Weighing the contributions of material and social area deprivation to preterm birth
Weighing the contributions of material and social area deprivation to preterm birth
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DOI：
10.1016/j.socscimed.2012.04.033
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发表时间：
2012-09-01
影响因子：
5.4
通讯作者：
Daniel, Mark
中科院分区：
文献类型：
--
作者：
Auger, Nathalie;Park, Alison L.;Daniel, Mark
有证据表明，与其他个人社会特征相比，个人社会经济地位更能预测早产 (PTB)，但尚不清楚社会经济（物质）领域背景是否同样与 PTB 相关性比社会领域特征更密切。我们比较了物质剥夺和社交领域剥夺，以确定哪一个与 PTB 的相关性更强。来自魁北克的活单胎出生。加拿大的数据为 1999-2006 年（N = 581,898）。 PTB 定义为< 37 完整妊娠周。在 Cox 比例风险回归模型中，使用代表地区层面物质和社会剥夺的两个综合指数来计算 PTB 的风险比 (HR) 和 95% 置信区间 (CI)，并考虑到包括孕产妇教育在内的个人层面特征。结果表明，物质剥夺（7.1%）和社会剥夺（6.8%）较高的地区的PTB率高于物质剥夺（5.5%）和社会剥夺（5.9%）较低的地区。调整后的物质剥夺的 PTB 危害略大于社会剥夺。这些研究结果表明，物质领域剥夺与 PTB 的相关性略强于社会剥夺，但尚不清楚预防 PTB 的干预措施是否应更多地关注物质剥夺而不是社会领域剥夺。 (c) 2012 Elsevier Ltd. 保留所有权利。
Evidence suggests that individual socioeconomic status is a better predictor of preterm birth (PTB) than other individual social characteristics, but it is not clear if socioeconomic (material) area context is likewise more strongly related to PTB than social area characteristics. We compared material and social area deprivation to determine which was more strongly associated with PTB. Live singleton births from Quebec. Canada were obtained for 1999-2006 (N = 581,898). PTB was defined as < 37 completed gestational weeks. Two composite indices representing area-level material and social deprivation were used in Cox proportional hazards regression models to compute hazard ratios (HR) and 95% confidence intervals (CI) for PTB, accounting for individual-level characteristics including maternal education. Results indicated that PTB rates were higher for areas with high material (7.1%) and social (6.8%) deprivation than those with low material (5.5%) and social (5.9%) deprivation. Adjusted hazards of PTB were slightly greater for material deprivation than social deprivation. These findings indicate that material area deprivation is marginally more strongly associated with PTB than social deprivation, but it is not clear that interventions to prevent PTB should focus on material deprivation any more than on social area deprivation. (c) 2012 Elsevier Ltd. All rights reserved.