The Role of Mediating Factors in the Association Between Social Deprivation and Low Birth Weight in Germany  

Oleh:

Reime, Birgit ; Ratner, Pamela A. ; Tomaselli-Reime, Sandra N. ; Kelly, Ann ; Schuecking, Beate A. ; Wenzlaff, Paul

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 7 (Apr. 2006), page 1731-1744.
Topik: MEDIATING PERSON; deprivation; inequalities; low birth weight; preterm birth; social epidemiology; germany

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This study examiens whether the association between social inequalitites and low birth weight (LBW) (occuting in both pre and full term births) in germany can be explained by several potentially confounding factors. these include maternal age, occupational status, marital status, nationality, employment status, smoking, prenatal care, psychosocial stress, obesity, short stature, short inter pregnancy interval, chronic conditions, and several obstetrical risk factors such as pregnancy induced hyoertension. We also examined how the risk for LBW varies over time within each socioeconomic group. We analyzed routinely collected perinatal data on singletons born in the federal statue of lower saxony, germany, in 1990, 1995 and 1999 (n = 182 , 444). After adjustment for all potentially confounding factors in multivariate logistic regression models, working class women, unemployed women, single mothers and women over 39 years of age were at increased risk for pre and full term LBW infants. Migrant status was not related to LBW. We examined variations in the risk for LBW over time within groups, using the 1990 birth cohort as the referent group for the 1995 and 1999 birth cohorts. Compared to 1990 in 1999 women age 19 - 34 years housewives, unemployed women, women of german nationality and women with partners had higher risk for pre and full term LBW infants, the eldest subgroup had lower risks for LBWafter adjustment for condounding factors. The factors we examined partly explain the social inequalities in LBW occuring in pre and full term infants. The subgroups with higher rates of LBW in 1999 compared to 1990, included women experiencing childbirth in an optimal stage of life or in aetiology of LBW and to the factors that result in increased LBW rates.

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