ArticleInternational journal for equity in health2018
Socioeconomic status can affect pregnancy outcomes and complications, even with a universal healthcare system.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 3 of them syntheses that pooled it.
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126 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Towards the Development of a Conceptual Framework of the Determinants of Pre-Eclampsia: A Hierarchical Systematic Review of Social Determinants.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- Environmental Exposure to Per- and Polyfluorylalkyl Substances (PFASs) and Reproductive Outcomes in the General Population: A Systematic Review of Epidemiological Studies.International journal of environmental research and public health · 2024Pooled it
- Respectful Maternal Care Experience in Low- and Middle-Income Countries: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Late-onset preeclampsia is characterized by accelerated placental aging.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
- [Development and validation of a comprehensive evaluation index system for preconception health behaviors in reproduc-tive-aged populations].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026Article
- Prenatal and birth factors associated with child autism diagnosis: a birth cohort perspective.Pediatric research · 2026Article
- Causal effects of reproductive traits on cognitive function: A two-sample and multivariable mendelian randomization study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- The tokophobia severity scale: a psychometric multicountry study with childbearing-age women.Archives of women's mental health · 2026Article
- Mendelian randomization study on the effects of women's reproductive traits and socioeconomic traits on pregnancy complications.BMC pregnancy and childbirth · 2026Article
- Postpartum Mental Health Problems in the Mothers of Very, Moderately and Late Preterm Infants During and After COVID-19 Pandemic: A Cross-Sectional Comparison Study and Possible Risk Factors.Depression and anxiety · 2026Article
- Association of adverse pregnancy outcomes and intimate partner violence survivorship: a cross-sectional survey.Frontiers in global women's health · 2026Article
- Adolescent cognitive function and risk of gestational diabetes mellitus: A retrospective population-based cohort study.PloS one · 2026Article
- Pregnancy outcomes of obstetrician gynecologist mothers: a retrospective matched cohort study.Scientific reports · 2025Article
- Atypical Presentation of a Preeclamptic Patient With Severe Features and Auditory Hallucinations.Cureus · 2025Article
- Socio-Economic Inequalities in Stillbirth and Preterm Birth Rates Across Europe: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Assessing the role of Australia's Pharmaceutical Benefits Scheme as a tool for addressing inequality in access to medications and allocation of public funds for pregnant women.BMJ global health · 2025Article
- Perinatal Outcomes After the Use of Kampo Medicines Containing Ephedra During Pregnancy.Pharmacoepidemiology and drug safety · 2025Article
- Distinct maternal DNA methylation associations with gestational age at early and late-mid term pregnancy in a low- and middle-income country: evaluation of biological, genetic, and psychosocial contributors.BMC pregnancy and childbirth · 2025Article
- Prenatal care experiences of first-time mothers navigating socioeconomic challenges during pregnancy in New Brunswick: a qualitative descriptive study.BMC pregnancy and childbirth · 2025Article
- Perceptions of newborn care among North Korean refugee women in South Korea: a qualitative study using focus group interview: comparison between pregnant and non-pregnant groups.Child health nursing research · 2025Article
66 more citing papers are in PubMed but not listed here.
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Abstract
backgroundLow socioeconomic status can increase the risk of adverse pregnancy outcomes, but it remains unclear whether this negative association is attributed to inadequate prenatal care. Korea has been adopting a universal healthcare system. All Korean citizens must be enrolled National Health Insurance (NHI) or be recipient of Medical Aid (MA). In addition, Korean government launched a financial support system for antenatal care for all pregnant women in 2008. Therefore, in theory, there is no financial barrier to receive prenatal cares regardless of someone's social class. However, it is still unclear whether adverse pregnancy outcomes observed in low-income women are attributable to low SES or to economic barriers specific to the utilization of medical services. The purpose of this study was to investigate whether socioeconomic status affects pregnancy outcomes after the introduction of this support system, which allows all pregnant women to receive adequate prenatal care regardless of socioeconomic status.
methodsUsing the National Health Insurance database in Korea, we selected women who gave birth between January 1, 2010 and December 31, 2010. As a proxy indicator reflecting socioeconomic status, we classified subjects as MA recipient ("low" SES) or a NHI beneficiary ("middle/high" SES).
resultsIn the MA group, 29.4% women received inadequate prenatal care, compared to 11.4% in the NHI group. Mothers in the MA group were more likely to have an abortion (30.1%), rather than deliver a baby, than those in the NHI group (20.7%, P < 0.001). Mothers in the MA group were also more likely to undergo a Caesarean delivery (45.8%; NHI group: 39.6%, P < 0.001), and have preeclampsia (1.5%; NHI group: 0.6%, P < 0.001), obstetric hemorrhage (4.7%; NHI group: 3.9%, P = 0.017), and a preterm delivery (2.1%; NHI group: 1.4%, P < 0.001) than those in the NHI group.
conclusionsWomen in the MA group tended to show higher rates of abortion, Caesarean delivery, preeclampsia, preterm delivery, and obstetrical hemorrhage than those in the NHI group Therefore, health authorities should consider investigating what kind of barriers exist or what factors may affect these inequitable outcomes.
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