- Urban Transport and Accessibility
- Health disparities and outcomes
- Preterm Birth and Chorioamnionitis
- Migration, Aging, and Tourism Studies
- Neonatal Respiratory Health Research
- Migration, Health and Trauma
- Maternal and Perinatal Health Interventions
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Maternal Mental Health During Pregnancy and Postpartum
- Global Maternal and Child Health
- Air Quality and Health Impacts
- Urban, Neighborhood, and Segregation Studies
- Health, psychology, and well-being
- Congenital Diaphragmatic Hernia Studies
- Global Health Workforce Issues
- Agriculture and Farm Safety
Children's Hospital of Philadelphia
2022-2024
University of Pennsylvania
2023-2024
Emory University
2023
Institute of Health Economics
2023
Children's Healthcare of Atlanta
2023
Importance Appreciation for the effects of neighborhood conditions and community factors on perinatal health is increasing. However, community-level indices specific to maternal associations with preterm birth (PTB) have not been assessed. Objective To examine association Maternal Vulnerability Index (MVI), a novel county-level index designed quantify vulnerability adverse outcomes, PTB. Design, Setting, Participants This retrospective cohort study used US Vital Statistics data from January...
Abstract Objectives To quantify the association of ambient air pollution (particulate matter, PM 2.5 ) exposure with medically attended acute respiratory illness among infants bronchopulmonary dysplasia (BPD). Study Design Single center, retrospective cohort study preterm BPD in Metropolitan Philadelphia. Multivariable logistic regression quantified associations annual mean (per μg/m 3 at census block group level illness, defined as emergency department (ED) visits or hospital readmissions...
Infant mortality (IM), or death prior to the first birthday, is a key public health metric that increases with neighborhood structural inequities. However, exposures shift as communities undergo gentrification, pattern of change defined by increasing affluence (in wealth, education, and housing costs). Gentrification has inconsistent associations infant outcomes like IM, which may be due differing relationships between its composite measures such outcomes. We designed retrospective cohort...
Abstract Preterm birth rates among Black individuals continue to be inequitably high in the USA. immigrants appear have a preterm advantage over US-born counterparts. This national cross-sectional study of singleton non-Hispanic USA from 2011 2018 aimed investigate if immigrant varied geographically and how this associated with county-level social drivers health. Generalized linear mixed models explored odds (< 37 weeks) by birthing person’s nativity, defined as US- versus foreign-born....
Infant mortality (IM), or death prior to the first birthday, is a key public health metric that increases with neighborhood structural inequities. However, exposures shift as communities undergo gentrification, pattern of change defined by increasing affluence (in wealth, education, and housing costs). Gentrification has inconsistent associations infant outcomes like IM, which may be due differing relationships between its composite measures such outcomes. We designed retrospective cohort...
(Abstracted from JAMA Network Open 2023;6(5):e2315306) In the United States, approximately 1 in 10 births are considered preterm, or born at <37 weeks of gestation. Historically, studies on preterm birth (PTB) have focused maternal characteristics. However, an appreciation for impact community factors, such as poverty, air pollution, and other measures neighborhood quality, PTB is growing.