The impact of place-based contextual social and environmental determinants on preterm birth: A systematic review of the empirical evidence

Health Place. 2023 Sep:83:103082. doi: 10.1016/j.healthplace.2023.103082. Epub 2023 Jul 18.

Abstract

The objective of this study was to systematically review the available empirical evidence examining associations between preterm birth (PTB) and five domains of place-based contextual social and environmental determinants, including (1) physical environment, (2) residential greenness, (3) neighborhood violence/crime, (4) food accessibility and availability, and (5) health services accessibility, among adult mothers in high-income countries. The evidence in this review suggests an adverse association between damaged physical environment, neighborhood violence/crime, lack of health services accessibility, and PTB. The existing evidence also suggests a beneficial effect of residential greenness on PTB. Further studies are needed to investigate these associations for more understanding of the direction and magnitude of these association and for potential heterogeneity by factors such as race/ethnicity, urban vs rural residence, immigration status, and social class.

Keywords: Food; Greenness; Health service; Neighborhood; Preterm birth; Violence/crime.

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Environment
  • Female
  • Humans
  • Income
  • Infant, Newborn
  • Mothers
  • Premature Birth*
  • Residence Characteristics