Spatial analysis of teen births near the New Bedford Harbor Superfund site

Few studies have examined teen births at an individual-level to identify sociodemographic and environmental risk factors that may contribute to geographically high-risk areas. Communities around the New Bedford Harbor (NBH) Superfund site in southeast Massachusetts are racially and socioeconomically...

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Main Authors: Nicole V DeVille, Carolina Villanueva, Susan A Korrick, Verónica M Vieira
Format: Article
Language:English
Published: IOP Publishing 2025-01-01
Series:Environmental Research: Health
Subjects:
Online Access:https://doi.org/10.1088/2752-5309/ada84c
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author Nicole V DeVille
Carolina Villanueva
Susan A Korrick
Verónica M Vieira
author_facet Nicole V DeVille
Carolina Villanueva
Susan A Korrick
Verónica M Vieira
author_sort Nicole V DeVille
collection DOAJ
description Few studies have examined teen births at an individual-level to identify sociodemographic and environmental risk factors that may contribute to geographically high-risk areas. Communities around the New Bedford Harbor (NBH) Superfund site in southeast Massachusetts are racially and socioeconomically diverse and face potential environmental burdens. These psychosocial, chemical and physical stressors may be associated with behaviors that increase risk of teen birth. We examined associations between teen births (age < 20 years) from 1993–2009 and maternal residence at time of birth among mothers living in towns adjacent to the NBH Superfund site. We used generalized additive models with a smooth of residential location to predict teen birth risk among 29 472 births, adjusted for maternal race/ethnicity, birth country, and source of payment for prenatal care. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated by location across the study area. Approximately 13% of births were to teen mothers. Residential location was significantly associated with teen birth. However, both the strength of associations and areas of elevated risk were attenuated after adjustment. The highest risk was observed north and northeast of the harbor (OR: 95% CI—3.19: 2.08, 4.88 and 2.93: 1.47, 5.82), which aligns with the prevailing wind direction from the harbor. Our study illustrates the importance of assessing the independent contributions of sociodemographic factors to geographic variation in teen birth risk. After accounting for maternal characteristics, results highlight areas within the study region where high-risk individuals may have also experienced environmental stressors.
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spelling doaj-art-152cf897710f49db8770a172254a06812025-01-27T10:39:52ZengIOP PublishingEnvironmental Research: Health2752-53092025-01-013101501210.1088/2752-5309/ada84cSpatial analysis of teen births near the New Bedford Harbor Superfund siteNicole V DeVille0https://orcid.org/0000-0002-2199-8805Carolina Villanueva1Susan A Korrick2https://orcid.org/0000-0002-5966-1036Verónica M Vieira3https://orcid.org/0000-0001-7153-4606Department of Environmental and Occupational Health, Joe C. Wen School of Population & Public Health, Susan & Henry Samueli College of Health Sciences, University of California , Irvine, CA, United States of America; Department of Epidemiology and Biostatistics, School of Public Health, University of Nevada , Las Vegas, NV, United States of AmericaDepartment of Environmental and Occupational Health, Joe C. Wen School of Population & Public Health, Susan & Henry Samueli College of Health Sciences, University of California , Irvine, CA, United States of AmericaChanning Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School , Boston, MA, United States of AmericaDepartment of Environmental and Occupational Health, Joe C. Wen School of Population & Public Health, Susan & Henry Samueli College of Health Sciences, University of California , Irvine, CA, United States of AmericaFew studies have examined teen births at an individual-level to identify sociodemographic and environmental risk factors that may contribute to geographically high-risk areas. Communities around the New Bedford Harbor (NBH) Superfund site in southeast Massachusetts are racially and socioeconomically diverse and face potential environmental burdens. These psychosocial, chemical and physical stressors may be associated with behaviors that increase risk of teen birth. We examined associations between teen births (age < 20 years) from 1993–2009 and maternal residence at time of birth among mothers living in towns adjacent to the NBH Superfund site. We used generalized additive models with a smooth of residential location to predict teen birth risk among 29 472 births, adjusted for maternal race/ethnicity, birth country, and source of payment for prenatal care. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated by location across the study area. Approximately 13% of births were to teen mothers. Residential location was significantly associated with teen birth. However, both the strength of associations and areas of elevated risk were attenuated after adjustment. The highest risk was observed north and northeast of the harbor (OR: 95% CI—3.19: 2.08, 4.88 and 2.93: 1.47, 5.82), which aligns with the prevailing wind direction from the harbor. Our study illustrates the importance of assessing the independent contributions of sociodemographic factors to geographic variation in teen birth risk. After accounting for maternal characteristics, results highlight areas within the study region where high-risk individuals may have also experienced environmental stressors.https://doi.org/10.1088/2752-5309/ada84cbirthsteensenvironmentalsociodemographicgeographicsuperfund
spellingShingle Nicole V DeVille
Carolina Villanueva
Susan A Korrick
Verónica M Vieira
Spatial analysis of teen births near the New Bedford Harbor Superfund site
Environmental Research: Health
births
teens
environmental
sociodemographic
geographic
superfund
title Spatial analysis of teen births near the New Bedford Harbor Superfund site
title_full Spatial analysis of teen births near the New Bedford Harbor Superfund site
title_fullStr Spatial analysis of teen births near the New Bedford Harbor Superfund site
title_full_unstemmed Spatial analysis of teen births near the New Bedford Harbor Superfund site
title_short Spatial analysis of teen births near the New Bedford Harbor Superfund site
title_sort spatial analysis of teen births near the new bedford harbor superfund site
topic births
teens
environmental
sociodemographic
geographic
superfund
url https://doi.org/10.1088/2752-5309/ada84c
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AT susanakorrick spatialanalysisofteenbirthsnearthenewbedfordharborsuperfundsite
AT veronicamvieira spatialanalysisofteenbirthsnearthenewbedfordharborsuperfundsite