Evidence map›Paper›PMID 42009369›Full record

ArticleBMJ paediatrics open2026

Neighbourhood socioeconomic disadvantage and the risk of preterm delivery.

Samuli Rautava, Hanna Lagström, Olli Turta, Mirkka Lahdenperä, Jaana Pentti, Mika Kivimäki, Jussi Vahtera

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Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Samuli RautavaDepartment of Pediatrics, University of Helsinki, Helsinki, Finland samuli.rautava@hus.fi.
Hanna LagströmDepartment of Public Health, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-5069-6582
Olli TurtaDepartment of Pediatrics, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-3690-6192
Mirkka LahdenperäBiology, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0003-0062-6284
Jaana PenttiDepartment of Public Health, University of Turku, Turku, Finland.
Mika KivimäkiUCL Brain Sciences, University College London, London, UK.
Jussi VahteraDepartment of Public Health, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePreterm birth is a major cause of childhood mortality and morbidity, but the aetiology of preterm delivery remains incompletely understood. We sought to examine whether cumulative exposure to neighbourhood socioeconomic disadvantage is associated with preterm delivery risk.

methodsThe association between neighbourhood socioeconomic disadvantage over the 20 years preceding delivery and risk of preterm delivery was assessed in a population-based cohort of 11 979 deliveries in Southwest Finland in 2008-2010. The statistical analyses were adjusted for a large number of potential individual-level confounding or mediating factors obtained from the national registry on parturients, deliveries and births.

resultsAltogether 615/11 979 deliveries (5.1%) occurred before 37 weeks of gestation. The incidence of preterm delivery was 6.2% (95% CI 5.0% to 7.7%) in the women with the highest cumulative exposure to neighbourhood disadvantage as compared with 3.6% (95% CI 2.8% to 4.5%) in women who had lived in the most affluent neighbourhoods adjusted for the covariates; OR 1.74 (95% CI 1.26 to 2.40). Smoking during pregnancy, prepregnancy body mass index, gestational diabetes, pre-eclampsia and other medical problems during pregnancy explained 27.4% of this association. Shorter exposure to neighbourhood disadvantage was associated with lower excess risk of preterm births.

conclusionsWomen with long-term exposure to neighbourhood socioeconomic disadvantage are at increased risk for preterm delivery in a dose-dependent fashion. Improving deprived neighbourhoods may offer means to reduce the risk of preterm birth and, consequently, the intergenerational transfer of health inequality.

Indexed as

Neighborhood CharacteristicsPremature BirthResidence CharacteristicsAdultFemaleFinlandHumansIncidenceInfant, NewbornLow Socioeconomic StatusPregnancyRisk FactorsSocioeconomic Disparities in HealthSocioeconomic FactorsYoung AdultEpidemiologyInfantMothers

Identifiers

PMID42009369
PMCPMC13110712

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