with neighborhood food access data, 24.1% resided in LILA neighborhoods and 13.6% in LILV neighborhoods. Of 1630 pregnant participants with individual-level food insecurity data (mean age 29.7 y), 8.0% experienced food insecurity. Residence in LILA (compared with non-LILA) neighborhoods was associated with lower birth weight [β –44.3 g; 95% confidence interval (CI): –62.9, –25.6], lower birth weight-for-gestational-age z-score (–0.09 SD units; –0.12, –0.05), higher odds of small-for-gestational-age [odds ratio (OR) 1.15; 95% CI: 1.00, 1.33], and lower odds of large-for-gestational-age (0.85; 95% CI: 0.77, 0.94). Similar findings were observed for residence in LILV neighborhoods. No associations of individual food insecurity with birth outcomes were observed. Conclusions: Residence in LILA or LILV neighborhoods during pregnancy is associated with adverse birth outcomes. These findings highlight the need for future studies examining whether investing in neighborhood resources to improve food access during pregnancy would promote equitable birth outcomes.",
keywords = "birth weight, epidemiology, food insecurity, gestational age, health disparities, neighborhood food access",
author = "{program collaborators for Environmental Influences on Child Health Outcomes, ECHO components—Coordinating Center} and {Data Analysis Center} and {Person-Reported Outcomes Core} and {ECHO Awardees and Cohorts} and Aris, {Izzuddin M.} and Lin, {Pi I.D.} and Wu, {Allison J.} and Dana Dabelea and Lester, {Barry M.} and Wright, {Rosalind J.} and Karagas, {Margaret R.} and Kerver, {Jean M.} and Dunlop, {Anne L.} and Joseph, {Christine LM} and Camargo, {Carlos A.} and Ganiban, {Jody M.} and Schmidt, {Rebecca J.} and Strakovsky, {Rita S.} and McEvoy, {Cindy T.} and Hipwell, {Alison E.} and O'Shea, {Thomas Michael} and McCormack, {Lacey A.} and Maldonado, {Luis E.} and Zhongzheng Niu and Assiamira Ferrara and Yeyi Zhu and Chehab, {Rana F.} and Kinsey, {Eliza W.} and Bush, {Nicole R.} and Nguyen, {Ruby HN} and Carroll, {Kecia N.} and Barrett, {Emily S.} and Kristen Lyall and Sims-Taylor, {Lauren M.} and Leonardo Trasande and Biagini, {Jocelyn M.} and Breton, {Carrie V.} and Patti, {Marisa A.} and Brent Coull and Ndidiamaka Amutah-Onukagha and Hacker, {Michele R.} and Tamarra James-Todd and Emily Oken and Smith, {P. B.} and Newby, {L. K.} and Jacobson, {L. P.} and Catellier, {D. J.} and G. Fuselier and R. Gershon and D. Cella and Teitelbaum, {S. L.} and A. Stroustrup and S. Merhar and A. Lampland and A. Reynolds and M. Hudak and G. Pryhuber and P. Moore and L. Washburn and L. Gatzke-Kopp and M. Swingler and Laham, {F. R.} and Mansbach, {J. M.} and S. Wu and Spergel, {J. M.} and Celed{\'o}n, {J. C.} and Puls, {H. T.} and Teach, {S. J.} and Porter, {S. C.} and Waynik, {I. Y.} and Iyer, {S. S.} and Samuels-Kalow, {M. E.} and Thompson, {A. D.} and Stevenson, {M. D.} and Bauer, {C. S.} and Inhofe, {N. R.} and M. Boos and Macias, {C. G.} and {Koinis Mitchell}, D. and Duarte, {C. S.} and C. Monk and J. Posner and G. Canino and L. Croen and J. Gern and E. Zoratti and C. Seroogy and C. Bendixsen and D. Jackson and L. Bacharier and G. O'Connor and M. Kattan and R. Wood and K. Rivera-Spoljaric and G. Hershey and C. Johnson and T. Bastain and S. Farzan and R. Habre and I. Hertz-Picciotto and A. Hipwell and K. Keenan and C. Karr and F. Tylavsky and A. Mason and Q. Zhao and S. Sathyanarayana and N. Bush and LeWinn, {K. Z.} and B. Carter and S. Pastyrnak and C. Neal and L. Smith and J. Helderman and L. Leve and J. Neiderhiser and Weiss, {S. T.} and A. Litonjua and R. Zeiger and C. McEvoy and R. Tepper and K. Lyall and H. Volk and R. Landa and S. Ozonoff and R. Schmidt and S. Dager and R. Schultz and J. Piven and M. O'Shea and R. Vaidya and R. Obeid and C. Rollins and K. Bear and M. Lenski and R. Singh and M. Msall and J. Frazier and S. Gogcu and A. Montgomery and K. Kuban and L. Douglass and H. Jara and R. Joseph and Kerver, {J. M.} and C. Barone and C. Fussman and N. Paneth and M. Elliott and D. Ruden and J. Herbstman and S. Schantz and T. Woodruff and J. Stanford and C. Porucznik and A. Giardino and Wright, {R. J.} and M. Bosquet-Enlow and K. Huddleston and R. Nguyen and E. Barrett and S. Swan and R. Miller",
note = "Publisher Copyright: {\textcopyright} 2024 American Society for Nutrition",
year = "2024",
month = may,
doi = "10.1016/j.ajcnut.2024.02.022",
language = "English",
volume = "119",
pages = "1216--1226",
journal = "American Journal of Clinical Nutrition",
issn = "0002-9165",
number = "5",
}