Association between Native American-owned casinos and the prevalence of large-for-gestational-age births.

ABSTRACT:

Background

A small number of studies have used a natural experiment approach to examine the health impacts of increased economic resources stemming from Native American-owned casinos. We build on this work by examining whether casinos are associated with obesity-related health in utero.

Methods

We examined whether casino openings or expansion (as proxy for increased economic resources) are associated with a decreased likelihood of infants being born large-for-gestational-age (LGA), an important risk factor for childhood overweight/obesity. We used repeated cross-sectional data from California birth records (1987-2011) to assess the prevalence of LGA births among Native Americans (n = 21 011). Using zip code fixed-effect regression models, we compared how prevalence of LGA bi

SUBMITTER: Jones-Smith JC 

PROVIDER: S-EPMC5837659 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature