Perinatal Health Inequalities in the Industrial Region of Estonia: A Birth Registry-Based Study

Dahal, UshaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia; Institute of Social Science, University of Tartu, Tartu, Estonia (författare)

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.

Veber, TriinInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia (författare)
Oudin Åström, DanielUmeå universitet,Avdelningen för hållbar hälsa(Swepub:umu)daas0014 (författare)
Tamm, TanelInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia (författare)
Albreht, LeenaEnvironmental Health Department, Estonian Health Board, Tallinn, Estonia (författare)
Teinemaa, ErikEstonian Environmental Research Centre, Tallinn, Estonia (författare)
Orru, KatiInstitute of Social Science, University of Tartu, Tartu, Estonia (författare)
Orru, HansUmeå universitet,Avdelningen för hållbar hälsa,Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia(Swepub:umu)haor0004 (författare)
Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia; Institute of Social Science, University of Tartu, Tartu, EstoniaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia (creator_code:org_t)

Ingår i:International Journal of Environmental Research and Public Health: MDPI19:181661-78271660-4601

Av författaren/redakt...: Dahal, Usha; Veber, Triin; Oudin Åström, Da ...; Tamm, Tanel; Albreht, Leena; Teinemaa, Erik; visa fler...; Orru, Kati; Orru, Hans; visa färre...

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