Investigating maternal risk factors as potential targets of intervention to reduce socioeconomic inequality in small for gestational age: a population-based study.

BMC Public Health
Irene HaywardScott A Venners

Abstract

The major aim of this study was to investigate whether maternal risk factors associated with socioeconomic status and small for gestational age (SGA) might be viable targets of interventions to reduce differential risk of SGA by socioeconomic status (socioeconomic SGA inequality) in the metropolitan area of Vancouver, Canada. This study included 59,039 live, singleton births in the Vancouver Census Metropolitan Area (Vancouver) from January 1, 2006 to September 17, 2009. To identify an indicator of socioeconomic SGA inequality, we used hierarchical logistic regression to model SGA by area-level variables from the Canadian census. We then modelled SGA by area-level average income plus established maternal risk factors for SGA and calculated population attributable SGA risk percentages (PAR%) for each variable. Associations of maternal risk factors for SGA with average income were investigated to identify those that might contribute to SGA inequality. Finally, we estimated crude reductions in the percentage and absolute differences in SGA risks between highest and lowest average income quintiles that would result if interventions on maternal risk factors successfully equalized them across income levels or eliminated them altogeth...Continue Reading

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Citations

Nov 20, 2013·BMC Pregnancy and Childbirth·Lee K TaylorJonathan Morris
Mar 5, 2014·BMC Pregnancy and Childbirth·Ketan ShankardassVictoria M Allen
Apr 16, 2014·Prenatal Diagnosis·Michal CiborowskiAdam Kretowski
Oct 25, 2017·Obstetrics and Gynecology·Mohammad Ahmed Maher, Tarek Mohammad Sayyed

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SAS
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