ArticleBMJ open2018
Trends in social determinants of child health and perinatal outcomes in European countries 2005-2015 by level of austerity imposed by governments: a repeat cross-sectional analysis of routinely available data.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Is Austerity Responsible for the Stalled Mortality Trends Across Many High-Income Countries? A Systematic Review.International journal of social determinants of health and health services · 2024Pooled it
- Deprived areas and adverse perinatal outcome: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- Austerity policy and child health in European countries: a systematic literature review.BMC public health · 2020Pooled it
- Effect of Austerity Measures on Infant Mortality: Evidence From Greece.Health economics · 2026Article
- Integrated early years care and government policy to address child health inequalities: lessons from the UK and international contexts.BMJ paediatrics open · 2025Article
- Maternal and pregnancy factors contributing to the association between area deprivation and infant mortality in England: a retrospective cohort study.The Lancet regional health. Europe · 2024Article
- Is the period of austerity in the UK associated with increased rates of adverse birth outcomes?European journal of public health · 2024Article
- Health inequalities in childhood diseases: temporal trends in the inter-crisis period.International journal for equity in health · 2024Article
- Rethinking children's right to leisure during school holidays.Annals of leisure research · 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
- A scoping review on the impact of austerity on healthcare access in the European Union: rethinking austerity for the most vulnerable.International journal for equity in health · 2023Article
- Cost of living crisis: a UK crisis with global implications - A call to action for paediatricians.BMJ paediatrics open · 2022Review
- Socioeconomic inequalities in 29 childhood diseases: evidence from a 1,500,000 children population retrospective study.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
- Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece.International journal of environmental research and public health · 2020Article
- Recent quantitative research on determinants of health in high income countries: A scoping review.PloS one · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo assess whether the level of austerity implemented by national governments was associated with adverse trends in perinatal outcomes and the social determinants of children's health (SDCH) in rich countries
designLongitudinal ecological study of country-level time trends in perinatal outcomes and SDCH and from 2005 to 2015. SETTING AND
participants16 European countries using available data from the International Monetary Fund, the Organisation for Economic Co-operation and Development and Eurostat.
main outcome measuresTrends in perinatal outcomes (low birth weight (LBW); infant mortality) and the SDCH: child poverty rates; severe material deprivation in families with primary education; preschool investment in three time periods: 2005-2007, 2008-2010 and 2012-2015. Outcomes were compared according to the cyclically adjusted primary balance (CAPB, differences between 2013 and 2009) as a measure of austerity, stratified in tertiles. Generalised estimating equation models of repeated measures were used to assess time trend differences in three periods.
resultsCountries with higher levels of austerity had worse outcomes, mainly at the last study period. Material deprivation increased during the period 2012-2015 in those countries with higher CAPB (interaction CAPB-period 2012-2015, B: 5.62: p<0.001), as did LBW (interaction CAPB-period 2012-2015, B: 0.25; p=0.004).
conclusionsCountries that implemented more severe austerity measures have experienced increasing LBW, and for families with primary education also increasing material deprivation, worsening the negative impact of economic crisis. Reversing austerity policies that impact children is likely to improve child health outcomes.
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