The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth

Objective: To determine the association between stress, as objectively measured by frequency of neighborhood gunshots and preterm birth (PTB). Study Design: A retrospective chart review of 1675 individual births was analyzed of pregnant women who lived in the City of Syracuse, New York, United State...

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Main Authors: Brian W. James, Rachel Fisher, Chishu Yin, Brittany L. Kmush, Robert Silverman, Dimitrios Mastrogiannis
Format: Article
Language:English
Published: Mary Ann Liebert 2025-01-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/10.1177/26884844251366375
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author Brian W. James
Rachel Fisher
Chishu Yin
Brittany L. Kmush
Robert Silverman
Dimitrios Mastrogiannis
author_facet Brian W. James
Rachel Fisher
Chishu Yin
Brittany L. Kmush
Robert Silverman
Dimitrios Mastrogiannis
author_sort Brian W. James
collection DOAJ
description Objective: To determine the association between stress, as objectively measured by frequency of neighborhood gunshots and preterm birth (PTB). Study Design: A retrospective chart review of 1675 individual births was analyzed of pregnant women who lived in the City of Syracuse, New York, United States. The frequency of gunshots was measured in the acute phase (within 1 week of delivery) and the chronic phase (sum total of all gunshots in the previous 2 years). Primary outcome includes PTB prior to 37 weeks of gestation. Secondary analysis includes delivery prior to 34, 32, and 28 weeks of gestation. Result: Gunshots were significantly different between the three districts of Syracuse, which matched with differences in socioeconomic and comorbid conditions. The different districts also experienced differences in frequency of PTB (highest 18%, medium 13%, lowest 12%, p = 0.018). However, those with versus without PTB at any gestational age did not differ in the frequency of gunshots in acute phase or chronic phase. Conclusion: The use of acute-phase and chronic-phase gunshots as a method to simulate stress levels is not associated with the development of PTB.
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spelling doaj-art-5b6bb995d9cd436e870307d2d520685a2025-08-20T03:43:51ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016176377010.1177/26884844251366375The Association Between Neighborhood Gunshot Frequency and the Development of Preterm BirthBrian W. James0Rachel Fisher1Chishu Yin2Brittany L. Kmush3Robert Silverman4Dimitrios Mastrogiannis5Department of OBGYN, SUNY Upstate, Syracuse, New York, USA.Norton College of Medicine, SUNY Upstate, Syracuse, New York, USA.Department of Mathematics, Syracuse University, Syracuse, New York, USA.Department of Public Health, Syracuse University, Syracuse, New York, USA.Department of Maternal-Fetal Medicine, SUNY Upstate, Syracuse, New York, USA.Department of Maternal-Fetal Medicine, SUNY Upstate, Syracuse, New York, USA.Objective: To determine the association between stress, as objectively measured by frequency of neighborhood gunshots and preterm birth (PTB). Study Design: A retrospective chart review of 1675 individual births was analyzed of pregnant women who lived in the City of Syracuse, New York, United States. The frequency of gunshots was measured in the acute phase (within 1 week of delivery) and the chronic phase (sum total of all gunshots in the previous 2 years). Primary outcome includes PTB prior to 37 weeks of gestation. Secondary analysis includes delivery prior to 34, 32, and 28 weeks of gestation. Result: Gunshots were significantly different between the three districts of Syracuse, which matched with differences in socioeconomic and comorbid conditions. The different districts also experienced differences in frequency of PTB (highest 18%, medium 13%, lowest 12%, p = 0.018). However, those with versus without PTB at any gestational age did not differ in the frequency of gunshots in acute phase or chronic phase. Conclusion: The use of acute-phase and chronic-phase gunshots as a method to simulate stress levels is not associated with the development of PTB.https://www.liebertpub.com/doi/10.1177/26884844251366375gunshotspreterm birthrisk factors
spellingShingle Brian W. James
Rachel Fisher
Chishu Yin
Brittany L. Kmush
Robert Silverman
Dimitrios Mastrogiannis
The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
Women's Health Reports
gunshots
preterm birth
risk factors
title The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
title_full The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
title_fullStr The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
title_full_unstemmed The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
title_short The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth
title_sort association between neighborhood gunshot frequency and the development of preterm birth
topic gunshots
preterm birth
risk factors
url https://www.liebertpub.com/doi/10.1177/26884844251366375
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