{"id":2060,"date":"2021-06-03T10:33:51","date_gmt":"2021-06-03T14:33:51","guid":{"rendered":"https:\/\/sites.bu.edu\/presto\/?page_id=2060"},"modified":"2025-02-18T16:12:27","modified_gmt":"2025-02-18T21:12:27","slug":"social-determinants-of-health","status":"publish","type":"page","link":"https:\/\/sites.bu.edu\/presto\/publications\/social-determinants-of-health\/","title":{"rendered":"Social Determinants of Health"},"content":{"rendered":"

Publications under \u2018Social Determinants of Health\u2019 examine the associations of economic and social factors with fertility and reproductive outcomes.\u00a0<\/strong><\/p>\n

Schrager NL, Wesselink AK, Wang TR, Hatch EE, Rothman KJ, Mikkelsen EM, Boynton-Jarrett RD, Wise LA. Association of income and education with fecundability in a North American preconception cohort. Ann Epidemiol 2020; 50: 41-47.e1. <\/a><\/span><\/p>\n

Among North American pregnancy planners, annual household income was positively associated with fecundability up to about $100,000, at which point the effect plateaued. In addition, women with less than 17 years of education had slightly lower fecundability than women with 17 or more years of education. The associations of income and education with fecundability were stronger among women aged \u226530 years.<\/p>\n

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J\u00f8rgensen MD, Mikkelsen EM, Hatch EE, Rothman KJ, Wise LA, S\u00f8rensen HT, Laursen ASD. Socioeconomic status and fecundability in a Danish preconception cohort. Hum Reprod. 2023 Jun 1;38(6):1183-1193. doi: 10.1093\/humrep\/dead077. PMID: 37094974; PMCID: PMC10233268.<\/a><\/p>\n

In our “sister” Danish preconception cohort study 10,475 <\/span><\/span>females aged 18-49 years who were trying to conceive between 2007 and 2021, lower educational attainment and lower household income were also associated with lower fecundability after adjusting for potential confounders.\u00a0<\/span><\/span><\/p>\n<\/div>\n

Willis MD, Orta OR, Ncube C, Wesselink AK, \u00d0o\u00e0n LN, Kirwa K, Boynton-Jarrett R, Hatch EE, Wise LA. Association Between Neighborhood Disadvantage and Fertility Among Pregnancy Planners in the US. JAMA Netw Open. 2022 Jun 1;5(6):e2218738.<\/a><\/div>\n
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We assessed neighborhood<\/span><\/span> d<\/span><\/span>isadvantage using the Area Deprivation Index<\/span><\/span> (ADI), a combination of markers of<\/span><\/span> disadvantage such as housing conditions,<\/span><\/span> employment rates, income, and educational<\/span><\/span> attainment. We found that couples living in<\/span><\/span> neighborhoods with more disadvantage<\/span><\/span> (higher ADI scores) took longer to conceive<\/span><\/span> than those living in more advantaged <\/span><\/span>neighborhoods.<\/span><\/span><\/div>\n
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Willis MD, Wesselink AK, Hystad P, Pescador Jimenez M, Coleman CM, Kirwa K, Hatch EE, Wise LA. Associations between Residential Greenspace and Fecundability in a North American Preconception Cohort Study. Environ Health Perspect. 2023 Apr;131(4):47012.<\/a><\/div>\n
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We examined the influence <\/span><\/span>of green space in one\u2019s neighborhood on<\/span><\/span> fertility. There is evidence that greater<\/span><\/span> exposure to greenery<\/span><\/span> <\/span>may improve health by<\/span><\/span> facilitating physical activity, strengthening<\/span><\/span> social connections, and reducing stress.<\/span><\/span> <\/span>We<\/span><\/span> found that residential green space was<\/span><\/span> associated with greater fertility.\u00a0<\/span><\/span><\/div>\n
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Reimer, C. J., Willis, M. D., Wesselink, A. K., Hystad, P., Campbell, E. J., Hatch, E. E., Kirwa, K., Gradus, J. L., Vinceti, M., Wise, L. A., & Jimenez, M. P. (2024). Exposure to residential greenness, perceived stress, and depressive symptoms in a North American preconception cohort.\u00a0<\/span>Environmental research<\/i>,\u00a0<\/span>260<\/i>, 119438. https:\/\/doi.org\/10.1016\/j.envres.2024.119438<\/span><\/a><\/div>\n
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Higher greenness exposure was associated with reduced perceived stress and depressive symptoms among pregnancy planners. Associations between greenness and mental health were stronger among participants residing in low-income urban neighborhoods. Greenness may be an important structural determinant of mental and preconception health.<\/span><\/div>\n
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Lovett, S. M., Orta, O. R., Boynton-Jarrett, R., Wesselink, A. K., Ncube, C. N., Nillni, Y. I., Hatch, E. E., & Wise, L. A. (2024). Childhood adversity and time to pregnancy in a preconception cohort.\u00a0<\/span>American journal of epidemiology<\/i>,\u00a0<\/span>193<\/i>(11), 1553\u20131563. https:\/\/doi.org\/10.1093\/aje\/kwae085<\/span><\/a><\/div>\n
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This study indicates that childhood adversity is associated with reduced fecundability, especially among those with low childhood social support. Our results highlight the importance of continued efforts to prevent childhood adversity and their long-lasting health effects.<\/span><\/div>\n
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<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Publications under \u2018Social Determinants of Health\u2019 examine the associations of economic and social factors with fertility and reproductive outcomes.\u00a0 Schrager NL, Wesselink AK, Wang TR, Hatch EE, Rothman KJ, Mikkelsen EM, Boynton-Jarrett RD, Wise LA. Association of income and education with fecundability in a North American preconception cohort. Ann Epidemiol 2020; 50: 41-47.e1. Among North […]<\/p>\n","protected":false},"author":19308,"featured_media":0,"parent":158,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/pages\/2060"}],"collection":[{"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/users\/19308"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/comments?post=2060"}],"version-history":[{"count":22,"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/pages\/2060\/revisions"}],"predecessor-version":[{"id":2421,"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/pages\/2060\/revisions\/2421"}],"up":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/pages\/158"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/presto\/wp-json\/wp\/v2\/media?parent=2060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}