ArticleBMJ open2020
Socioeconomic gradients of adverse birth outcomes and related maternal factors in rural and urban Alberta, Canada: a concentration index approach.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Pregnancy Prevalence in the U.S.: A Multilevel Examination of Race, Sociodemographic Factors, and Behavioral Characteristics Using the NSDUH.Journal of racial and ethnic health disparities · 2026Article
- Prenatal care experiences of first-time mothers navigating socioeconomic challenges during pregnancy in New Brunswick: a qualitative descriptive study.BMC pregnancy and childbirth · 2025Article
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- Evaluating methods to define place of residence in Canadian administrative data and the impact on observed associations with all-cause mortality in type 2 diabetes.BMC medical research methodology · 2025Article
- Inequalities in the geographic access to delivery services in Brazil.BMC health services research · 2024Article
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- Lower Socioeconomic Status is Associated with an Increased Incidence and Spectrum of Major Congenital Heart Disease and Associated Extracardiac Pathology.Pediatric cardiology · 2024Article
- Early Prediction of Hypertensive Diseases of Pregnancy by Using Combined Screening Methods in a Rural Population.Cureus · 2023Article
- Impact of experiencing multiple vulnerabilities on fetal growth and complications in women with hyperglycemia in pregnancy.BMC pregnancy and childbirth · 2023Article
- Pregnancy Apps for Self-Monitoring: Scoping Review of the Most Popular Global Apps Available in Australia.International journal of environmental research and public health · 2023Article
- A Comprehensive Review on Social Inequalities and Pregnancy Outcome-Identification of Relevant Pathways and Mechanisms.International journal of environmental research and public health · 2022Review
- Medical, behavioural and social preconception and interconception risk factors among pregnancy planning and recently pregnant Canadian women.Family medicine and community health · 2022Article
- Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women.Frontiers in public health · 2022Article
- Article
- Determinants of adverse birth outcome in the west shewa zone, Oromia, regional state, Ethiopia: Unmatched case-control study.Journal of mother and child · 2021Article
- Article
- An Increased Adverse Fetal Outcome Has Been Observed among Teen Pregnant Women in Rural Eastern Ethiopia: A Comparative Cross-Sectional Study.Global pediatric health · 2021Article
- Gestational age and hospital admissions during childhood: population based, record linkage study in England (TIGAR study).BMJ (Clinical research ed.) · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveUsing a summary measure of health inequalities, this study evaluated the distribution of adverse birth outcomes (ABO) and related maternal risk factors across area-level socioeconomic status (SES) gradients in urban and rural Alberta, Canada.
designCross-sectional study using a validated perinatal clinical registry and an area-level SES.
settingThe study was conducted in Alberta, Canada. Data about ABO and related maternal risk factors were obtained from the Alberta Perinatal Health Program between 2006 and 2012. An area-level SES index derived from census data (2006) was linked to the postal code at delivery.
participantsWomen (n=3 30 957) having singleton live births with gestational age ≥22 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: We estimated concentration indexes to assess inequalities across SES gradients in both rural and urban areas (CIdx
resultsThe highest health inequalities disfavouring low SES groups were identified for substance abuse and smoking in rural areas (CIdx
conclusionsABO and related maternal risk factors were unequally distributed across the socioeconomic gradient in urban-rural settings, with the greatest concentrations in lower SES groups of rural areas. Future research is needed on underlying mechanisms driving SES gradients in perinatal health across the rural-urban spectrum.
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