ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2007
Socioeconomic status and perinatal outcomes in a setting with universal access to essential health care services.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.
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Who cites it
75 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A review of Aboriginal infant mortality rates in Canada: striking and persistent Aboriginal/non-Aboriginal inequities.Canadian journal of public health = Revue canadienne de sante publiquePooled it
- Educational inequalities in perinatal outcomes: the mediating effect of smoking and environmental tobacco exposure.PloS one · 2012Trial
- DNA methylation in the placenta and household socioeconomic status: the SPAH study.Clinical epigenetics · 2026Article
- Pregnancy Outcomes in Women with Type 1 Diabetes by Socioeconomic and Mental Health Disadvantages.Clinical epidemiology · 2026Article
- Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Social patterns of miscarriage reporting and risk: insights from survey data in France.European journal of public health · 2025Article
- Assessment of Knowledge, Attitudes, and Practices Concerning Cervical Cancer Among Women of Early Reproductive Age in Bangladesh: A Cross-Sectional Study.Health science reports · 2025Article
- The Impact of Race and Ethnicity on Congenital Diaphragmatic Hernia 1-Year Mortality.Pediatric pulmonology · 2025Article
- Social inequalities in pregnancy metabolic profile: findings from the multi-ethnic Born in Bradford cohort study.BMC pregnancy and childbirth · 2024Article
- Influence of Socioeconomic Status on the Association Between Pregnancy Complications and Premature Coronary Artery Disease: Linking Three Cohorts.Women's health reports (New Rochelle, N.Y.) · 2024Article
- How does high socioeconomic status affect maternal and neonatal pregnancy outcomes? A population-based study among American women.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021.Journal of Korean medical science · 2023Article
- Association between socioeconomic status with pregnancy and neonatal outcomes: An international multicenter cohort.Acta obstetricia et gynecologica Scandinavica · 2023Article
- The pandemic experiences of Ontario perinatal providers: a qualitative study.BMC health services research · 2023Article
- Relationships between early-life family poverty and relative socioeconomic status with gestational diabetes, preeclampsia, and hypertensive disorders of pregnancy later in life.Annals of epidemiology · 2023Article
- Facilitators and barriers to seeking and engaging with antenatal care in high-income countries: A meta-synthesis of qualitative research.Health & social care in the community · 2022Review
- The tragedy of smoking, alcohol, and multiple substance use during pregnancy.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2022Article
- Evaluating the effect of Bolsa Familia, Brazil's conditional cash transfer programme, on maternal and child health: A study protocol.PloS one · 2022Article
- Association of prenatal medical risk with breastfeeding outcomes up to 12 months in the All Our Families community-based birth cohort.International breastfeeding journal · 2021Article
- Factors associated with small- and large-for-gestational-age in socioeconomically vulnerable individuals in the 100 Million Brazilian Cohort.The American journal of clinical nutrition · 2021Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe health care system in Canada provides essential health services to all women irrespective of socioeconomic status. Our objective was to determine whether perinatal and infant outcomes varied by family income and other socioeconomic factors in this setting.
methodsWe included all 92,914 women who delivered in Nova Scotia between 1988 and 1995 following a singleton pregnancy. Family income was obtained for 76,440 of these women through a confidential link to income tax records and was divided into 5 groups. Outcomes studied included pregnancy complications, preterm birth, small-for-gestational-age live birth, perinatal death, serious neonatal morbidity, postneonatal death and infant death. Logistic regression models were used to adjust for potential confounders.
resultsCompared with women in the highest family income group, those in the lowest income group had significantly higher rates of gestational diabetes (crude rate ratio [RR] 1.44, 95% confidence interval [CI] 1.21-1.73), preterm birth (crude RR 1.20, 95% CI 1.06-1.35), small-for-gestational-age live birth (crude RR 1.81, 95% CI 1.66-1.97) and postneonatal death (crude RR 5.54, 95% CI 2.21-13.9). The opposite was true for rates of perinatal death (crude RR 0.74, 95% CI 0.56-0.96), and there was no significant difference between the 2 groups in the composite of perinatal death or serious neonatal morbidity (crude RR 1.01, 95% CI 0.82-1.24). Adjustment for behavioural and lifestyle factors accentuated or attenuated socioeconomic differences.
interpretationLower family income is associated with increased rates of gestational diabetes, small-for-gestational-age live birth and postneonatal death despite health care services being widely available at no out-of-pocket expense.
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