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Neighbourhood family income and adverse birth outcomes among singleton deliveries
- Source :
- Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC. 32(11)
- Publication Year :
- 2010
-
Abstract
- to assess the association between neighbourhood family income and adverse birth outcomes.we conducted a retrospective cohort study of 334 231 singleton births during 2004 and 2006 based on the Niday Perinatal Database from Ontario. Median neighbourhood family incomes from the 2001 Canadian census were linked with the Niday Perinatal Database by dissemination areas. Generalized estimating equations were applied to estimate the odds ratios of adverse birth outcomes associated with lower neighbourhood income, with adjustment for maternal confounding variables at the individual level.compared with the highest neighbourhood income quintile, mothers from the lowest quintile were at increased risk of having small for gestational age neonates (OR 1.51; 95% CI 1.46 to 1.57), low birth weight (OR 1.43; 95% CI 1.36 to 1.50), preterm birth (OR 1.17; 95% CI 1.12 to 1.23), low Apgar score (7) at five minutes (OR 1.32; 95% CI 1.21 to 1.44), and stillbirth (OR 1.39; 95% CI 1.19 to 1.62). The risks of women from the lowest income quintiles delivering a macrosomic baby (OR 0.81; 95% CI 0.79 to 0.84) or a large for gestational age baby (OR 0.82; 95% CI 0.80 to 0.85) were significantly decreased. No difference in risk of congenital anomaly was found among different income quintiles.a lower level of neighbourhood income is associated with increased risks of small for gestational age babies, low birth weight, preterm birth, low Apgar score at five minutes, and stillbirth.
- Subjects :
- medicine.medical_specialty
Family income
Cohort Studies
Pregnancy
Residence Characteristics
Risk Factors
medicine
Humans
Socioeconomic status
Generalized estimating equation
Neighbourhood (mathematics)
Retrospective Studies
business.industry
Obstetrics
Infant, Newborn
Pregnancy Outcome
Obstetrics and Gynecology
Infant, Low Birth Weight
Stillbirth
medicine.disease
Low birth weight
Infant, Small for Gestational Age
Apgar Score
Income
population characteristics
Small for gestational age
Apgar score
Female
medicine.symptom
business
Infant, Premature
Cohort study
Demography
Subjects
Details
- ISSN :
- 17012163
- Volume :
- 32
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
- Accession number :
- edsair.doi.dedup.....09e84434d04fbfa755ab696c4706fc1e