Evidence map›Paper›PMID 38834232›Full record

ArticleJournal of epidemiology and community health2024

Associations between neighbourhood deprivation, ethnicity and maternal health outcomes in England: a nationwide cohort study using routinely collected healthcare data.

Dorothea Geddes-Barton, Rema Ramakrishnan, Marian Knight, Raph Goldacre

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Burden of Poor Reproductive Health in England: Results From a Cross-Sectional Survey.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  8. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Dorothea Geddes-BartonNuffield Department of Population Health, University of Oxford, Oxford, UK shil5823@ox.ac.uk.ORCID 0000-0003-0081-7670
Rema RamakrishnanNuffield Department of Population Health, University of Oxford, Oxford, UK.
Marian KnightNuffield Department of Population Health, University of Oxford, Oxford, UK.
Raph GoldacreNuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the United Kingdom, pregnant women who live in the most deprived areas have two times the risk of dying than those who live in the least deprived areas. There are even greater disparities between women from different ethnic groups. The aim of this study was to investigate the role of area-based deprivation and ethnicity in the increased risk of severe maternal morbidity (SMM), in primiparous women in England.

methodsA retrospective nationwide population study was conducted using English National Hospital Episode Statistics Admitted Patient Care database. All primiparous women were included if they gave birth in an National Healthcare Service (NHS) hospital in England between 1 January 2016 and 31 December 2021. Logistic regression was used to examine the relative odds of SMM by Index of Multiple Deprivation and ethnicity, adjusting for age and health behaviours, medical and psychological factors.

resultsThe study population comprised 1 178 756 primiparous women. Neighbourhood deprivation increased the risk of SMM at the time of childbirth. In the fully adjusted model, there was a linear trend (p=0.001) between deprivation quintile and the odds of SMM. Being from a minoritised ethnic group also independently increased the risk of SMM, with black or black British African women having the highest risk, adjusted OR 1.84 (95% CI 1.70 to 2.00) compared with white women. There was no interaction between deprivation and ethnicity (p=0.49).

conclusionThis study has highlighted that neighbourhood deprivation and ethnicity are important, independently associated risk factors for SMM.

Indexed as

EthnicityMaternal HealthResidence CharacteristicsAdultCohort StudiesEnglandFemaleHealth Status DisparitiesHumansParityPregnancyPregnancy ComplicationsRetrospective StudiesRoutinely Collected Health DataSocial DeprivationYoung AdultMATERNAL HEALTHOBSTETRICSPUBLIC HEALTHSOCIAL CLASS

Identifiers

PMID38834232
PMCPMC11287519

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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.