ArticleMaternal and child health journal2014
Maternal education and perinatal outcomes among Spanish women residing in southern Spain (2001-2011).
Article in Maternal and child health journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of maternal education on maternal and perinatal outcomes: An individual participant data meta-analysis of 2 356 402 pregnancies.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Pooled it
- Effect of postpartum clinical guideline on maternal outcomes in iranian women: a randomized controlled clinical trial.BMC pregnancy and childbirth · 2024Trial
- Epidemiology and clinical outcomes of advanced maternal age: a cross-sectional study at Saint-Joseph Hospital and the University Clinics of Kinshasa in the Democratic Republic of Congo.The Pan African medical journal · 2025Article
- Perinatal outcome of immigrant women with and without refugee status compared to non-immigrant women: results of the pregnancy and obstetric care for refugees (PROREF) cross-sectional study.Archives of gynecology and obstetrics · 2024Article
- [Analysis of the relationship between neonatal birth weight and meconium metabolites based on birth cohort metabolomics].Se pu = Chinese journal of chromatography · 2024Article
- Effects of maternal exposure to biomass cooking fuel on birth size and body proportionality in full-term infants born by vaginal delivery.Scientific reports · 2024Article
- Factors associated with perinatal mortality in sub-Saharan Africa: A multilevel analysis.PloS one · 2024Article
- Marital Status, Father Acknowledgement, and Birth Outcomes: Does the Maternal Education Matter?International journal of environmental research and public health · 2023Article
- Prevalence of low birth weight and macrosomia estimates based on heaping adjustment method in China.Scientific reports · 2021Article
- The second pregnancy has no effect in the incidence of macrosomia: a cross-sectional survey in two western Chinese regions.Journal of health, population, and nutrition · 2021Article
- Assessment of intelligence quotient score in children at the age of six with suspected congenital hypothyroidism: A retrospective cohort study.Medical journal of the Islamic Republic of Iran · 2020Article
- The Great Recession and adverse birth outcomes: Evidence from California, USA.SSM - population health · 2019Article
- What accounts for the rise of low self-rated health during the recent economic crisis in Europe?International journal for equity in health · 2019Article
- The profile of patients receiving public and private surgical services in Greece during the economic crisis: a comparative study.Annals of translational medicine · 2019Article
- Pregnancy Outcomes in Women of Advanced Maternal Age: a Retrospective Cohort Study from China.Scientific reports · 2018Article
- Mother's education and offspring asthma risk in 10 European cohort studies.European journal of epidemiology · 2017Article
- Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis.BMJ global health · 2017Article
- Health Impacts of the Great Recession: A Critical Review.Current epidemiology reports · 2016Article
- The income-based disparities in preeclampsia and postpartum hemorrhage: a study of the Korean National Health Insurance cohort data from 2002 to 2013.SpringerPlus · 2016Article
- Dietary and health profiles of Spanish women in preconception, pregnancy and lactation.Nutrients · 2014Article
Corrections and comments
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4 authors.
Funding
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Abstract
Evidence suggests that educational differences in perinatal outcomes have increased in some countries (Eastern Europe) while remained stable in others (Scandinavian countries). However, less is known about the experience of Southern Europe. This study aims to evaluate the association between maternal education and perinatal outcomes derived from birthweight (low birthweight and macrosomia) and gestational age (pre-term and post-term births) among Spaniards living in the Autonomous Community of Andalusia during the period 2001-2011 (around 19 % of births in Spain); and to evaluate whether the educational differences narrowed or widened during that period, which includes both an economic boom (2001-2008) and the global economic crisis (2009-2011). This study uses the Andalusian Population Longitudinal Database and the Vital Statistics Data provided by the Spanish National Statistics Institute. We study live and singleton births of Spanish mothers who lived in Andalusia at the time of delivery (n = 404,951). ORs with 95 % confidence intervals (crude and adjusted) were estimated using multinomial regression models. A negative educational gradient is observed in all perinatal outcomes studied (i.e., the higher the educational status, the lower the risk of negative perinatal outcomes). However, when disaggregating the sample in two periods, the gradient is only statistically significant for pre-term birth during 2001-2008, while a full gradient is observed in all perinatal indicators in the period 2009-2011 with an increase in the educational inequalities in macrosomia and post-term. Further studies are needed in order to confirm whether there is a causal association between the widening of the educational differences in perinatal outcomes and the onset of the economic crisis in Spain, or the widening can be explained by other factors, such as changes in childbearing patterns and the composition of women accessing motherhood.
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