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Deprived neighborhoods and adverse perinatal outcome: a systematic review and meta‐analysis
Abstract
Objectives: This study aims to summarize evidence on the relation between neighborhood deprivation and the risks for preterm birth, small‐for‐gestational age, and stillbirth. Design: The design was a systematic review and meta‐analysis. Main outcome measures: The main outcome measures included studies that directly compared the risk of living in the most deprived neighborhood quintile with least deprived quintile for at least one perinatal outcome of interest (preterm delivery, small‐for‐gestational age and stillbirth). Methods: Study selection was based on a search of Medline, Embase and Web of Science for articles published up to April 2012, reference list screening, and email contact with authors. Data on study characteristics, outcome measures, and quality were extracted by two independent investigators. Random‐effects meta‐analysis was performed to estimate unadjusted and adjusted summary odds ratios with the associated 95% confidence intervals. Results: We identified 2863 articles, of which 24 were included in a systematic review. A meta‐analysis (n = 7 studies, including 2 579 032 pregnancies) assessed the risk of adverse perinatal outcomes by comparing the most deprived neighborhood quintile with the least deprived quintile. Compared with the least deprived quintile, odds ratios for adverse perinatal outcomes in the most deprived neighborhood quintile were significantly increased for preterm delivery (odds ratio 1.23, 95% confidence interval 1.18–1.28), small‐for‐gestational age (odds ratio 1.31, 95% confidence interval 1.28–1.34), and stillbirth (odds ratio 1.33, 95% confidence interval 1.21–1.45). Conclusions: Living in a deprived neighborhood is associated with preterm birth, small‐for‐gestational age and stillbirth.
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“While there have been a number of systematic reviews that examine the impact of deprivation,6 12 13 these are out of date and focus on area-based measures (such as the Index of Multiple Deprivation) as an inadequate proxy for individual measures of socioeconomic status (SES), which can be more difficult to collate.”
From Socioeconomic inequalities and adverse pregnancy outcomes in the UK and Republic of Ireland: a systematic review and meta-analysis (2021) · cites this paper as [6]
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The global epidemiology of preterm birth
Vogel, J. P., Chawanpaiboon, S., Moller, A.-B., Watananirun, K., Bonet, M., & Lumbiganon, P. (2018) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2018.04.003 · Cited by 1,005
Racial Disparities in Adverse Pregnancy Outcomes and Psychosocial Stress
Grobman, W. A., Parker, C. B., Willinger, M., Wing, D. A., Silver, R. M., Wapner, R. J., Simhan, H. N., Parry, S., Mercer, B. M., Haas, D. M., et al. (2018) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000002441 · Cited by 260
Thomson, K., Moffat, M., Arisa, O., Jesurasa, A., Richmond, C., Odeniyi, A., Bambra, C., Rankin, J., Brown, H., Bishop, J., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042753 · Cited by 154
Épidémiologie et facteurs de risque de la prématurité
Torchin, H., & Ancel, P.-Y. (2016) · Journal de Gynécologie Obstétrique et Biologie de la Reproduction · doi:10.1016/j.jgyn.2016.09.013 · Cited by 134
Hill, B., Skouteris, H., Teede, H. J., Bailey, C., Baxter, J.-A. B., Bergmeier, H. J., Borges, A. L. V., Harrison, C. L., Jack, B., Jorgensen, L., et al. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8122119 · Cited by 65
Self-citationChoi, S. K. Y., Venetis, C., Ledger, W., Havard, A., Harris, K., Norman, R. J., Jorm, L. R., & Chambers, G. M. (2022) · Human Reproduction · doi:10.1093/humrep/deac032 · Cited by 42
Societal Valorisation of new knowledge to improve perinatal health: time to act
Steegers, E. A. P., Barker, M. E., Steegers‐Theunissen, R. P. M., & Williams, M. A. (2016) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12275 · Cited by 34
Self-citation
Metadata
- Authors
- Vos, A. A., Posthumus, A. G., Bonsel, G. J., Steegers, E. A. P., & Denktaş, S.
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2014-06-13
- Volume
- 93
- Issue
- 8
- Pages
- 727-740
- ISSN
- 0001-6349
- 1600-0412
- Cited by
- 187
- References
- 4
- Language
- en
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