Document Detail

Neighbourhood socio-economic status and spontaneous premature birth in Alberta.
MedLine Citation:
PMID:  25365274     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To evaluate a possible association between neighbourhood socio-economic status and spontaneous premature birth in Alberta births.
METHODS: The study design was a retrospective cohort of all births in Alberta for the years 2001 and 2006. The primary outcome was spontaneous preterm birth at <37 weeks gestation. Neighbourhood socio-economic status was measured by the Pampalon Material Deprivation Index for each Statistics Canada census dissemination area. Births were linked to dissemination area using maternal postal codes.
RESULTS: The analysis comprised 73,585 births, in which the rate of spontaneous preterm delivery at <37 weeks was 5.3%. The rates of spontaneous preterm delivery for each neighbourhood socio-economic category ranged from 4.9% (95% CI 4.5%-5.2%) in the highest category to 6.3% (95% CI 6.0%-6.7%) in the lowest (p<0.001). After controlling for smoking, parity, maternal age and year, we found that women living in the highest socio-economic status neighbourhoods had an adjusted spontaneous preterm birth rate of 5.1% (95% CI 4.7%-5.5%) compared to 6.0% (95% CI 5.6%-6.4%) for women living in the lowest (p=0.003).
CONCLUSION: This study documented a modest increase in the risk of spontaneous preterm birth with low socio-economic status. The possibility of confounding bias cannot be ruled out.
Stephen Wood; Debbie McNeil; Wendy Yee; Jodie Siever; Sarah Rose
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Publication Detail:
Type:  Journal Article     Date:  2014-09-16
Journal Detail:
Title:  Canadian journal of public health = Revue canadienne de santé publique     Volume:  105     ISSN:  1920-7476     ISO Abbreviation:  Can J Public Health     Publication Date:  2014  
Date Detail:
Created Date:  2014-11-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372714     Medline TA:  Can J Public Health     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e383-8     Citation Subset:  IM    
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