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The Use of Environmental Justice Screening Tool and Self-Reported Data to Inform Pregnancy and Birth Outcomes in a Population of Central Ohio Deliveries

Year: 2017
Type: article
Study design: Observational Study
Abstract: This dissertation examines the role of traffic-related air pollutants (TRAP) on the incidence of adverse maternal and birth outcomes in a population of Central Ohio women, and leverages electronic health records (EHR) and personal health records (PHR) as recruitment tools.Gestational diabetes mellitus (GDM), early births, and small births all represent public health concerns due to the direct morbidity of the conditions and the increased risk of morbidities later in life, especially obesity-related comorbidities.In addition to examination of the association between TRAP and these adverse conditions, this dissertation explores physical activity in pregnancy and the role of the built environment in its promotion.Aim one of this dissertation was to determine if publicly available and self-reported data on proxies of exposure to TRAP are significant predictors of GDM risk in a population of women with no history of diabetes.Overall, there were no significant associations found between proxy measures of exposure and GDM.Similarly, no significant associations were found between many of the traditional risk factors for GDM, such as high pre-pregnancy BMI, advanced maternal age, or parity.Conception during cold months of the year (November -April) was associated with 3.54 times the odds of GDM compared to conception during warmer months (May -October).I want to express my heartfelt thanks to all of those who helped me along the way.Dr. Darryl Hood, thank you for being my advisor, for your support, for pushing me to be an independent researcher, and for giving me the opportunity to be a mentor to other students.Special thanks to Dr. Julie Bower
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W2895784134
FWCI:
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Cited by: 1
Related to: 10