Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/32562
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dc.contributor.authorBonet, M.-
dc.contributor.authorSmith, Lucy K.-
dc.contributor.authorPilkington, H.-
dc.contributor.authorDraper, Elizabeth S.-
dc.contributor.authorZeitlin, J.-
dc.date.accessioned2015-07-10T09:10:36Z-
dc.date.available2015-07-10T09:10:36Z-
dc.date.issued2013-04-25-
dc.identifier.citationBMC Pregnancy and Childbirth 2013, 13 : 97en
dc.identifier.issn1471-2393-
dc.identifier.urihttp://www.biomedcentral.com/1471-2393/13/97en
dc.identifier.urihttp://hdl.handle.net/2381/32562-
dc.description.abstractBackground: Social factors affect the risk of very preterm birth and may affect subsequent outcomes in those born preterm. We assessed the influence of neighbourhood socio-economic characteristics on the risk and outcomes of singleton very preterm birth (<32 weeks of gestation) in two European regions with different health systems. Methods: Live births (n=1118) from a population-based cohort of very preterm infants in 2003 in Trent (UK) and Ile-de-France (France) regions were geocoded to their neighbourhood census tracts. Odds ratios for very preterm singleton birth by neighbourhood characteristics (unemployment rate, proportion manual workers, proportion with high school education only, non home ownership) were computed using infants enumerated in the census as a control population. The impact of neighbourhood variables was further assessed by pregnancy and delivery characteristics and short term infant outcomes. Results: Risk of very preterm singleton birth was higher in more deprived neighbourhoods in both regions (OR between 2.5 and 1.5 in the most versus least deprived quartiles). No consistent associations were found between neighbourhood deprivation and maternal characteristics or health outcomes for very preterm births, although infants in more deprived neighbourhoods were less likely to be breastfed at discharge. Conclusions Neighbourhood deprivation had a strong consistent impact on the risk of singleton very preterm birth in two European regions, but did not appear to be associated with maternal characteristics or infant outcomes. Differences in breastfeeding at discharge suggest that socio-economic factors may affect long term outcomes.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.rightsCopyright © 2013 Bonet et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectScience & Technologyen
dc.subjectLife Sciences & Biomedicineen
dc.subjectObstetrics & Gynecologyen
dc.subjectSURGERYen
dc.subjectVery preterm infantsen
dc.subjectSocial inequalitiesen
dc.subjectEuropeen
dc.subjectCensus dataen
dc.subjectRISK-FACTORSen
dc.subjectSOCIOECONOMIC INEQUALITIESen
dc.subjectSOCIAL INEQUALITIESen
dc.subjectWEIGHT INFANTSen
dc.subjectOUTCOMESen
dc.subjectASSOCIATIONen
dc.subjectDISPARITIESen
dc.subjectMORTALITYen
dc.subjectEUROPEen
dc.subjectRATESen
dc.titleNeighbourhood deprivation and very preterm birth in an English and French cohorten
dc.typeJournal Articleen
dc.identifier.doi10.1186/1471-2393-13-97-
dc.description.statusPeer-revieweden
dc.description.versionPublisher Versionen
dc.type.subtypeArticle;Journal-
pubs.organisational-group/Organisationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGYen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicineen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciencesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Populationen
dc.dateaccepted2013-04-18-
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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