Poor mothers, unhealthy children: the transmission of health inequalities in the INMA study, Spain
Impacto
Scholar |
Otros documentos de la autoría: Larrañaga, Isabel; SANTA MARINA, LORETO; Molinuevo Auzmendi, Amaia; Álvarez Pedrerol, Mar; Fernández Somoano, Ana; Jiménez Zabala, Ana; Rebagliato, Marisa; Rodríguez-Bernal, Clara L.; Tardon, Adonina; Vrijheid, Martine; Ibarluzea, Jesus
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comunitat-uji-handle3:10234/36082
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https://doi.org/10.1093/eurpub/cky239 |
Metadatos
Título
Poor mothers, unhealthy children: the transmission of health inequalities in the INMA study, SpainAutoría
Fecha de publicación
2019-06Editor
Oxford University PressCita bibliográfica
LARRAÑAGA, Isabel; SANTA MARINA, Loreto; MOLINUEVO AUZMENDI, Amaia; ÁLVAREZ PEDREROL, Mar; FERNÁNDEZ SOMOANO, Ana; JIMÉNEZ ZABALA, Ana; REBAGLIATO, Marisa; RODRÍGUEZ-BERNAL, Clara L.; TARDON, Adonina; VRIJHEID, Martine; IBARLUZEA, Jesus (2019). Poor mothers, unhealthy children: the transmission of health inequalities in the INMA study, Spain. European Journal of Public Health, v. 29, issue 3, p. 568-574.Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://academic.oup.com/eurpub/article/29/3/568/5193006Versión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background
The health of pregnant women and their fetuses are especially sensitive to socioeconomic conditions. This study analyzes the impact of maternal socioeconomic status (SES), evaluated by occupation and ... [+]
Background
The health of pregnant women and their fetuses are especially sensitive to socioeconomic conditions. This study analyzes the impact of maternal socioeconomic status (SES), evaluated by occupation and maternal education level, in preterm births (PTBs) and in small for gestational age (SGA) fetuses, considering the effect of the potential mediating factors on the SES and birth outcomes.
Methods
A total of 2497 mother/newborn dyads from the INMA-Spain project were studied. We examined maternal occupation and education in relation to PTB and SGA along with covariate data, using logistic regression analysis. Adjusted models for each of the outcome variables in relation to SES indicators were estimated, considering potential mediating factors.
Results
About 4.7% of babies were PTB and 9.7% SGA. Full adjusted logistic regression models showed similar odds ratio (OR) for SGA in both SES indicators. Manual working women or without university studies had higher risk of SGA than their counterpart groups (OR = 1.39% CI = 1.03–1.88 and OR = 1.39% CI = 1.00–2.00, respectively). Likewise, mothers with a manual occupation were at more risk of PTB than those with a non-manual occupation (OR = 1.74 95% CI = 1.13–2.74), but there was no association between education and PTB. Smoking, pre-pregnancy BMI and underweight gain during pregnancy were significantly associated to SGA births. The mother’s age, presence of complications and overweight gain during pregnancy were related to PTB.
Conclusion
The mother’s socioeconomic disadvantage was consistently associated with birth outcomes giving rise to intergenerational transmission of health inequalities. Reducing inequalities requires eliminating the upstream causes of poverty itself. [-]
Publicado en
European Journal of Public Health (2019), v. 29. issue 3Derechos de acceso
http://rightsstatements.org/vocab/CNE/1.0/
info:eu-repo/semantics/restrictedAccess
info:eu-repo/semantics/restrictedAccess
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