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Geographic Differences in Preconception Health Indicators Among Ohio Women Who Delivered Live Births, 2019-2021
Natalie DiPietro Mager1,2, Michelle Menegay3, Connie Bish4
1Ohio Northern University Raabe College of Pharmacy, Ada, Ohio.
Preventing Chronic Disease
|February 8, 2024
Summary
Geographic location impacts preconception health in Ohio. Appalachian and rural women face higher risks for smoking and depression, while suburban women report better health, highlighting the need for tailored regional interventions.
Area of Science:
- Public Health
- Reproductive Health
- Health Disparities
Background:
- Preconception health is crucial for maternal and infant outcomes.
- Geographic variations in health indicators can reflect socioeconomic and environmental factors.
- Understanding regional differences is key to addressing health disparities.
Purpose of the Study:
- To investigate geographic disparities in preconception health indicators among Ohio women.
- To identify specific health risks associated with different residential locations within Ohio.
Main Methods:
- Analysis of 9 preconception health indicators from the 2019-2021 Ohio Pregnancy Assessment Survey.
- Data included 14,377 women with live births, categorized by county type (Appalachian, rural non-Appalachian, suburban, urban).
- Statistical comparison of health indicators across different geographic regions.
Main Results:
- Appalachian women showed lower folic acid intake and higher depression rates.
- Appalachian and rural non-Appalachian women reported higher rates of cigarette use.
- Suburban women reported lower rates of diabetes, hypertension, and unwanted pregnancies compared to other groups.
Conclusions:
- Significant geographic differences exist in preconception health indicators in Ohio.
- Targeted, region-specific prevention strategies are necessary to address persistent health disparities.
- Improving preconception health requires tailored interventions based on local needs and risks.
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