Evidence map›Paper›PMID 12937049›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2003

Social trends in singleton births and birth weight in Wirral residents, 1990-2001.

P Bundred, D Manning, B Brewster, I Buchan

Abstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Social deprivation and admission for neonatal care.Archives of disease in childhood. Fetal and neonatal edition · 2005
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

P BundredDepartment of Primary Care, University of Liverpool, Liverpool, UK. peterb@liv.ac.uk
D Manning
B Brewster
I Buchan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine social trends in the number of singleton births and birth weight in an English health district between 1990 and 2001, using an area based deprivation index.

designAnalysis of routinely collected hospital data.

settingWirral Health District in north west England.

participantsAll 48 452 live births to Wirral residents from 1990 to 2001.

main outcome measuresBirth numbers, birth weight, and standard deviation score for birth weights for singleton births. Townsend material deprivation scores derived from postcodes.

resultsThe number of singleton births fell by 28% over the 12 years. The fall in the least deprived Townsend quartile (45%) was more than triple that in the most deprived quartile (gamma = 0.045; 95% confidence interval (CI) = 0.036 to 0.054; p < 0.001). Over the study period, the mean birth weight in the least deprived Townsend quartile was 141 g higher than in the most deprived quartile. There was a highly significant association between the standard deviation score for birth weight and Townsend quartile (tau-b = -0.062; 95% CI = -0.068 to -0.055; p < 0.001). Numbers of low birth weight babies in the least deprived quartile fell disproportionately compared with those from the most deprived quartile (gamma = 0.17; 95% CI = 0.09 to 0.25; p < 0.001).

conclusionThe reduction in birth rate in the Wirral was significantly less in the most deprived districts. This was accompanied by related differences in mean birth weight and the number of low birth weight babies, indicating increasing social inequality in birth trends. Previously described social inequity in birth weight and the number of low birth weight babies continues in the north west of England.

Indexed as

Birth WeightInfant, Low Birth WeightAnalysis of VarianceBirth RateConfidence IntervalsEnglandFemaleHumansInfant, NewbornMalePoverty AreasResidence CharacteristicsRetrospective StudiesSex DistributionSocial Class

Identifiers

PMID12937049
PMCPMC1721626

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