Differences in perinatal morbidity and mortality on the neighbourhood level in Dutch municipalities: a population based cohort study

BMC Pregnancy and Childbirth
Amber A VosEric A P Steegers

Abstract

In a national perinatal health programme, we observed striking heterogeneity in the explanation of the most prominent risks across municipalities. Therefore we explored the separate contribution of several socio-demographic risks on perinatal health inequalities between municipalities and neighbourhoods. The study aims to identify perinatal health inequalities on the neighbourhood level across the selected municipalities, and to objectify the contribution of socio-demographic risk factors on pregnancy outcomes in each municipality by the application of the population attributable risk concept. Population based cohort study (2000-2008). Perinatal outcomes of 352,407 single pregnancies from 15 municipalities were analysed. Odds ratios and population attributable risks were calculated. Main outcomes were combined perinatal morbidity (small-for-gestational age, preterm birth, congenital anomalies, and low Apgar score), and perinatal mortality. Perinatal health inequalities existed on both the municipal and the neighbourhood level. In municipalities, combined perinatal morbidity ranged from 17.3 to 23.6%, and perinatal mortality ranges from 10.1 to 15.4‰. Considerable differences in low socio-economic status between municipalities w...Continue Reading

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Citations

Sep 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Alina SmirnovaKiki M J M H Lombarts
Nov 7, 2019·Journal of Epidemiology and Community Health·Loes C M BertensJasper V Been
May 28, 2020·BMC Public Health·Anita C J RavelliChristianne J M de Groot
Dec 29, 2020·Frontiers in Pediatrics·Rik Vullings, Judith O E H van Laar
Dec 24, 2018·American Journal of Obstetrics and Gynecology·Liset HoftiezerRichard A van Lingen
Nov 3, 2021·JAMA Network Open·Joaquim Vidiella-MartinTom Van Ourti

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Methods Mentioned

BETA
SGA

Software Mentioned

SAS
SPSS
Statistical Package of Social Sciences

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