Temporal Changes in Socioeconomic Influences on Health: Maternal Education and Preterm Birth

Overview

Journal Am J Public Health

Specialty Public Health

Date 2012 Jun 30

PMID 22742063

Citations 14

Authors

Abdulrahman M El-Sayed

Sandro Galea

Affiliations

Soon will be listed here.

Abstract

Objectives: To consider how the relationships between social determinants and health indicators change over time, we assessed the time-varying influence of maternal education on risk of preterm birth (PTB) between 1989 and 2006.

Methods: We used bivariate and multivariable Poisson regression models with robust variation estimates to examine (1) the association between maternal education and PTB risk by year; (2) the relationship between low maternal education and PTB, late PTB, and very PTB risk by year relative to 1989; and (3) the relationship between high maternal education and PTB, late PTB, and very PTB risk by year relative to 1989.

Results: After adjustment, PTB risk increased among the most educated and did not change among the least educated women over time. Risk of PTB among the least educated relative to the most educated women decreased with time. Late PTB risk increased among both the most and the least educated groups but more among the most educated.

Conclusions: Maternal education may be becoming less protective against PTB. The influence of the social determinants of health is dynamic, warranting revisions of our understanding of their roles over time.

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References

Johanzon M, Odesjo H, Jacobsson B, Sandberg K, Wennerholm U . Extreme preterm birth: onset of delivery and its effect on infant survival and morbidity. Obstet Gynecol. 2008; 111(1):42-50. DOI: 10.1097/01.AOG.0000295866.97499.35. View

Kaplan G, Keil J . Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation. 1993; 88(4 Pt 1):1973-98. DOI: 10.1161/01.cir.88.4.1973. View

Buescher P, Taylor K, Davis M, Bowling J . The quality of the new birth certificate data: a validation study in North Carolina. Am J Public Health. 1993; 83(8):1163-5. PMC: 1695166. DOI: 10.2105/ajph.83.8.1163. View

Zeitlin J, Saurel-Cubizolles M, Ancel P . Marital status, cohabitation, and risk of preterm birth in Europe: where births outside marriage are common and uncommon. Paediatr Perinat Epidemiol. 2002; 16(2):124-30. DOI: 10.1046/j.1365-3016.2002.00396.x. View

Auger N, Roncarolo F, Harper S . Increasing educational inequality in preterm birth in Quebec, Canada, 1981-2006. J Epidemiol Community Health. 2010; 65(12):1091-6. DOI: 10.1136/jech.2009.102350. View

Lowry R, Kann L, Collins J, Kolbe L . The effect of socioeconomic status on chronic disease risk behaviors among US adolescents. JAMA. 1996; 276(10):792-7. View

Alexander G, Kogan M, Bader D, Carlo W, Allen M, Mor J . US birth weight/gestational age-specific neonatal mortality: 1995-1997 rates for whites, hispanics, and blacks. Pediatrics. 2003; 111(1):e61-6. PMC: 1382183. DOI: 10.1542/peds.111.1.e61. View

Sobal J, Stunkard A . Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989; 105(2):260-75. DOI: 10.1037/0033-2909.105.2.260. View

Ward E, Jemal A, Cokkinides V, Singh G, Cardinez C, Ghafoor A . Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004; 54(2):78-93. DOI: 10.3322/canjclin.54.2.78. View

10.

Winkleby M, Jatulis D, Frank E, Fortmann S . Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health. 1992; 82(6):816-20. PMC: 1694190. DOI: 10.2105/ajph.82.6.816. View

11.

Link B, Phelan J . Social conditions as fundamental causes of disease. J Health Soc Behav. 1995; Spec No:80-94. View

12.

Northam S, Knapp T . The reliability and validity of birth certificates. J Obstet Gynecol Neonatal Nurs. 2006; 35(1):3-12. DOI: 10.1111/j.1552-6909.2006.00016.x. View

13.

Lumley J . Defining the problem: the epidemiology of preterm birth. BJOG. 2003; 110 Suppl 20:3-7. View

14.

MacDorman M, Mathews T, Martin J, Malloy M . Trends and characteristics of induced labour in the United States, 1989-98. Paediatr Perinat Epidemiol. 2002; 16(3):263-73. DOI: 10.1046/j.1365-3016.2002.00425.x. View

15.

Luo Z, Wilkins R, Kramer M . Effect of neighbourhood income and maternal education on birth outcomes: a population-based study. CMAJ. 2006; 174(10):1415-20. PMC: 1455422. DOI: 10.1503/cmaj.051096. View

16.

Lorant V, Deliege D, Eaton W, Robert A, Philippot P, Ansseau M . Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol. 2003; 157(2):98-112. DOI: 10.1093/aje/kwf182. View

17.

Buekens P, Kotelchuck M, Blondel B, Kristensen F, Chen J . A comparison of prenatal care use in the United States and Europe. Am J Public Health. 1993; 83(1):31-6. PMC: 1694498. DOI: 10.2105/ajph.83.1.31. View

18.

Reichman N, Hade E . Validation of birth certificate data. A study of women in New Jersey's HealthStart program. Ann Epidemiol. 2001; 11(3):186-93. DOI: 10.1016/s1047-2797(00)00209-x. View

19.

Rom A, Mortensen L, Cnattingius S, Arntzen A, Gissler M, Nybo Andersen A . A comparative study of educational inequality in the risk of stillbirth in Denmark, Finland, Norway and Sweden 1981-2000. J Epidemiol Community Health. 2010; 66(3):240-6. DOI: 10.1136/jech.2009.101188. View

20.

Peacock J, Bland J, Anderson H . Preterm delivery: effects of socioeconomic factors, psychological stress, smoking, alcohol, and caffeine. BMJ. 1995; 311(7004):531-5. PMC: 2550601. DOI: 10.1136/bmj.311.7004.531. View