Spat Spatiotemporal Epidemiol - Maternal anemia associated with walkable distance to healthy food sources in Bronx, New York.

Tópicos

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Resumo

The relationship between walkable access to healthy food sources and risk of anemia in pregnancy was evaluated for a cohort of 4678 women who initiated prenatal care in the year 2010 at an academic medical center in Bronx, New York. After geocoding patient residences, street network distances were obtained for the closest healthy food sources, which were identified from multiple databases. For lower-income patients, as indicated by Medicaid or lack of health insurance, those who lived less than 0.25miles from a healthy food source were less likely to be anemic when compared to those who lived farther (adjusted OR=0.65, 95% CI 0.48, 0.88). Patients with commercial insurance showed no effect. These results help to understand how a nutritionally-mediated condition such as anemia during pregnancy can be affected by one's built environment, while also highlighting the importance of conditioning on socioeconomic status for these types of studies.

Resumo Limpo

relationship walkabl access healthi food sourc risk anemia pregnanc evalu cohort women initi prenat care year academ medic center bronx new york geocod patient resid street network distanc obtain closest healthi food sourc identifi multipl databas lowerincom patient indic medicaid lack health insur live less mile healthi food sourc less like anem compar live farther adjust ci patient commerci insur show effect result help understand nutritionallymedi condit anemia pregnanc can affect one built environ also highlight import condit socioeconom status type studi

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