Do pregnant women living in higher well-being populations in the USA experience lower risk of preterm delivery? A cross-sectional study.

ABSTRACT:

Objective

To determine if preterm birth, defined as gestational age <37 weeks, is lower for women living in counties with higher well-being, after accounting for known individual risk factors.

Design

Cross-sectional study of all US births in 2011.

Participants

We obtained birth data from the National Center for Health Statistics which included 3 938 985 individuals.

Main outcomes measures

Primary outcome measure was maternal risk of preterm delivery by county; primary independent variable was county-level well-being as measured by the Gallup-Sharecare Well-Being Index (WBI).

Results

Women living in counties with higher population well-being had a lower rate of preterm delivery. The rate of preterm birth in counties in the lowest WBI quintile was 13.1%, w

SUBMITTER: Riley C 

PROVIDER: S-EPMC6501974 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature