ArticleBMJ open2016
New index of social deprivation during pregnancy: results from a national study in France.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social vulnerability indices for proactively identifying at-risk individuals in healthcare: a systematic review.European journal of public health · 2025Pooled it
- A systematic review of reasons for and against asking patients about their socioeconomic contexts.International journal for equity in health · 2019Pooled it
- Association between induction of labor and birth experience: A national population-based study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Female genital mutilation/cutting in women delivering in France: An observational national study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Observational
- Maternal social deprivation and preterm birth: The PreCARE cohort study.Paediatric and perinatal epidemiology · 2025Article
- Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study.Heliyon · 2024Article
- Impact of social determinants of health on access to rhinology care and patient outcomes: A pilot study.Laryngoscope investigative otolaryngology · 2024Article
- Development of an individual index of social vulnerability that predicts negative healthcare events: a proposed tool to address healthcare equity in primary care research and practice.International journal for equity in health · 2023Article
- Association between social vulnerability profiles, prenatal care use and pregnancy outcomes.BMC pregnancy and childbirth · 2023Article
- Use of pregnancy personalised follow-up in case of maternal social vulnerability to reduce prematurity and neonatal morbidity.BMC pregnancy and childbirth · 2023Article
- Influence of the maternity unit and region of delivery on episiotomy practice in France: a nationwide population-based study.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Ability of municipality-level deprivation indices to capture social inequalities in perinatal health in France: A nationwide study using preterm birth and small for gestational age to illustrate their relevance.BMC public health · 2022Article
- Maternal characteristics associated with gestational weight gain in France: a population-based, nationally representative study.BMJ open · 2021Article
- Maternal obesity and severe pre-eclampsia among immigrant women: a mediation analysis.Scientific reports · 2020Article
- Article
- Pregnancy vulnerability in urban areas: a pragmatic approach combining behavioral, medico-obstetrical, socio-economic and environmental factors.Scientific reports · 2019Article
- Article
- Inequalities in the social determinants of health and Chagas disease transmission risk in indigenous and creole households in the Argentine Chaco.Parasites & vectors · 2019Article
- 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
- Association between maternal social deprivation and prenatal care utilization: the PreCARE cohort study.BMC pregnancy and childbirth · 2017Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify precariousness markers in pregnant women that differ from the usual socioeconomic variables.
methodsData were obtained from the National Perinatal Survey, a representative sample of women giving birth in France in 2010. From six indicators of social vulnerability, four were selected by multiple correspondence analysis. The first axis of this analysis was used, characterised by the following contributory variables: receiving RSA (Revenu de Solidarité Active) allowance; benefitting from the CMU (Couverture Maladie Universelle) system (French social security) or not being insured; not living in own accommodation; and not living with a partner. These four variables were summed to create a deprivation index.
resultsThis index was strongly associated with social maternal characteristics and correctly identified women who were socially vulnerable. Furthermore, it was highly related to the psychosocial context, access to care, behaviours during pregnancy, and pregnancy outcomes. These associations remained significant after adjustment for social variables: compared with no deprivation (no factors), a high level of deprivation (≥3 factors) was associated with late prenatal care (OR 5.8, 95% CI 4.6 to 7.2) and small for gestational age (OR 1.5, 95% CI 1.1 to 1.9).
conclusionsThis index of social deprivation was associated with health issues and behaviours during pregnancy, even after adjustment for social variables, revealing a dimension not measured by the usual variables. Moreover, it is simple to use and easily reproducible.
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