Association of neighborhood-level socioeconomic disadvantage and Life's Essential 8 in early pregnancy
We examined whether neighborhood-level socioeconomic disadvantage per the Area Deprivation Index (ADI) was associated with maternal cardiovascular health (CVH) in early pregnancy per the American Heart Association Life's Essential 8 (LE8). This is a cross-sectional analysis from the prospective Nulliparous Pregnancy Outcomes Study-Monitoring Mothers-to-Be Heart Health Study (nuMoM2b-HHS) cohort. The exposure was the ADI in tertiles (T) from least (T1) to most (T3) socioeconomic disadvantage. The outcome was the LE8 as a continuous score ranging from worst (0) to best (100) composite CVH; and included physical activity, diet quality, tobacco use, sleep quantity, body mass index, blood pressure, glucose, and lipid levels. Among 4,508 nulliparous individuals at a mean maternal age of 27.0 years (SD: 5.6) and at a mean gestational age of 11.4 weeks (SD 1.6), the mean ADI was 48.0 (SD: 30.4) and the mean LE8 was 80.3 (SD: 12.5). Pregnant individuals living in neighborhoods with greater socioeconomic disadvantage had lower mean LE8 scores (i.e., worse CVH) compared with those living in neighborhoods with lesser disadvantage (T1 vs. T2 adjusted mean: 82.6 vs. 80.5; adj. ß:2.08; 95 % CI:3.51, -0.64; and T1 vs. T3 adjusted mean: 82.6 vs. 77.8; adj. ß:4.77; 95 % CI:8.16, -1.38). Neighborhood-level socioeconomic disadvantage was associated with worse maternal CVH in early pregnancy.
Authors
- Philip Greenland (ORCID: https://orcid.org/0000-0002-6327-2439)
- Lisa Danielle Levine (ORCID: https://orcid.org/0000-0002-6811-7980)
- Kartik K. Venkatesh (ORCID: https://orcid.org/0000-0002-8043-556X)
- Uma M. Reddy (ORCID: https://orcid.org/0000-0001-5519-1527)
- William A. Grobman (ORCID: https://orcid.org/0000-0002-3979-0738)
- Becky McNeil
- David M. Haas (ORCID: https://orcid.org/0000-0002-8379-0743)
- Robert M. Silver (ORCID: https://orcid.org/0000-0002-5794-3152)
- Judith H. Chung (ORCID: https://orcid.org/0000-0002-3256-1465)
- Hy Simhan
- Janet M. Catov (ORCID: https://orcid.org/0000-0002-9551-851X)
- Xiaoning Huang (ORCID: https://orcid.org/0000-0001-5813-5993)
- C. Noel Bairey Merz (ORCID: https://orcid.org/0000-0002-9933-5155)
- Sadiya S. Khan (ORCID: https://orcid.org/0000-0003-0643-1859)
- Lynn M. Yee (ORCID: https://orcid.org/0000-0002-6274-0544)
- George R. Saade
- B.M. Mercer
Institutions
- Northwestern University (US)
- Eastern Virginia Medical School (US)
- University of Pittsburgh (US)
- RTI International (US)
- University of California, Irvine (US)
- University of Utah (US)
- Cedars-Sinai Smidt Heart Institute (US)
- The Ohio State University (US)
- Indiana University – Purdue University Indianapolis (US)
- Case Western Reserve University (US)
- Columbia University (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- American Journal of Preventive Cardiology
- Published
- 2024-12-24
- DOI
- https://doi.org/10.1016/j.ajpc.2024.100925
- Primary Topic
- Cardiovascular Health and Risk Factors
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- NHLBI Division of Intramural Research