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Perinatal Health In...
Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study
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- Dahal, Usha (författare)
- Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia; Institute of Social Science, University of Tartu, Tartu, Estonia
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- Veber, Triin (författare)
- Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
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- Oudin Åström, Daniel (författare)
- Umeå universitet,Avdelningen för hållbar hälsa
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- Tamm, Tanel (författare)
- Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
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- Albreht, Leena (författare)
- Environmental Health Department, Estonian Health Board, Tallinn, Estonia
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- Teinemaa, Erik (författare)
- Estonian Environmental Research Centre, Tallinn, Estonia
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- Orru, Kati (författare)
- Institute of Social Science, University of Tartu, Tartu, Estonia
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- Orru, Hans (författare)
- Umeå universitet,Avdelningen för hållbar hälsa,Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
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(creator_code:org_t)
- 2022-09-14
- 2022
- Engelska.
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 19:18
- Relaterad länk:
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https://doi.org/10.3...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Despite the increasing number of studies on industrially contaminated sites (ICS) and their health effects, there are very few studies on perinatal health outcomes in ICSs. In the present study, we examined the perinatal health inequalities by comparing adverse birth outcomes (ABOs) in the oil shale industry region of Ida-Viru County in Estonia with national-level figures and investigated the effects of maternal environmental and sociodemographic factors. Based on the 208,313 birth records from 2004–2018, Ida-Viru ICS has a birth weight 124.5 g lower than the average of 3544 g in Estonia. A higher prevalence of preterm birth (4.3%) and low birth weight (4.8%) in Ida-Viru ICS is found compared to 3.3% on both indicators at the national level. Multiple logistic regression analysis shows the statistically significant association of ABOs with fine particle (PM2.5) air pollution, mother’s ethnicity, and education throughout Estonia. However, in Ida-Viru ICS, the ABOs odds are remarkably higher in these characteristics except for the mother’s ethnicity. Furthermore, the ABOs are associated with the residential proximity to ICS. Thus, the Ida-Viru ICS has unequally higher odds of adverse perinatal health across the environmental and sociodemographic factors. In addition to reducing the air pollutants, policy actions on social disparities are vital to address the country’s unjustly higher perinatal health inequalities, especially in the Ida-Viru ICS.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- adverse birth outcomes
- air pollution
- industrially contaminated sites
- inequality
- low birth weight
- preterm birth
- socioeconomic status
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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