Observational studyEuropean journal of epidemiology2013
Unemployment and stillbirth risk among foreign-born and Spanish pregnant women in Spain, 2007-2010: a multilevel analysis study.
Observational study in European journal of epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
- Elevated mortality among the second-generation (children of migrants) in Europe: what is going wrong? A review.British medical bulletin · 2023Review
- Maternal Race and Stillbirth: Cohort Study and Systematic Review with Meta-Analysis.Journal of clinical medicine · 2022Article
- Socioeconomic inequality and stillbirth rate disparities among native and foreign mothers: evidence from Greece.SN social sciences · 2022Article
- Infant mortality among native-born children of immigrants in France, 2008-17: results from a socio-demographic panel survey.European journal of public health · 2021Article
- Secular trends in stillbirth by maternal socioeconomic status in Spain 2007-15: a population-based study of 4 million births.European journal of public health · 2019Observational
- Article
- Human Development Index (HDI) of the maternal country of origin as a predictor of perinatal outcomes - a longitudinal study conducted in Spain.BMC pregnancy and childbirth · 2017Article
- Understanding determinants of unequal distribution of stillbirth in Tehran, Iran: a concentration index decomposition approach.BMJ open · 2017Article
- Revisiting the Healthy Migrant Paradox in Perinatal Health Outcomes Through a Scoping Review in a Recent Host Country.Journal of immigrant and minority health · 2017Article
- New index of social deprivation during pregnancy: results from a national study in France.BMJ open · 2016Article
- The Rotterdam Study: 2016 objectives and design update.European journal of epidemiology · 2015Article
- The Generation R Study: Biobank update 2015.European journal of epidemiology · 2014Article
- Early origins of chronic obstructive lung diseases across the life course.European journal of epidemiology · 2014Review
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We describe stillbirth and unemployment rates by autonomous region in Spain and analyse whether women who gave birth in regions with high unemployment rates were more likely to have a stillborn. We designed a multilevel population-based observational study of births from 2007 to 2010. We defined stillbirth as the outcome, individual maternal socioeconomic and pregnancy-related characteristics as covariates, and maternal autonomous region of residence as the contextual covariate. We used mixed-logistic regression models to account for differences across regions. In total, 1,920,235 singleton births and 5,560 stillbirths were included in the study. Women residing in autonomous regions with the highest rates of unemployment had a two-times-greater chance of delivering a stillborn (adjusted OR 2.60; 95 % CI 2.08-3.21). The region where women resided explained 14 % of the total individual differences in the risk of delivering a stillborn. The odds of stillbirth were 1.82 (95 % CI 1.62-2.05) times higher for African-born women than for Spanish-born women and 1.90 (95 % CI 1.68-2.15) times higher for women with low educational attainment than for women with higher education. In conclusion, regional disparities in stillbirth rates in Spain in the period 2007-2010 were mainly associated with mothers who had low levels of education, were African-born, and lived in regions with higher unemployment.
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