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oai:repisalud.isciii.es:20.500.12105/201392024-11-29T07:30:29Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967col_20.500.12105_16974

00925njm 22002777a 4500 dc Ruiz, Milagros author Goldblatt, Peter author Morrison, Joana author Kukla, Lubomir author Svancara, Jan author Riitta-Jarvelin, Marjo author Taanila, Anja author Saurel-Cubizolles, Marie-Josephe author Lioret, Sandrine author Bakoula, Chryssa author Veltsista, Alexandra author Porta, Daniela author Forastiere, Francesco author van Eijsden, Manon author Vrijkotte, Tanja GM author Eggesbo, Merete author White, Richard A author Barros, Henrique author Correia, Sofia author Vrijheid, Martine author Torrent Quetglas, Maties author Rebagliato, Marisa author Larranaga, Isabel author Ludvigsson, Johnny author Faresoe, Ashild Olsen author Hryhorczuk, Daniel author Antipkin, Youriy author Marmot, Michael author Pikhart, Hynek author 2015-09 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. 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. 10.1136/jech-2014-205387 1470-2738 0143-005X Journal of Epidemiology and Community Health http://hdl.handle.net/20.500.13003/17187 25911693 L614988039 2-s2.0-84983119855 http://hdl.handle.net/20.500.12105/20139 359388800003 Mother's education and the risk of preterm and small for gestational age birth: a DRIVERS meta-analysis of 12 European cohorts