Movin' on Up: Socioeconomic Mobility and the Risk of Delivering a Small-for-Gestational Age Infant.
Objective Poor fetal growth is associated with increased rates of adverse health outcomes in children and adults. The social determinants of poor fetal growth are not well understood. Using multiple socioeconomic indicators measured at the individual level, this study examined changes in maternal so...
| Publicado en: | Maternal & Child Health Journal Vol. 20; no. 3; pp. 613 - 623 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2016
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112967523&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112967523 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Mar2016 vid: 20 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 112967523 112967523 112967523 10.1007/s10995-015-1860-5 112967523 ppf: 613 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Movin' on Up: Socioeconomic Mobility and the Risk of Delivering a Small-for-Gestational Age Infant. aug: au: Slaughter-Acey, Jaime Holzman, Claudia Calloway, Danuelle Tian, Yan affil: College of Nursing and Health Professions, Drexel University, 245 N 15th St, Mailstop 501 Philadelphia 19102 USA sug: subj: Socioeconomic Factors Infant, Small for Gestational Age Fetal Development Social Mobility Human Risk Factors Healthcare Disparities Michigan Fetus Birth Weight Intergenerational Relations Prenatal Diagnosis Body Mass Index Parity Data Analysis Software Chi Square Test Analysis of Variance Logistic Regression Confidence Intervals Odds Ratio Race Factors Black Persons White Persons Hispanic Americans Fetus, conception to birth ab: Objective Poor fetal growth is associated with increased rates of adverse health outcomes in children and adults. The social determinants of poor fetal growth are not well understood. Using multiple socioeconomic indicators measured at the individual level, this study examined changes in maternal socioeconomic position (SEP) from childhood to adulthood (socioeconomic mobility) in relation to poor fetal growth in offspring. Methods Data were from the Pregnancy Outcomes and Community Health Study (September 1998-June 2004) that enrolled women in mid-pregnancy from 52 clinics in five Michigan communities (2463 women: 1824 non-Hispanic White, 639 non-Hispanic Black). Fetal growth was defined by birthweight-for-gestational age percentiles; infants with birthweight-for-gestational age <10th percentile were referred to as small-for-gestational age (SGA). In logistic regression models, mothers whose SEP changed from childhood to adulthood were compared to two reference groups, the socioeconomic group they left and the group they joined. Results Approximately, 8.2 % of women (non-Hispanic White: 6.3 %, non-Hispanic Black: 13.9 %) delivered an SGA infant. Upward mobility was associated with decreased risk of delivering an SGA infant. Overall, the SGA adjusted-odds ratio was 0.34 [95 % confidence interval (CI) 0.17-0.69] for women who moved from lower to middle/upper versus static lower class, and 0.44 (CI 0.28-1.04) for women who moved from middle to upper versus static middle class. There were no significant differences in SGA risk when women were compared to the SEP group they joined. Conclusions Our findings support a link between mother's socioeconomic mobility and SGA offspring. Policies that allow for the redistribution or reinvestment of resources may reduce disparities in rates of SGA births. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|