ArticleEuropean journal of epidemiology2011
Individual accumulation of heterogeneous risks explains perinatal inequalities within deprived neighbourhoods.
Article in European journal of epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deprived areas and adverse perinatal outcome: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- Antenatal non-medical risk assessment and care pathways to improve pregnancy outcomes: a cluster randomised controlled trial.European journal of epidemiology · 2018Trial
- Trial
- Perinatal Care for Women with Foreign Citizenship in Trentino (North-East Italy): Retrospective Cohort Epidemiological Study.Journal of clinical medicine · 2026Article
- Neighbourhood socioeconomic disadvantage and the risk of preterm delivery.BMJ paediatrics open · 2026Article
- Association between social and built environment characteristics and maternal mortality in 340 Latin America cities: an ecological study from the SALURBAL study.BMJ public health · 2026Article
- Dutch nationwide registry study to identify spatial, contextual and environmental inequalities in birth outcomes.BMJ public health · 2026Article
- Prenatal exposure to agricultural pesticide applications and gestational diabetes mellitus in the Az-PEARS population-based study (2014-2020).Environment international · 2026Article
- Perinatal Socioeconomic Disadvantage and Cardiovascular Comorbidities: National and State-Level Results of a Novel Cardio-Obstetrics Program.Journal of cardiovascular development and disease · 2025Article
- Integrated care for multi-domain vulnerability during pregnancy: a retrospective cohort study.Archives of women's mental health · 2025Article
- Stimulating Preconception Care Uptake by Women With a Vulnerable Health Status Through a Mobile Health App (Pregnant Faster): Pilot Feasibility Study.JMIR human factors · 2024Article
- Do women living in a deprived neighborhood have higher maternity care costs and worse pregnancy outcomes? A retrospective population-based study.BMC health services research · 2024Article
- Article
- Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy Pregnancy 4 All-3 Program.International journal of health policy and management · 2024Article
- Stimulating the Uptake of Preconception Care by Women With a Vulnerable Health Status Through mHealth App-Based Nudging (Pregnant Faster): Cocreation Design and Protocol for a Cohort Study.JMIR research protocols · 2023Article
- Defining vulnerability subgroups among pregnant women using pre-pregnancy information: a latent class analysis.European journal of public health · 2023Article
- Complexity and interplay of faced adversities and perceived health and well-being in highly vulnerable pregnant women-the Mothers of Rotterdam program.BMC public health · 2023Article
- A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality.Children (Basel, Switzerland) · 2022Review
- Development of a Blueprint for Integrated Care for Vulnerable Pregnant Women.Maternal and child health journal · 2022Article
- Article
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dutch' figures on perinatal mortality and morbidity are poor compared to EU-standards. Considerable within-country differences have been reported too, with decreased perinatal health in deprived urban areas. We investigated associations between perinatal risk factors and adverse perinatal outcomes in 7,359 pregnant women participating in population-based prospective cohort study, to establish the independent role, if any, for living within a deprived urban neighbourhood. Main outcome measures included perinatal death, intrauterine growth restriction (IUGR), prematurity, congenital malformations, Apgar at 5 min < 7, and pre-eclampsia. Information regarding individual risk factors was obtained from questionnaires, physical examinations, ultrasounds, biological samples, and medical records. The dichotomous Dutch deprivation indicator was additionally used to test for unexplained deprived urban area effects. Pregnancies from a deprived neighbourhood had an increased risk for perinatal death (RR 1.8, 95% CI [1.1; 3.1]). IUGR, prematurity, Apgar at 5 min < 7, and pre-eclampsia also showed higher prevalences (P < 0.05). Residing within a deprived neighbourhood was associated with increased prevalence of all measured risk factors. Regression analysis showed that the observed neighbourhood related differences in perinatal outcomes could be attributed to the increased risk factor prevalence only, without a separated role for living within a deprived neighbourhood. Women from a deprived neighbourhood had significantly more 'possibly avoidable' risk factors. To conclude, women from a socioeconomically deprived neighbourhood are at an increased risk for adverse pregnancy outcomes. Differences regarding possibly avoidable risk factors imply that preventive strategies may prove effective.
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