Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/9703
Title
Changes in individual and contextual socio-economic level influence on reproductive behavior in Spanish women in the MCC-Spain study
Author(s)
Gómez-Acebo, Inés | Dierssen-Sotos, Trinidad | Palazuelos, Camilo | Castaño-Vinyals, Gemma | Perez-Gomez, Beatriz ISCIII | Amiano, Pilar | Fernández-Villa, Tania | Ardanaz, Eva | Suarez-Calleja, Claudia | Alguacil, Juan | Molina-Barceló, Ana | Jimenez-Moleon, Jose J. | Molero, Jessica Alonso | Roca-Barceló, Aina | Chirlaque, María-Dolores | Vázquez, José Pedro Fernández | Molinuevo, Amaia | Aragones, Nuria ISCIII | Serra, Maria Sala | Binefa, Gemma | Moreno, Victor | Pollan-Santamaria, Marina ISCIII | Kogevinas, Manolis | Llorca, Javier
Date issued
2020-04-15
Citation
BMC Womens Health. 2020 Apr 15;20(1):72.
Language
Inglés
Document type
journal article
Abstract
BACKGROUND: The association between socioeconomic level and reproductive factors has been widely studied. For example, it is well known that women with lower socioeconomic status (SES) tend to have more children, the age at first-born being earlier. However, less is known about to what extent the great socioeconomic changes occurred in a country (Spain) could modify women reproductive factors. The main purpose of this article is to analyze the influence of individual and contextual socioeconomic levels on reproductive factors in Spanish women, and to explore whether this influence has changed over the last decades. METHODS: We performed a cross-sectional design using data from 2038 women recruited as population-based controls in an MCC-Spain case-control study. RESULTS: Higher parent's economic level, education level, occupational level and lower urban vulnerability were associated with higher age at first delivery and lower number of pregnancies. These associations were stronger for women born after 1950: women with unfinished primary education had their first delivery 6 years before women with high education if they were born after 1950 (23.4 vs. 29.8 years) but only 3 years before if they were born before 1950 (25.7 vs. 28.0 years). For women born after 1950, the number of pregnancies dropped from 2.1 (unfinished primary school) to 1.7 (high education), whereas it remained almost unchanged in women born before 1950. CONCLUSIONS: Reproductive behavior was associated with both individual and area-level socio-economic indicators. Such association was stronger for women born after 1950 regarding age at first delivery and number of pregnancies and for women born before 1950 regarding consumption of hormonal contraceptives or postmenopausal therapy.
Subject
Abortions | Breastfeeding | Contextual socioeconomic | Educational level | Hormonal therapy | Occupation | Pregnancies | Urban vulnerability index
Online version
DOI
Collections
- Investigación > IIS > IIS BioGipuzkoa - Asociación Instituto de Investigación Sanitaria BioGipuzkoa (País Vasco)
- Investigación > IIS > IMIM - Hospital del Mar Research Institute-Barcelona (Cataluña)
- Investigación > ISCIII > Centro Nacional de Epidemiología (CNE)
- Investigación > IIS > IDIBELL - Instituto de Investigación Biomédica de Bellvitge (Cataluña)
- Investigación > IIS > IDIPHIM - Instituto de Investigación Sanitaria Puerta de Hierro (Madrid)
- Investigación > IIS > IdiSNA - Instituto de Investigación Sanitaria de Navarra (Navarra)
- Investigación > IIS > IMIB - Instituto Murciano de Investigación Biosanitaria Pascual Parrilla (Murcia)