Maternal anemia associated with walkable distance to healthy food sources in Bronx, New York

Danielle M. Bottalico, Glen D. Johnson, Cynthia Chazotte, Chavi Eve Karkowsky

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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 0.25. miles 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.

Original languageEnglish (US)
Pages (from-to)19-25
Number of pages7
JournalSpatial and Spatio-temporal Epidemiology
Volume12
DOIs
StatePublished - Jan 1 2015

Fingerprint

anemia
Anemia
Mothers
food
pregnancy
Food
Geographic Mapping
health insurance
type of study
Pregnancy
Prenatal Care
socioeconomic status
Medicaid
Health Insurance
conditioning
Insurance
Social Class
insurance
social status
low income

Keywords

  • Anemia
  • Built environment
  • Maternal health
  • Street network analysis
  • Urban health
  • Walkable food access

ASJC Scopus subject areas

  • Epidemiology
  • Infectious Diseases
  • Health, Toxicology and Mutagenesis
  • Geography, Planning and Development

Cite this

Maternal anemia associated with walkable distance to healthy food sources in Bronx, New York. / Bottalico, Danielle M.; Johnson, Glen D.; Chazotte, Cynthia; Karkowsky, Chavi Eve.

In: Spatial and Spatio-temporal Epidemiology, Vol. 12, 01.01.2015, p. 19-25.

Research output: Contribution to journalArticle

Bottalico, Danielle M. ; Johnson, Glen D. ; Chazotte, Cynthia ; Karkowsky, Chavi Eve. / Maternal anemia associated with walkable distance to healthy food sources in Bronx, New York. In: Spatial and Spatio-temporal Epidemiology. 2015 ; Vol. 12. pp. 19-25.
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