Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20139
Título
Mother's education and the risk of preterm and small for gestational age birth: a DRIVERS meta-analysis of 12 European cohorts
Autor(es)
Ruiz, Milagros | Goldblatt, Peter | Morrison, Joana | Kukla, Lubomir | Svancara, Jan | Riitta-Jarvelin, Marjo | Taanila, Anja | Saurel-Cubizolles, Marie-Josephe | Lioret, Sandrine | Bakoula, Chryssa | Veltsista, Alexandra | Porta, Daniela | Forastiere, Francesco | van Eijsden, Manon | Vrijkotte, Tanja GM | Eggesbo, Merete | White, Richard A | Barros, Henrique | Correia, Sofia | Vrijheid, Martine | Torrent Quetglas, Maties | Rebagliato, Marisa | Larranaga, Isabel | Ludvigsson, Johnny | Faresoe, Ashild Olsen | Hryhorczuk, Daniel | Antipkin, Youriy | Marmot, Michael | Pikhart, Hynek
Fecha de publicación
2015-09
Cita
Ruiz M, Goldblatt P, Morrison J, Kukla L, Svancara J, Riitta-Jarvelin M, et al. Mother's education and the risk of preterm and small for gestational age birth: a DRIVERS meta-analysis of 12 European cohorts. J Epidemiol Community Health. 2015 Sep;69(9):826-33. Epub 2015 Apr 24.
Idioma
Inglés
Tipo de documento
research article
Resumen
Background: A healthy start to life is a major priority in efforts to reduce health inequalities across Europe, with important implications for the health of future generations. There is limited combined evidence on inequalities in health among newborns across a range of European countries. Methods: Prospective cohort data of 75 296 newborns from 12 European countries were used. Maternal education, preterm and small for gestational age births were determined at baseline along with covariate data. Regression models were estimated within each cohort and meta-analyses were conducted to compare and measure heterogeneity between cohorts. Results: Mother's education was linked to an appreciable risk of preterm and small for gestational age (SGA) births across 12 European countries. The excess risk of preterm births associated with low maternal education was 1.48 (1.29 to 1.69) and 1.84 (0.99 to 2.69) in relative and absolute terms (Relative/Slope Index of Inequality, RII/SII) for all cohorts combined. Similar effects were found for SGA births, but absolute inequalities were greater, with an SII score of 3.64 (1.74 to 5.54). Inequalities at birth were strong in the Netherlands, the UK, Sweden and Spain and marginal in other countries studied. Conclusions: This study highlights the value of comparative cohort analysis to better understand the relationship between maternal education and markers of fetal growth in different settings across Europe.
MESH
Educational Status | Humans | Infant, Small for Gestational Age | Cross-Cultural Comparison | Pregnancy | Male | Mothers | Infant, Newborn | Prospective Studies | Europe | Female | Premature Birth | Risk Factors | Regression Analysis | Linear Models | Pregnancy Outcome
DECS
Modelos Lineales | Nacimiento Prematuro | Recién Nacido | Madres | Femenino | Europa (Continente) | Masculino | Comparación Transcultural | Factores de Riesgo | Humanos | Recién Nacido Pequeño para la Edad Gestacional | Escolaridad | Estudios Prospectivos | Embarazo | Resultado del Embarazo | Análisis de Regresión
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DOI
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