Maternal education and excessive gestational weight gain in New York city, 1999-2001: the effect of race/ethnicity and neighborhood socioeconomic status

Matern Child Health J. 2014 Jan;18(1):138-145. doi: 10.1007/s10995-013-1246-5.

Abstract

To examine the association between maternal education and excessive gestational weight gain (EGWG) and whether this association differs by maternal race/ethnicity and neighborhood socio-economic status (SES). A sample of 56,911 New York City births between 1999 and 2001 was used. Self-reported EGWG was defined as gaining >40 pounds. Maternal education and race/ethnicity were obtained from birth record data. Neighborhood SES was determined from 2000 US Census data. Women with a high school [prevalence ratio (PR) = 1.21; 95 % CI 1.10-1.32] and some college (PR = 1.33; 95 % CI 1.21-1.47) education were more likely to gain excessive weight during pregnancy than their counterparts with less than a high school education. Having a college or more education was associated with a decreased EGWG for non-Hispanic white women (PR = 0.81; 95 % CI 0.67-0.96) but an increased EGWG for Hispanic women (PR = 1.25; 95 % CI 1.12-1.44). EGWG increased for women with a college or more education in medium and low SES neighborhoods (1.26; 95 % CI 1.04-1.53 and 1.20; 95 % CI 1.10-1.30, respectively); whereas a college or more education was not significant in the high SES neighborhoods. Our findings suggest that maternal education is associated with EGWG. However, this association depends on race/ethnicity and SES of the neighborhood of residence.

MeSH terms

  • Adult
  • Birth Certificates
  • Black or African American / statistics & numerical data
  • Cross-Sectional Studies
  • Educational Status
  • Female
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Mothers / education*
  • Mothers / statistics & numerical data
  • New York City / epidemiology
  • Pregnancy
  • Residence Characteristics
  • Social Class*
  • Weight Gain / ethnology*
  • White People / statistics & numerical data
  • Young Adult