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  • Ruiz, MilagrosUCL, England (author)

Mother's education and the risk of preterm and small for gestational age birth: a DRIVERS meta-analysis of 12 European cohorts

  • Article/chapterEnglish2015

Publisher, publication year, extent ...

  • 2015-04-24
  • BMJ Publishing Group,2015
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-121099
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-121099URI
  • https://doi.org/10.1136/jech-2014-205387DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|European Unions Seventh Framework Programme grant, as part of The Determinants to Reduce Health Inequity Via Early Childhood, Realising Fair Employment, and Social Protection (DRIVERS) research programme [278350]; Ministry of Education of the Czech Republic [LM2011028, LO1214]; Grant Agency of the Masaryk University [MUNI/M/1075/2013]; Academy of Finland, Biocenter, University of Oulu, Finland [NFBC8586]; European Commission (EURO-BLCS) [QLG1-CT-2000-01643]; EU FP7 EurHEALTHAgeing [277849]; Medical Research Council, UK (PrevMetSyn/SALVE); MRC Centenary Early Career Award
  • Background A healthy start to life is a major priority in efforts to reduce health inequalities across Europe, with important implications for the health of future generations. There is limited combined evidence on inequalities in health among newborns across a range of European countries. Methods Prospective cohort data of 75 296 newborns from 12 European countries were used. Maternal education, preterm and small for gestational age births were determined at baseline along with covariate data. Regression models were estimated within each cohort and meta-analyses were conducted to compare and measure heterogeneity between cohorts. Results Mothers education was linked to an appreciable risk of preterm and small for gestational age (SGA) births across 12 European countries. The excess risk of preterm births associated with low maternal education was 1.48 (1.29 to 1.69) and 1.84 (0.99 to 2.69) in relative and absolute terms (Relative/Slope Index of Inequality, RII/SII) for all cohorts combined. Similar effects were found for SGA births, but absolute inequalities were greater, with an SII score of 3.64 (1.74 to 5.54). Inequalities at birth were strong in the Netherlands, the UK, Sweden and Spain and marginal in other countries studied. Conclusions This study highlights the value of comparative cohort analysis to better understand the relationship between maternal education and markers of fetal growth in different settings across Europe.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Goldblatt, PeterUCL, England (author)
  • Morrison, JoanaUCL, England (author)
  • Kukla, LubomirMasaryk University, Czech Republic (author)
  • Svancara, JanMasaryk University, Czech Republic; Masaryk University, Czech Republic (author)
  • Riitta-Jarvelin, MarjoUniversity of London Imperial Coll Science Technology and Med, England; Oulu University Hospital, Finland; University of Oulu, Finland; University of Oulu, Finland (author)
  • Taanila, AnjaUniversity of Oulu, Finland (author)
  • Saurel-Cubizolles, Marie-JosepheParis Descartes University, France (author)
  • Lioret, SandrineParis Descartes University, France (author)
  • Bakoula, ChryssaUniversity of Athens, Greece (author)
  • Veltsista, AlexandraUniversity of Athens, Greece (author)
  • Porta, DanielaLazio Regional Health Syst, Italy (author)
  • Forastiere, FrancescoLazio Regional Health Syst, Italy (author)
  • van Eijsden, ManonPublic Health Serv Amsterdam, Netherlands (author)
  • Vrijkotte, Tanja G. M.University of Amsterdam, Netherlands (author)
  • Eggesbö, MereteNorwegian Institute Public Heatlh, Norway (author)
  • White, Richard A.Norwegian Institute Public Heatlh, Norway (author)
  • Barros, HenriqueUniversity of Porto, Portugal; University of Porto, Portugal (author)
  • Correia, SofiaUniversity of Porto, Portugal; University of Porto, Portugal (author)
  • Vrijheid, MartineCentre Research Environm Epidemiol CREAL, Spain; Spanish Consortium Research Epidemiol and Public Health CIBE, Spain (author)
  • Torrent, MatiesSpanish Consortium Research Epidemiol and Public Health CIBE, Spain; IB Salut Menorca Health Area, Spain (author)
  • Rebagliato, MarisaSpanish Consortium Research Epidemiol and Public Health CIBE, Spain; University of Jaume 1, Spain (author)
  • Larranaga, IsabelPublic Health Department Gipuzkoa, Spain; BIODONOSTIA Health Research Institute, Spain (author)
  • Ludvigsson, JohnnyLinköpings universitet,Avdelningen för kliniska vetenskaper,Medicinska fakulteten,Region Östergötland, Barn- och ungdomskliniken i Linköping(Swepub:liu)johlu29 (author)
  • Olsen Faresjö, ÅshildLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten(Swepub:liu)asols47 (author)
  • Hryhorczuk, DanielUniversity of Illinois, IL USA (author)
  • Antipkin, YouriyInstitute Pediat Obstet and Gynecol, Ukraine (author)
  • Marmot, MichaelUCL, England; UCL, England (author)
  • Pikhart, HynekUCL, England (author)
  • UCL, EnglandMasaryk University, Czech Republic (creator_code:org_t)

Related titles

  • In:Journal of Epidemiology and Community Health: BMJ Publishing Group69:9, s. 826-8330143-005X1470-2738

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