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I love this poster, congrats 🙂 Given the findings that movers, particularly those moving between states, have different sociodemographic profiles and neighborhood exposures compared to non-movers, how do you suggest healthcare providers and public health policies adapt to better support pregnant individuals likely to move during their pregnancy? Specifically, how can these adaptations be tailored to address the varying socioeconomic status and urbanization identified among the different mover groups to mitigate adverse birth outcomes?
Thank you! We’ve seen some consistency across studies that movers tend to be lower SES and non-White compared to non-movers. In our study, we are not seeing completely clear patterns, but there is some consistency, e.g., we found that movers are more likely to be Black race, very low income. In our study, we can’t capture exactly why people move, but underlying motives might differ which might mean some movers more than others particularly need additional support and are especially vulnerable to adverse birth (and child) health outcomes. Based on our findings so far, I think that policies and programs should prioritize the needs of pregnant persons who are likely to move during their pregnancy, perhaps especially early on in pregnancy which is a critical period for development.
Such great work using the ECHO cohort! Was curious if it seemed to make a difference when the move happened during pregnancy? Were stress levels different between groups?
Thank you! Overall, among all movers in our sample, about 29% had their first move during trimester 1, 37% during trimester 2, and 35% during trimester 3. Between state movers were most likely to move early during pregnancy, and those moving within Census tracts were most likely to move later (trimester 3). We only described participants by timing of move and did not include it in models of birth outcomes, as our primary exposure was having a move (ever/never).