ArticleInternational journal of environmental research and public health2022
Influence of Socio-Economic Factors and Region of Birth on the Risk of Preeclampsia in Sweden.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Towards the Development of a Conceptual Framework of the Determinants of Pre-Eclampsia: A Hierarchical Systematic Review of Social Determinants.BJOG : an international journal of obstetrics and gynaecology · 2026Pooled it
- Socioeconomic disparities in the postnatal growth of preterm infants: a systematic review.Pediatric research · 2025Pooled it
- Machine Learning and Functional Analysis of Placental DNA Methylation Signatures for Early-Onset Preeclampsia.Reproductive sciences (Thousand Oaks, Calif.) · 2026Article
- Perceived social support and antenatal blood pressure in pregnant women at risk for hypertensive disorders.Journal of behavioral medicine · 2026Article
- Investigation of the impact of social, behavioral, and pre-existing clinical risk factors on preeclampsia.BMC pregnancy and childbirth · 2026Article
- Association between antenatal care utilization, preeclampsia, and neonatal Apgar scores among postnatal women in Eswatini: an analytical cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Performance of the Pre-Eclampsia Integrated Estimate of Risk-Machine Learning (PIERS-ML) model in a Kenyan cohort of women with pre-eclampsia- a retrospective test derivation validation study.BMC pregnancy and childbirth · 2026Article
- Peripartum interventions for elevated blood pressure in women with hypertensive disorders of pregnancy: a systematic review and meta-analysis.The Lancet. Obstetrics, gynaecology, & women's health · 2026Article
- Association between serum uric acid levels and adverse pregnancy outcomes: A prospective cohort study.The Journal of international medical research · 2026Article
- Pregnancy Outcomes in Women with Type 1 Diabetes by Socioeconomic and Mental Health Disadvantages.Clinical epidemiology · 2026Article
- Altitude and risk of pre-eclampsia: insights from a large-scale epidemiological study in Ecuador.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025Article
- Adipokines in preeclampsia: disrupted signaling pathways and novel therapeutic strategies.European journal of medical research · 2025Review
- Integrated care for multi-domain vulnerability during pregnancy: a retrospective cohort study.Archives of women's mental health · 2025Article
- Hemodynamic Insights into Preeclampsia: Comparing Ophthalmic and Uterine Artery Resistive Indices.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Comparative study on the factors influencing pre-eclampsia symptoms at different pregnancy stages in Bangladeshi women: urban vs. rural perspectives.BMC pregnancy and childbirth · 2025Article
- The incidence and influencing factors of hypertensive disorders during pregnancy in hangzhou, China, between 2012 and 2021.Heliyon · 2025Article
- Awareness of cardiovascular disease risk and care received among Australian women with a history of hypertensive disorders of pregnancy: a cross-sectional survey.BMC pregnancy and childbirth · 2025Article
- Article
- Knowledge, Attitude, and Practice towards Prevention of Hypertension among Pregnant Women Attending Antenatal Care Clinic at a District Hospital in Kigali City.Rwanda journal of medicine and health sciences · 2024Article
- Polymorphism Patterns and Socioeconomic Characteristics and Their Influence on the Risk of Preeclampsia.Medicina (Kaunas, Lithuania) · 2024Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the association between socio-economic factors and the risk of preeclampsia in Sweden, specifically investigating if this relationship is confounded by maternal region of birth. STUDY
designAll singleton births between 1999 and 2009 in an ethnically diverse area in southern Sweden, totaling 46,618 pregnancies, were included in this study. The data on maternal pregnancy outcomes were retrieved from a regional birth register and socio-economic variables from Statistics Sweden. The risk ratios for preeclampsia were calculated for educational level and household disposable income, adjusting for maternal region of birth, maternal age, body mass index, parity, and smoking.
resultsLow income levels were associated with a higher risk for preeclampsia, adjusted risk ratio (aRR) = 1.25 (95% confidence interval [CI]: 0.99, 1.59) and aRR = 1.36 (95% CI: 1.10, 1.68) for the two lowest quintiles, respectively, compared to the highest. There was an educational gradient in preeclampsia risk, although not all categories reached statistical significance: aRR = 1.16, (95% CI: 0.89-1.50) for low educational attainment and aRR = 1.23 (95% CI: 1.08, 1.41) for intermediate educational attainment compared to women with highest education. The socio-economic gradient remained after adjusting for region of birth. There was a lower risk for preeclampsia for women born in Asia, aRR = 0.60 (95% CI: 0.47, 0.75), regardless of socio-economic position.
conclusionAn increased risk for preeclampsia was seen for women with measures of lower socio-economic position, even in a universal, government-funded healthcare setting. The relationship was not explained by region of birth, indicating that the excess risk is not due to ethnically differential genetic pre-disposition but rather due to modifiable factors.
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