Maternal Education and Perinatal Outcomes Among Spanish Women Residing in Southern Spain (2001–2011)

Juárez, Sol; Revuelta-Eugercios, Barbara; Fariñas, Diego Ramiro; Viciana-Fernández, Francisco J

doi:10.1007/s10995-013-1425-4

Cited by 31 publications

(41 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, we noted that a tertiary educated and employed mother had a greater LBW risk during the economic contraction. Contrary to our result, another study reports that women with higher education had lower risk of LBW after the onset of the economic crisis in Andalusia, Spain; an area accounting for 19% of births in the country 39. The variation in maternal social characteristics, health behaviours and health system may explain the differences in maternal educational gradient and LBW relationship for Portugal and Spain during the recession.…”

Section: Discussioncontrasting

confidence: 99%

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

et al. 2017

View full text Add to dashboard Cite

BackgroundThe 2007–2008 global financial crisis had adverse consequences on population health of affected European countries. Few contemporary studies have studied its effect on perinatal indicators with long-lasting influence on adult health. Therefore, in this study, we investigated the impact of the 2007–2008 global financial crisis on low birth weight (LBW) in Portugal.MethodsData on 2 045 155 singleton births of 1995–2014 were obtained from Statistics Portugal. Joinpoint regression analysis was performed to identify the years in which changes in LBW trends occurred, and to estimate the annual per cent changes (APC). LBW risk by time period expressed as prevalence ratios were computed using the Poisson regression. Contextual changes in sociodemographic and economic factors were provided by their trends.ResultsThe joinpoint analysis identified 3 distinct periods (2 jointpoints) with different APC in LBW, corresponding to 1995–1999 (APC=4.4; 95% CI 3.2 to 5.6), 2000–2006 (APC=0.1; 95% CI −050 to 0.7) and 2007–2014 (APC=1.6; 95% CI 1.2 to 2.0). For non-Portuguese, it was, respectively, 1995–1999 (APC=1.4; 95% CI −3.9 to 7.0%), 2000–2007 (APC=−4.2; 95% CI −6.4 to −2.0) and 2008–2014 (APC=3.1; 95% CI 0.8 to 5.5). Compared with 1995–1999, all specific maternal characteristics had a 10–15% increase in LBW risk in 2000–2006 and a 20–25% increase in 2007–2014, except among migrants, for which LBW risk remained lower than in 1995–1999 but increased after the crisis. The increasing LBW risk coincides with a deceleration in gross domestic product growth rate, reduction in health expenditure, social protection allocation on family/children support and sickness.ConclusionsThe 2007–2008 global financial crisis was associated with a significant increase in LBW, particularly among infants of non-Portuguese mothers. We recommend strengthening social policies aimed at maternity protection for vulnerable mothers and health system maintenance of social equity in perinatal healthcare.

show abstract

Section: Discussioncontrasting

confidence: 99%

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The most rigorous study of birth outcomes found that the announcement of mass layoffs (an indicator of fear or stress related to the economy) was associated with declines in birthweight even prior to actual layoffs [17]. Evidence from Spain suggested that maternal educational inequalities in adverse birth outcomes may have increased during the Recession [18]. Another study in Spain was more mixed; it found that while prevalence of child overweight/obesity increased, children’s health-related quality of life improved [19].…”

Section: Resultsmentioning

confidence: 99%

“…Evidence from the E.U. suggested widening inequalities in birth outcomes, smoking behavior, and SRH [18, 48, 87, 91], but further inquiry into the impact of the Recession on socioeconomic and racial/ethnic disparities in health outcomes—especially in the U.S.—remains an important area for future research.…”

Section: Discussionmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

View full text Add to dashboard Cite

The severity, sudden onset, and multipronged nature of the Great Recession (2007–2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession’s full health impact. We conclude with suggestions for future work in this field.

show abstract

“…As this meta-analysis pooled data from observational studies, it is possible AMA is linked to adverse fetal outcome(s) by confounding factors which were not measured by this analysis. Interestingly, women over the age of 35 are more likely to have higher levels of education, higher income, and are more likely to be employed and attend prenatal classes, all of which reduce the risk of adverse pregnancy outcomes (12,13). Thus, despite these favourable characteristics, AMA still appears to be an independent risk factor for adverse fetal outcome(s).…”

Section: Relationship Between Ama and Adverse Fetal Outcomesmentioning

confidence: 99%

Pregnancy outcome in mothers over the age of 35

Heazell

Newman

Lean

et al. 2018

Current Opinion in Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Purpose of review -The proportion of pregnancies occurring in women ≥35 years of age has increased from 6.2% in 1980 to 22.3% of births in 2016. This review summarises recent epidemiological and basic scientific studies investigating the association between older maternal age and adverse pregnancy outcome(s) and clinical studies which investigate the effects of intervention to reduce adverse events.Recent findings -Women ≥35 years of age have increased risk of maternal and fetal complications in pregnancy including: stillbirth, a small for gestational age baby, preterm birth, pre-eclampsia and maternal death. These risks increase with increasing age. The reasons for this increased risk are incompletely understood, but likely involve ageing of the maternal cardiovascular and endocrine systems which impacts upon placental function. Intervention, by induction of labour (IOL) at 39 weeks gestation does not increase operative deliveries or short-term adverse maternal and neonatal otucomes and would reduce perinatal mortality.Summary -The additional risks of pregnancy should be discussed with women ≥35 years of age; additional fetal surveillance may be required in the antenatal period. The benefits and risks of IOL at 39 weeks' gestation should be discussed with women ≥35 years of age.

show abstract

Maternal Education and Perinatal Outcomes Among Spanish Women Residing in Southern Spain (2001–2011)

Cited by 31 publications

References 30 publications

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

Health Impacts of the Great Recession: a Critical Review

Pregnancy outcome in mothers over the age of 35

Contact Info

Product

Resources

About