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Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births
INTRODUCTION: Stillbirth, one of the urgent concerns of preventable perinatal deaths, has wide-reaching consequences for society. We studied secular stillbirth trends by maternal socioeconomic status (SES) in Spain. METHODS: We developed a population-based observational study, including 4 083 919 bi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896972/ https://www.ncbi.nlm.nih.gov/pubmed/31121034 http://dx.doi.org/10.1093/eurpub/ckz086 |
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author | Luque-Fernandez, Miguel Angel Thomas, Aurielle Gelaye, Bizu Racape, Judith Sanchez, Maria Jose Williams, Michelle A |
author_facet | Luque-Fernandez, Miguel Angel Thomas, Aurielle Gelaye, Bizu Racape, Judith Sanchez, Maria Jose Williams, Michelle A |
author_sort | Luque-Fernandez, Miguel Angel |
collection | PubMed |
description | INTRODUCTION: Stillbirth, one of the urgent concerns of preventable perinatal deaths, has wide-reaching consequences for society. We studied secular stillbirth trends by maternal socioeconomic status (SES) in Spain. METHODS: We developed a population-based observational study, including 4 083 919 births during 2007–15. We estimate stillbirth rates and secular trends by maternal SES. We also evaluated the joint effect of maternal educational attainment and the Human Development Index (HDI) of women’s country of origin on the risk of stillbirth. The data and statistical analysis can be accessed for reproducibility in a GitHub repository: https://github.com/migariane/Stillbirth RESULTS: We found a consistent pattern of socioeconomic inequalities in the risk of delivering a stillborn, mainly characterized by a persistently higher risk, over time, among women with lower SES. Overall, women from countries with low HDIs and low educational attainments had approximately a four times higher risk of stillbirth (RR: 4.44; 95%CI: 3.71–5.32). Furthermore, we found a paradoxical reduction of the stillbirth gap over time between the highest and the lowest SESs, which is mostly due to the significant and increasing trend of stillbirth risk among highly educated women of advanced maternal age. CONCLUSION: Our findings highlight no improvement in stillbirth rates among women of lower SES and an increasing trend among highly educated women of advanced maternal age over recent years. Public health policies developing preventive programmes to reduce stillbirth rates among women with lower SES are needed as well as the necessity of further study to understand the growing trend of age-related stillbirths among highly educated women in Spain. |
format | Online Article Text |
id | pubmed-6896972 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68969722019-12-11 Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births Luque-Fernandez, Miguel Angel Thomas, Aurielle Gelaye, Bizu Racape, Judith Sanchez, Maria Jose Williams, Michelle A Eur J Public Health Sexual and Reproductive Health INTRODUCTION: Stillbirth, one of the urgent concerns of preventable perinatal deaths, has wide-reaching consequences for society. We studied secular stillbirth trends by maternal socioeconomic status (SES) in Spain. METHODS: We developed a population-based observational study, including 4 083 919 births during 2007–15. We estimate stillbirth rates and secular trends by maternal SES. We also evaluated the joint effect of maternal educational attainment and the Human Development Index (HDI) of women’s country of origin on the risk of stillbirth. The data and statistical analysis can be accessed for reproducibility in a GitHub repository: https://github.com/migariane/Stillbirth RESULTS: We found a consistent pattern of socioeconomic inequalities in the risk of delivering a stillborn, mainly characterized by a persistently higher risk, over time, among women with lower SES. Overall, women from countries with low HDIs and low educational attainments had approximately a four times higher risk of stillbirth (RR: 4.44; 95%CI: 3.71–5.32). Furthermore, we found a paradoxical reduction of the stillbirth gap over time between the highest and the lowest SESs, which is mostly due to the significant and increasing trend of stillbirth risk among highly educated women of advanced maternal age. CONCLUSION: Our findings highlight no improvement in stillbirth rates among women of lower SES and an increasing trend among highly educated women of advanced maternal age over recent years. Public health policies developing preventive programmes to reduce stillbirth rates among women with lower SES are needed as well as the necessity of further study to understand the growing trend of age-related stillbirths among highly educated women in Spain. Oxford University Press 2019-12 2019-05-23 /pmc/articles/PMC6896972/ /pubmed/31121034 http://dx.doi.org/10.1093/eurpub/ckz086 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Sexual and Reproductive Health Luque-Fernandez, Miguel Angel Thomas, Aurielle Gelaye, Bizu Racape, Judith Sanchez, Maria Jose Williams, Michelle A Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title | Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title_full | Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title_fullStr | Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title_full_unstemmed | Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title_short | Secular trends in stillbirth by maternal socioeconomic status in Spain 2007–15: a population-based study of 4 million births |
title_sort | secular trends in stillbirth by maternal socioeconomic status in spain 2007–15: a population-based study of 4 million births |
topic | Sexual and Reproductive Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896972/ https://www.ncbi.nlm.nih.gov/pubmed/31121034 http://dx.doi.org/10.1093/eurpub/ckz086 |
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