Socioeconomic domains and associations with preterm birth

Messer, Lynne C.; Vinikoor, Lisa C.; Laraia, Barbara A.; Kaufman, Jay S.; Eyster, Janet; Holzman, Claudia; Culhane, Jennifer F.; Elo, Irma T.; Burke, Jessica G.; O’Campo, Patricia

doi:10.1016/j.socscimed.2008.06.009

Cited by 109 publications

(92 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low education may be a proxy for low socioeconomic status within this Medicaid-covered population and, thus, may be associated with higher stress during pregnancy, with potentially more influence on outcomes in mid-to-late pregnancy, compared with early pregnancy. [15][16][17][18] Similarly, in this analysis smoking was associated with later preterm birth (33 to 36 weeks) compared with term birth. This is consistent with the developing literature on smoking and pregnancy, which suggests first that smoking exposure is associated with placental abruptions and premature membrane rupture that tend to occur closer to term, 19,20 and second that it is exposure to smoking, late in pregnancy rather than early in pregnancy or preconceptionally, that increases pregnancy risk.…”

mentioning

confidence: 50%

Quantifying risks of preterm birth in the Arkansas Medicaid population, 2001–2005

et al. 2011

View full text Add to dashboard Cite

Objective: The objective of this study was to examine risks of preterm births, quantify the explanatory power achieved by adding medical and obstetric risk factors to the models and to examine temporal changes in preterm birth due to changes in Medicaid eligibility and the establishment of a maternal-fetal medicine referral system. Study Design:The study used data from the 2001 to 2005-linked Arkansas (AR) Medicaid claims and birth certificates of preterm and term singleton deliveries (N ¼ 89 459). Logistic regression modeled the association among gestational age, demographic characteristics and risk factors, pooled and separately by year.Result: Physiological risk factors were additive with demographic factors and explained more of the preterm birth p32 weeks than later preterm birth. Changing eligibility requirements for Medicaid recipients and increasing the financial threshold from 133 to 200% of federal poverty level had an impact on temporal changes. The proportion of births p32 weeks declined to 33%, from 3.0 to 2.0. However, later preterm births declined and then increased in the last year.Conclusion: Physiological conditions are strongly associated with early preterm birth. Maternal behaviors and other stressors are predictive of later preterm birth. Unmeasured effects of poverty continue to have a role in preterm birth. Further examination of the referral system is needed. Journal of Perinatology (2012) 32, 176-193; doi:10.1038/jp.2011; published online 18 August 2011 Keywords: preterm birth; Medicaid; maternal risk factors IntroductionThere are three intertwining sets of factors that are responsible for higher rates of pregnancy complications, preterm and low birth weight births:1 demographic characteristics including age, ethnicity and parity 2 socioeconomic characteristics, as indicated by marital status, education level and low income levels, and 3 health status, including the presence of such diseases and conditions as hypertension, diabetes and kidney and pulmonary diseases. Although it is generally known that these conditions and diseases contribute to 'high risk,' distinguishing the extent to which each of these factors contribute to complications, and suboptimal pregnancy outcomes are difficult. 1 The comprehensive review of causes, consequences and prevention of preterm birth conducted by the National Academy of Sciences (NAS) in 2006, laid out a research agenda for elucidating the etiology and causal pathways for this complex syndrome.1 The National Academy of Sciences committee stressed the importance of examining the inter-relationships between the multiple risk factors, which include behavioral, social, demographic and physiological conditions. They note that currently the prevention of spontaneous preterm birth is not emphasized in prenatal care because of a widespread belief that the causes are primarily social rather than obstetric or medical.1 In addition, the committee advised that preterm birth be defined as a heterogeneous syndrome with multiple causal pathways and presentations. T...

show abstract

mentioning

confidence: 50%

Quantifying risks of preterm birth in the Arkansas Medicaid population, 2001–2005

et al. 2011

View full text Add to dashboard Cite

show abstract

“…7 We were not able to adjust for socioeconomic class, which has been shown to influence preterm birth, particularly those who had suboptimal prenatal care. 29,30 A study from the Netherlands 31 could not confirm any relationship between preterm birth and socioeconomic class. In the Netherlands, as well as in Norway, the healthcare system is not generally based on insurance, and might explain why investigations from countries with different healthcare systems diverge.…”

Section: Paternal Ibd and Perinatal Outcomesmentioning

confidence: 96%

Relationships between inflammatory bowel disease and perinatal factors: Both maternal and paternal disease are related to preterm birth of offspring

Bengtson

Solberg

Aamodt

et al. 2010

Inflammatory Bowel Diseases

View full text Add to dashboard Cite

show abstract

“…analyses were stratified by race/ethnicity to reflect the stratified sampling design, and to examine racial/ethnic differences commonly found in relations of neighborhood characteristics with birth outcomes. [24][25][26][27][28][29] analyses were conducted in r version 3.1.0 (the r Foundation for Statistical computing, Vienna, austria, 2014). 30 the marginal risk of very preterm birth under the exposure (residence in a high-poverty neighborhood) and no exposure (residence in a low-poverty neighborhood), after adjusting for measured confounders, is represented within each racial/ethnic group (superscript r) as…”

Section: Methodsmentioning

confidence: 99%

Targeted Estimation of Marginal Absolute and Relative Associations in Case–Control Data

2016

View full text Add to dashboard Cite

show abstract

Socioeconomic domains and associations with preterm birth

Cited by 109 publications

References 64 publications

Quantifying risks of preterm birth in the Arkansas Medicaid population, 2001–2005

Quantifying risks of preterm birth in the Arkansas Medicaid population, 2001–2005

Relationships between inflammatory bowel disease and perinatal factors: Both maternal and paternal disease are related to preterm birth of offspring

Targeted Estimation of Marginal Absolute and Relative Associations in Case–Control Data

Contact Info

Product

Resources

About