ArticleJournal of epidemiology and community health2020
Persisting inequalities in birth outcomes related to neighbourhood deprivation.
Article in Journal of epidemiology and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deprived areas and adverse perinatal outcome: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- The magnitude and population burden of educational inequalities in adverse birth outcomes.Scientific reports · 2026Article
- Dutch nationwide registry study to identify spatial, contextual and environmental inequalities in birth outcomes.BMJ public health · 2026Article
- Neighborhood socioeconomic inequality and sarcopenia in community-dwelling older adults: a cross-sectional study.Annals of medicine · 2025Article
- Trends in neighbourhood socioeconomic disadvantage and mortality disparities over three decades in Denmark.Journal of epidemiology and community health · 2025Article
- Socioeconomic inequalities in the uptake of postpartum care at home across Dutch neighbourhoods.European journal of public health · 2024Observational
- Do women living in a deprived neighborhood have higher maternity care costs and worse pregnancy outcomes? A retrospective population-based study.BMC health services research · 2024Article
- Examining modification of the associations between air pollution and birth outcomes by neighborhood deprivation in a North Carolina birth cohort, 2011-2015.Frontiers in reproductive health · 2024Article
- Building Cross-sectoral Collaborations to Address Perinatal Health Inequities: Insights From the Dutch Healthy Pregnancy 4 All-3 Program.International journal of health policy and management · 2024Article
- Maternal Migration Background and Mortality Among Infants Born Extremely Preterm.JAMA network open · 2023Article
- Does Neighborhood Crime Mediate the Relationship Between Neighborhood Socioeconomic Status and Birth Outcomes? An Application of the Mediational G-Formula.American journal of epidemiology · 2023Article
- Analysis of an Association between Preterm Birth and Parental Educational Level in Japan Using National Data.Children (Basel, Switzerland) · 2023Article
- Creating a sense of urgency and provoking action - An example on the use of heat maps to address perinatal health inequalities.Preventive medicine reports · 2022Article
- Analysis of association between low birth weight and socioeconomic deprivation level in Japan: an ecological study using nationwide municipal data.Maternal health, neonatology and perinatology · 2022Article
- Can an Ecological Index of Deprivation Be Used at the Country Level? The Case of the French Version of the European Deprivation Index (F-EDI).International journal of environmental research and public health · 2022Article
- Socio-economic determinants of healthcare costs in early life: a register-based study in the Netherlands.International journal for equity in health · 2022Article
- Association of neighbourhood socioeconomic trajectories with preterm birth and small-for-gestational-age in the Netherlands: a nationwide population-based study.The Lancet regional health. Europe · 2021Article
- Association Between Income and Perinatal Mortality in the Netherlands Across Gestational Age.JAMA network open · 2021Article
- Impact of COVID-19 mitigation measures on the incidence of preterm birth: a national quasi-experimental study.The Lancet. Public health · 2020Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHealth inequalities can be observed in early life as unfavourable birth outcomes. Evidence indicates that neighbourhood socioeconomic circumstances influence health. However, studies looking into temporal trends in inequalities in birth outcomes including neighbourhood socioeconomic conditions are scarce. The aim of this work was to study how inequalities in three different key birth outcomes have changed over time across different strata of neighbourhood deprivation.
methodsNationwide time trends ecological study with area-level deprivation in quintiles as exposure. The study population consisted of registered singleton births in the Netherlands 2003-2017 between 24 and 41 weeks of gestation. Outcomes used were perinatal mortality, premature birth and small for gestational age (SGA). Absolute rates for all birth outcomes were calculated per deprivation quintile. Time trends in birth outcomes were examined using logistic regression models. To investigate relative inequalities, rate ratios for all outcomes were calculated per deprivation quintile.
resultsThe prevalence of all unfavourable birth outcomes decreased over time: from 7.2 to 4.1 per 1000 births for perinatal mortality, from 61.8 to 55.6 for premature birth, and from 121.9 to 109.2 for SGA. Inequalities in all birth outcomes have decreased in absolute terms, and the decline was largest in the most deprived quintile. Time trend analyses confirmed the overall decreasing time trends for all outcomes, which were significantly steeper for the most deprived quintile. In relative terms however, inequalities remained fairly constant.
conclusionIn absolute terms, inequalities in birth outcomes by neighbourhood deprivation in the Netherlands decreased between 2003 and 2017. However, relative inequalities remained persistent.
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