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The role of neighbourhood socioeconomic status in large for gestational age
- Source :
- PLoS ONE, PLoS ONE, Public Library of Science, 2020, 15 (6), pp.e0233416. ⟨10.1371/journal.pone.0233416⟩, PLoS ONE, Vol 15, Iss 6, p e0233416 (2020), PLoS ONE, 2020, 15 (6), pp.e0233416. ⟨10.1371/journal.pone.0233416⟩
- Publication Year :
- 2020
- Publisher :
- HAL CCSD, 2020.
-
Abstract
- International audience; ObjectiveTo determine whether neighbourhood socioeconomic status (SES) was associated with large for gestational age (LGA) while considering key sociodemographic and clinical confounding factors.Setting and patientAll singleton infants whose parents were living in the city of Marseilles, France, between 2013 and 2016.MethodPopulation-based study based on new-born hospital birth admission charts from the French National Uniform Hospital Discharge Data Set Database. LGA infants were compared to appropriate-for-gestational-age (AGA) infants. Multiple generalized logistic model analysis was used to examine factors associated with LGA.ResultsA total of 43,309 singleton infants were included, and 4,747 (11%) were born LGA. LGA infants were more likely to have metabolic and respiratory diseases and to be admitted to the neonatal intensive care unit. Multiparity, advanced maternal age, obesity and diabetes were associated with an increased risk of LGA. Lower neighbourhood SES was associated with LGA (aOR = 1.24, 95% CI: 1.14; 1.36; p 35 years old.ConclusionNeighbourhood SES could be considered an important factor for clinicians to better identify mothers at risk of having LGA births in addition to well-known risk factors such as maternal diabetes, obesity and age. The intensification of the association between SES and LGA with increasing maternal age suggests that neighbourhood disadvantage may act on LGA cumulatively over time.
- Subjects :
- Male
Neonatal intensive care unit
Physiology
Maternal Health
[SDV]Life Sciences [q-bio]
PREPREGNANCY OBESITY
Weight Gain
Logistic regression
Pediatrics
Neonatal Care
Body Mass Index
Fetal Macrosomia
Families
Endocrinology
0302 clinical medicine
Risk Factors
Medicine and Health Sciences
Birth Weight
Public and Occupational Health
030212 general & internal medicine
INCREASED RISK
Children
Neighbourhood (mathematics)
POPULATION
education.field_of_study
030219 obstetrics & reproductive medicine
Multidisciplinary
Obstetrics and Gynecology
Gestational age
ASSOCIATION
Socioeconomic Aspects of Health
3. Good health
WEIGHT-GAIN
[SDV] Life Sciences [q-bio]
Gestational diabetes
Parity
PREGNANCY
Physiological Parameters
Medicine
Female
France
Infants
Research Article
Adult
Endocrine Disorders
Science
Population
Mothers
Gestational Age
03 medical and health sciences
BIRTH OUTCOMES
Diabetes Mellitus
medicine
Humans
Obesity
Advanced maternal age
Gestational Diabetes
education
Socioeconomic status
business.industry
Body Weight
Infant, Newborn
Biology and Life Sciences
Neonates
Infant
medicine.disease
Health Care
Pregnancy Complications
Diabetes, Gestational
Social Class
Socioeconomic Factors
Age Groups
Metabolic Disorders
People and Places
HEALTH-CARE
Birth
Women's Health
FETAL-GROWTH
Population Groupings
MATERNAL AGE
Neonatology
business
Developmental Biology
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLoS ONE, PLoS ONE, Public Library of Science, 2020, 15 (6), pp.e0233416. ⟨10.1371/journal.pone.0233416⟩, PLoS ONE, Vol 15, Iss 6, p e0233416 (2020), PLoS ONE, 2020, 15 (6), pp.e0233416. ⟨10.1371/journal.pone.0233416⟩
- Accession number :
- edsair.doi.dedup.....6166a58e3587c6461507b29861f54940