Recent Changes in Maternal Characteristics by Socioeconomic Status
Recent Changes in Maternal Characteristics by Socioeconomic Status
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DOI：
10.1016/s1701-2163(16)34173-1
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发表时间：
2009-05-01
影响因子：
1.8
通讯作者：
Allen, Alexander C.
中科院分区：
文献类型：
--
作者：
Joseph, K. S.;Fahey, John;Allen, Alexander C.
目的：描述产妇特征的社会经济地位的变化，以提供一个背景下，最近的变化频率的产科手术和结果，和信息的健康planning purposes.Methods：所有NS居民谁交付1988年和2007年之间的研究。从新斯科舍省Atlee围产期数据库中获得有关孕产妇特征的信息，并通过与联邦所得税T1家庭档案（1988年至2003年）的保密链接获得社会经济地位信息。结果：出生妇女= 35岁的总人数在1988-89年和2006-07年之间增加了136%（95%CI 122，150）。在所有社会经济群体中，体重≥ 90公斤的妇女的分娩也有所增加，而吸烟者的分娩则有所减少。有过低出生体重儿的经产妇女的分娩比例没有变化（-5%，95%CI-14，6），尽管有围产期死亡史的妇女的出生率下降了52%（95% CI-60，-42）。在过去的二十年里，母亲的特征发生了巨大的长期变化，这些变化的幅度因社会经济地位而异。
Objective: To describe changes in maternal characteristics by socioeconomic status, in order to provide a context for recent changes in the frequency of obstetric procedures and outcomes, and information for health planning purposes.Methods: All NS residents who delivered between 1988 and 2007 were included in the study. Information on maternal characteristics was obtained from the Nova Scotia Atlee Perinatal Database, and socioeconomic status information was obtained through a confidential link with federal income tax T1 Family Files (1988 to 2003).Results: Total births to women = 35 years increased by 136% (95% CI 122, 150) between 1988-89 and 2006-07. Births to women with a weight >= 90 kg also increased, while those to smokers decreased in all socioeconomic groups. The proportion of births to multiparous women with a previous low birth weight infant did not change (-5 %, 95% CI -14, 6), although births to women with a previous perinatal death declined by 52% (95% CI-60,-42).Conclusion: Large secular changes have occurred in maternal characteristics over the past two decades, and the magnitude of these changes has differed by socioeconomic status.