Maternal Incarceration During Pregnancy and Infant Birthweight.

The primary aim of this study was to examine whether incarceration during pregnancy is associated with infant birthweight. Our second objective was to illustrate the sensitivity of the relationship between infant birthweight and exposure to prison during pregnancy to the method used to measure and m...

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Published in:Maternal & Child Health Journal Vol. 15; no. 4; pp. 478 - 487
Main Authors: Howard, David, Strobino, Donna, Sherman, Susan, Crum, Rosa
Format: research tables/charts Journal Article
Published: Springer Nature May2011
Online Access:View this record in EBSCOhost
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      dt: May2011
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      pub: Springer Nature
      place: New York, New York
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        atl: Maternal Incarceration During Pregnancy and Infant Birthweight.
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          Howard, David
          Strobino, Donna
          Sherman, Susan
          Crum, Rosa
        affil: Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore USA
      sug:
        subj:
          Prisoners In Pregnancy
          Birth Weight
          Human
          Pregnancy
          Female
          Adult
          Medical Records
          Record Review
          Time Factors
          Cross Sectional Studies
          Infant, Newborn
          Texas
          Correctional Facilities
          Interviews
          Multicenter Studies
          Physical Examination
          Nonprobability Sample
          Ultrasonography
          Analysis of Variance
          Descriptive Statistics
          Linear Regression
          Demography
          Confidence Intervals
          Gestational Age
          Adult: 19-44 years
          Infant, Newborn: birth-1 month
          Female
      ab: The primary aim of this study was to examine whether incarceration during pregnancy is associated with infant birthweight. Our second objective was to illustrate the sensitivity of the relationship between infant birthweight and exposure to prison during pregnancy to the method used to measure and model this exposure. The data consisted of delivery records of 360 infants born between January 1, 2002 and December 31, 2004 to pregnant women incarcerated in Texas state prisons. Weighted linear regression, adjusting for potential confounders, was used to model infant birth weight as a function of: (1) the number of weeks of pregnancy spent incarcerated (Method A) and (2) the gestational age at admission to prison (Method B), respectively. These two exposure measures were modeled as continuous variables with and without linear spline transformation. The association between incarceration during pregnancy and infant birthweight appears strongest among infants born to women incarcerated during the first trimester and very weak to non-existent among infants born to women incarcerated after the first trimester. With Method A, but not Method B, linear spline transformation had a distinct effect on the shape of the relationship between exposure and outcome. The association between exposure to prison during pregnancy and infant birth weight appears to be positive only among women incarcerated during the first trimester of pregnancy and the relation is sensitive to the method used to measure and model exposure to prison during pregnancy.
      pubtype: Academic Journal
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    language: English
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