ArticleBMJ global health2017
Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis.
Article in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 38 citations in OpenAlex.
- Is the period of austerity in the UK associated with increased rates of adverse birth outcomes?European journal of public health · 2024Article
- Health of singleton neonates in Switzerland through time and crises: a cross-sectional study at the population level, 2007-2022.BMC pregnancy and childbirth · 2024Article
- The influence of the Great Recession on perinatal health-an ecological study on the trend changes and regional differences in Portugal.The Lancet regional health. Europe · 2023Article
- Household Food Insecurity and Demographic Factors, Low Birth Weight and Stunting in Early Childhood: Findings from a Longitudinal Study in South Africa.Maternal and child health journal · 2023Article
- Impact of COVID-19 pandemic on birth outcomes: A retrospective cohort study in Nanjing, China.Frontiers in public health · 2022Article
- Socioeconomic inequalities in low birth weight risk before and during the COVID-19 pandemic in Argentina: A cross-sectional study.Lancet regional health. Americas · 2021Article
- An Analysis of the Trend of Fetal Mortality Rates among Working and Jobless Households in Japan, 1995-2019.International journal of environmental research and public health · 2021Article
- Pregnancy Outcome during the First COVID 19 Lockdown in Vienna, Austria.International journal of environmental research and public health · 2021Article
- Impact of macro-socioeconomic determinants on sustainable perinatal health care in Portugal: a qualitative study on the opinion of healthcare professionals and experts.BMC public health · 2021Article
- Low birth weight trends in Organisation for Economic Co-operation and Development countries, 2000-2015: economic, health system and demographic conditionings.BMC pregnancy and childbirth · 2021Article
- Building resilient societies after COVID-19: the case for investing in maternal, neonatal, and child health.The Lancet. Public health · 2020Review
- Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece.International journal of environmental research and public health · 2020Article
- COVID-19, crisis, and emotional stress: A biocultural perspective of their impact on growth and development for the next generation.American journal of human biology : the official journal of the Human Biology Council · 2020Review
- Birthweight of babies born to migrant mothers - What role do integration policies play?SSM - population health · 2019Article
- Article
- Trend and risk factors of low birth weight and macrosomia in south China, 2005-2017: a retrospective observational study.Scientific reports · 2018Observational
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Authors and funding
5 authors at 1 institution in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 2007-2008 global financial crisis had adverse consequences on population health of affected European countries. Few contemporary studies have studied its effect on perinatal indicators with long-lasting influence on adult health. Therefore, in this study, we investigated the impact of the 2007-2008 global financial crisis on low birth weight (LBW) in Portugal.
methodsData on 2 045 155 singleton births of 1995-2014 were obtained from Statistics Portugal. Joinpoint regression analysis was performed to identify the years in which changes in LBW trends occurred, and to estimate the annual per cent changes (APC). LBW risk by time period expressed as prevalence ratios were computed using the Poisson regression. Contextual changes in sociodemographic and economic factors were provided by their trends.
resultsThe joinpoint analysis identified 3 distinct periods (2 jointpoints) with different APC in LBW, corresponding to 1995-1999 (APC=4.4; 95% CI 3.2 to 5.6), 2000-2006 (APC=0.1; 95% CI -050 to 0.7) and 2007-2014 (APC=1.6; 95% CI 1.2 to 2.0). For non-Portuguese, it was, respectively, 1995-1999 (APC=1.4; 95% CI -3.9 to 7.0%), 2000-2007 (APC=-4.2; 95% CI -6.4 to -2.0) and 2008-2014 (APC=3.1; 95% CI 0.8 to 5.5). Compared with 1995-1999, all specific maternal characteristics had a 10-15% increase in LBW risk in 2000-2006 and a 20-25% increase in 2007-2014, except among migrants, for which LBW risk remained lower than in 1995-1999 but increased after the crisis. The increasing LBW risk coincides with a deceleration in gross domestic product growth rate, reduction in health expenditure, social protection allocation on family/children support and sickness.
conclusionsThe 2007-2008 global financial crisis was associated with a significant increase in LBW, particularly among infants of non-Portuguese mothers. We recommend strengthening social policies aimed at maternity protection for vulnerable mothers and health system maintenance of social equity in perinatal healthcare.
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