American Journal of Obstetrics and Gynecology
Neighborhood context and reproductive health
Section snippets
Neighborhood context
It has been suggested that the identification of plausible mechanisms through which neighborhood context influences health outcomes is perhaps the most pressing issue in the advancement of our understanding of how residential context translates into either good or bad health.11 In the Figure, drawing on previous studies, we outline a conceptual framework that links neighborhood context to adverse reproductive events highlighting important intervening variables along this pathway.10, 11, 12, 13,
Comment
The notion that community-level conditions can produce profound effects on host susceptibility to disease derives in part from the long-standing existence of strong social class and race/ethnic gradients in health and death and the inability of individual-level characteristics to account for such gradients.75 The emphasis on community context has a long history in public health. Initially, the field of public health was dominated by concerns with neighborhood variation in health outcomes and
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Supported by grants HD36462 from the National Institute of Child Health and Human Development, and TS-626 from the Centers of Disease Control and Prevention.