Evidence map›Paper›PMID 30367602›Full record

ArticleBMC pregnancy and childbirth2018

Is the socioeconomic status of immigrant mothers in Brussels relevant to predict their risk of adverse pregnancy outcomes?

Mouctar Sow, Judith Racape, Claudia Schoenborn, Myriam De Spiegelaere

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Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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15citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Mouctar SowResearch centre in Health Policies and Health Systems, Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Route de Lennik 808, 1070, Bruxelles, Belgium. mamasow@ulb.ac.be.ORCID http://orcid.org/0000-0001-8038-6326
Judith RacapeResearch centre in Epidemiology, Biostatistics and Clinical research, Ecole de Santé Publique, Université Libre de Bruxelles(ULB), CP598. Route de Lennik 808, 1070, Bruxelles, Belgium.
Claudia SchoenbornResearch centre in Health Policies and Health Systems, Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Route de Lennik 808, 1070, Bruxelles, Belgium.
Myriam De SpiegelaereResearch centre in Health Policies and Health Systems, Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Route de Lennik 808, 1070, Bruxelles, Belgium.

Funding

Fonds De La Recherche Scientifique - FNRS [22329302]
6 · The paper itself

Abstract

backgroundUnderstanding and tackling perinatal health inequities in industrialized countries requires analysing the socioeconomic determinants of adverse pregnancy outcomes among immigrant populations. Studies show that among certain migrant groups, education is not associated with adverse pregnancy outcomes. We aim to extend this analysis to further dimensions of socioeconomic status (SES) and to other settings. The objective of this study is to identify sociodemographic characteristics associated with adverse pregnancy outcomes, according to the origin of mothers residing in Brussels.

methodsWe analysed all singleton live births in Brussels between 2005 and 2010 (n = 97,844). The data arise from the linkage between three administrative databases. Four groups of women were included according to their place of birth: Belgium, EU, North Africa, and Sub-Saharan Africa. For each group, logistic regression was carried out to estimate the odds ratios of low birthweight (LBW) and small for gestational age (SGA) according to SES indicators (household income, maternal employment status, maternal education) and single parenthood.

resultsThree key findings emerge from this study: 1) 25% of children were born into a household under the poverty threshold. This proportion was much higher for mothers born outside of the EU. 2) For North African immigrants, SES indicators didn't influence the pregnancy outcomes, whereas their risk of LBW increased with single parenthood. 3) For Sub-Saharan Africans the risk of LBW increased with low household income.

conclusionIn a region where immigrant mothers are at high poverty risk, we observe a classic social gradient in perinatal outcomes only for mothers born in Belgium or the EU. In the other groups, SES influences perinatal outcomes less systematically. To develop interventions to reduce inequities from birth, it's important to identify the determinants of perinatal health among immigrants and to understand the underlying mechanisms in different contexts.

Indexed as

Health Status DisparitiesSocial ClassAdultAfrica, NorthernAfrica South of the SaharaBelgiumEmigrants and ImmigrantsEthnicityEuropean UnionFemaleHumansInfant, NewbornMaleMothersPovertyPregnancyAdverse birth outcomesHealth inequalitiesImmigrantsPerinatal healthPovertySocioeconomic status

Identifiers

PMID30367602
PMCPMC6204002

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.