AimsTo investigate socio‐economic disparities in smoking in pregnancy (SIP) by the mother's education, occupational class and current economic conditions.DesignCross‐sectional analysis with linked survey and register data.SettingSouth‐western Finland.ParticipantsA total of 2667 pregnant women [70% of the original sample (n = 3808)] from FinnBrain, a prospective pregnancy cohort study.MeasurementsThe outcome was smoking during the first pregnancy trimester, measured from the Finnish Medical Birth Register. Education and occupational class were linked from population registers. Income support recipiency and subjective economic wellbeing were questionnaire‐based measures of current economic conditions. These were adjusted for age, partnership status, residential area type, parental separation, parity, childhood socio‐economic background, childhood adversities (the Trauma and Distressing Events During Childhood scale) and antenatal stress (Edinburgh Postnatal Depression Scale). Logistic regressions and attributable fractions (AF) were estimated.FindingsMother's education was the strongest socio‐economic predictor of SIP. Compared with university education, adjusted odds ratios (aORs) of SIP were: 2.2 [95% confidence interval (CI) = 1.2–3.9; P = 0.011] for tertiary vocational education, 4.4 (95% CI = 2.1–9.0; P < 0.001) for combined general and vocational secondary education, 2.9 (95% CI = 1.4–6.1; P = 0.006) for general secondary education, 9.5 (95% CI 5.0–18.2; P < 0.001) for vocational secondary education and 14.4 (95% CI = 6.3–33.0; P < 0.001) for compulsory schooling. The total AF of education was 0.5. Adjusted for the other variables, occupational class and subjective economic wellbeing did not predict SIP. Income support recipiency was associated positively with SIP (aOR = 1.8; 95% CI = 1.1–3.1; P = 0.022). Antenatal stress predicted SIP (aOR = 2.0; 95% CI = 1.4–2.8; P < 0.001), but did not attenuate its socio‐economic disparities.ConclusionsIn Finland, socio‐economic disparities in smoking in pregnancy are attributable primarily to differences in the mother's educational level (low versus high) and orientation (vocational versus general).
Objectives: Glucocorticoids are one component of human milk (HM) potentially affecting offspring development. Previous studies have identified various maternal, obstetric and socioeconomic characteristics that are associated with HM cortisol concentration but the literature is still scarce concerning these determinants in human populations. We aimed to identify which factors are linked with HM cortisol concentration at 2 months postpartum.Methods: We analyzed data from 340 lactating Finnish mothers using ordinary least squares regression with log-transformed HM cortisol concentration as the dependent variable. Potential predictors included obstetric and maternal factors (maternal age, parity status, delivery mode, gestational age, prepregnancy obesity, and smoking in pregnancy), socioeconomic status (education and socioeconomic class), subjective economic well-being, maternal psychosocial factors (postpartum depression and anxiety symptoms), infant sex and age, and HM sample characteristics (time of the day and season of the year at sample collection).
Results:The strongest and most robust predictors were season of the year of sample collection and parity status. HM cortisol concentration was significantly higher for primiparas than multiparas. HM samples collected in summer Matti Lindberg and Saara Nolvi shared co-first authorship.
This article addresses the question of how great are higher education students' incentives to change study programs or institutions to improve one's personal employability in the course of the higher education-to-work transition process. The posed question is addressed at a system level. Students' mobility between programs and institutions is referred to as 'student mobility' and graduates' mobility between jobs is referred to as 'early career mobility.' The relationship between these two separate components of mobility is discussed in three different institutional frames: German/Finnish, Italian, and British. When depicting the relationship between the two components of mobility, the article also considers parallel phenomena such as prolongation of the degree-earning process and participation in work-life with student status. Indicator level analysis concerning graduates of the year 2000 reveals important differences between the three institutional frames: in Germany and Finland, there is a high level of student mobility at the basic degree level combined with a low level of career mobility after graduation; in the UK the opposite transition logic than that of Germany and Finland occurs, and in Italy students demonstrate prolonged transitions with little student mobility and early career mobility.
Compared with the problems one encounters when trying to use 'graduate employability' as a measure of the quality of higher education, recognising how the definitions of 'employability' are dependent on the type of the data used in analysing the phenomenon in question is a totally different matter. This article demonstrates how the understanding of graduate employability varies when the viewpoint of the analysis changes from cross-sectional to longitudinal. Indicators obtained from the educational and working careers of graduates with master's degree in nine European countries are used to illustrate differences between the two views on employability. The article shows that longitudinal indicators are useful in displaying the limitations of the higher education system when trying to improve the employability of graduates.
Background
This study sought to investigate if parental divorce in childhood increases the risk for depressive symptoms in pregnancy.
Methods
Women were recruited during their ultrasound screening in gestational week (gwk) 12. The final study sample consisted of 2,899 pregnant women. Questionnaires (including the Edinburgh Postnatal Depression Scale) were completed at three measurement points (gwk 14, 24 and 34). Prenatal depressive symptoms were defined as Edinburgh Postnatal Depression Scale score ≥ 13. Parental divorce and other stressful life events in childhood were assessed at gwk 14. Parental divorce was defined as separation of parents who were married or cohabiting. Questionnaire data was supplemented with data from Statistics Finland and the Finnish Medical Birth Register.
Results
Parental divorce in childhood increased the risk for depressive symptoms during pregnancy (OR 1.47; 95% CI 1.02–2.13), but the connection was no longer significant after adjusting for socioeconomic status, family conflicts and witnessing domestic violence in the childhood family (OR 0.80; 95% CI 0.54–1.18).
Conclusions
Parental divorce alone does not predict depressive symptoms during pregnancy.
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