Is ethnic density associated with health in a context of social disadvantage? Findings from the Born in Bradford cohort.

Description

Yes / Objectives
In this study we aimed to test the associations between area-level ethnic density and health for Pakistani and White British residents of Bradford, England.
Design
The sample consisted of 8610 mothers and infant taking part in the Born in Bradford cohort. Ethnic density was measured as the percentage of Pakistani, White British or South Asian residents living in a Lower Super Output Area. Health outcomes included birth weight, preterm birth and smoking during pregnancy. Associations between ethnic density and health were tested in multilevel regression models, adjusted for individual covariates and area deprivation.
Results
In the Pakistani sample, higher ethnic density was associated with lower birth weight (b -0.82, 95% CI -1.63; -0.02), and higher South Asian density was associated with a lower probability of smoking during pregnancy (OR 0.99, 95% CI 0.98; 1.00). Pakistani women in areas with 50-70% South Asian residents were less likely to smoke than those living in areas with less than 10% South Asian residents (OR 0.39, 95% CI 0.16;0.97). In the White British sample, neither birth weight nor preterm birth was associated with ethnic density. The probability of smoking during pregnancy was lower in areas with 10-29.99% compared to < 10% South Asian density (OR 0.79, 95% CI 0.64; 0.98).
Conclusion
In this sample, ethnic density was associated with lower odds of smoking during pregnancy but not with higher birth weight or lower odds of preterm birth. Possibly, high levels of social disadvantage inhibit positive effects of ethnic density on health. / Hall Dorman studentship , also Wellcome and NIHR

Links & Downloads

1. Uphoff EP, Pickett KE, Crouch S, Small NA and Wright J (2016) Is ethnic density associated with health in a context of social disadvantage? Findings from the Born in Bradford cohort. Ethnicity and Health. 21(2): 196-213.
2. http://hdl.handle.net/10454/10076
3. https://doi.org/10.1080/13557858.2015.1047742

Tags

Ethnic density

Birth weight

Pre-term birth

Smoking

Multilevel

England

Pakistani

Deprivation

Additional Fields

Identifer	oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/10076
Date	14 July 2015
Creators	Uphoff, E.P., Pickett, K.E., Crouch, S., Small, Neil A., Wright, J.
Source Sets	Bradford Scholars
Language	English
Detected Language	English
Type	Article, Accepted manuscript
Rights	© 2016 Taylor and Francis. This is an Author's Original Manuscript of an article published by Taylor & Francis in Ethnicity and Health in 2016 available online at http://dx.doi.org/10.1080/13557858.2015.1047742.