ArticleWomen's health (London, England)
Social determinants and inequitable maternal and perinatal outcomes in Aotearoa New Zealand.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Investigating the implementation of infection prevention and control practices in neonatal care across country income levels: a systematic review.Antimicrobial resistance and infection control · 2025Pooled it
- Deprived areas and adverse perinatal outcome: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- The Role of Ethnicity and Migration in Perinatal Inequalities: A Retrospective Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Data resource profile: education and health data in New Zealand's Integrated Data Infrastructure.International journal of population data science · 2026Article
- Dutch nationwide registry study to identify spatial, contextual and environmental inequalities in birth outcomes.BMJ public health · 2026Article
- Barriers to Rural Midwifery: An Integrative Review.Journal of advanced nursing · 2025Review
- "I'd probably just say that they probably just don't care": a qualitative study of the experiences of wāhine Māori of mental health screening during the perinatal period.BMC pregnancy and childbirth · 2025Article
- A Retrospective Analysis Evaluating the Impact of Neighborhood Deprivation on Birth Weight in Phoenix, Arizona.International journal of environmental research and public health · 2025Article
- Neonatal encephalopathy in Aotearoa New Zealand: a review utilising two existing population datasets.Frontiers in pediatrics · 2025Article
- Associations between neighbourhood deprivation, ethnicity and maternal health outcomes in England: a nationwide cohort study using routinely collected healthcare data.Journal of epidemiology and community health · 2024Article
- Social determinants of respiratory health from birth: still of concern in the 21st century?European respiratory review : an official journal of the European Respiratory Society · 2024Review
- Culturally Safe Neonatal Care: Talking With Health Practitioners Identified as Champions by Indigenous Families.Qualitative health research · 2023Article
- Morbidity and mortality of newborns born to immigrant and nonimmigrant females residing in low-income neighbourhoods.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Towards a mother-centred maternal health promotion.Health promotion international · 2023Article
- Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis.International journal for equity in health · 2023Article
- The maternal health of American Indian and Alaska Native people: A scoping review.Social science & medicine (1982) · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAotearoa New Zealand has demonstrable maternal and perinatal health inequity. We examined the relationships between adverse outcomes in a total population sample of births and a range of social determinant variables representing barriers to equity.
methodsUsing the Statistics New Zealand Integrated Data Infrastructure suite of linked administrative data sets, adverse maternal and perinatal outcomes (mortality and severe morbidity) were linked to socio-economic and health variables for 97% of births in New Zealand between 2003 and 2018 (~970,000 births). Variables included housing, economic, health, crime and family circumstances. Logistic regression examined the relationships between adverse outcomes and social determinants, adjusting for demographics (socio-economic deprivation, education, parity, age, rural/urban residence and ethnicity).
resultsMāori (adjusted odds ratio = 1.21, 95% confidence interval = 1.18-1.23) and Asian women (adjusted odds ratio 1.39, 95% confidence interval = 1.36-1.43) had poorer maternal or perinatal outcomes compared to New Zealand European/European women. High use of emergency department (adjusted odds ratio = 2.68, 95% confidence interval = 2.53-2.84), disability (adjusted odds ratio = 1.98, 95% confidence interval = 1.83-2.14) and lack of engagement with maternity care (adjusted odds ratio = 1.89, 95% confidence interval = 1.84-1.95) had the strongest relationship with poor outcomes.
conclusionMaternal health inequity was strongly associated with a range of socio-economic and health determinants. While some of these factors can be targeted for interventions, the study highlights larger structural and systemic issues that affect maternal and perinatal health.
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