Social context of preterm delivery in France in 2011 and impact on short-term health outcomes: the EPIPAGE 2 cohort study.
Details
Serval ID
serval:BIB_E155CF022868
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Social context of preterm delivery in France in 2011 and impact on short-term health outcomes: the EPIPAGE 2 cohort study.
Journal
Paediatric and Perinatal Epidemiology
Working group(s)
EPIPAGE Study Group
Contributor(s)
Kuhn P., Langer B., Matis J., Hernandorena X., Chabanier P., Joly-Pedespan L., Lecomte B., Vendittelli F., Dreyfus M., Guillois B., Burguet A., Sagot P., Sizun J., Beuchée A., Rouget F., Favreau A., Saliba E., Bednarek N., Morville P., Thiriez G., Marpeau L., Marret S., Kayem G., Durrmeyer X., Granier M., Baud O., Jarreau PH., Mitanchez D., Boileau P., Boulot P., Cambonie G., Daudé H., Bédu A., Mons F., Fresson J., Vieux R., Alberge C., Arnaud C., Vayssière C., Truffert P., Pierrat V., Subtil D., D'Ercole C., Gire C., Simeoni U., Bongain A., Sentilhes L., Rozé JC., Gondry J., Leke A., Deiber M., Claris O., Picaud JC., Ego A., Debillon T., Poulichet A., Coliné E., Favre A., Fléchelles O., Samperiz S., Ramful D., Branger B., Benhammou V., Foix-L'Hélias L., Marchand-Martin L., Kaminski M.
ISSN
1365-3016 (Electronic)
ISSN-L
0269-5022
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
29
Number
3
Pages
184-195
Language
english
Notes
Publication types: Journal Article ; Observational Study ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
BACKGROUND: Low socio-economic context increases the risk of preterm delivery and may affect short-term outcomes in children born preterm. We described the social context of preterm delivery in France in 2011 and compared it with the general population of deliveries over the same period. We also studied how social context influenced pregnancy and delivery characteristics in the preterm population, and how it affected mortality and short-term morbidity in liveborn preterm children (<35 weeks).
METHODS: We created an individual socio-economic vulnerability index, derived from multiple correspondence analysis based on maternal social information in the French National Perinatal Survey (NPS-2010). Weighted coordinates were applied to families from the EPIPAGE 2 study, a population-based cohort of preterm infants born in 2011, to quantify the infant's exposure to socio-economic vulnerability. Multivariable logistic models were used to relate the socio-economic context to pregnancy and delivery characteristics, and to assess its impact on short-term outcomes of the infants.
RESULTS: Among mothers of preterm infants, gestational age decreased as socio-economic conditions worsened. In the most deprived group, women had more irregular pregnancy care, a higher prevalence of infection during pregnancy, and a lower rate of antenatal corticosteroid administration. The most deprived group was associated with a higher risk of severe morbidity for the preterm neonates.
CONCLUSION: Our results emphasise the need for a large population-based surveillance system to identify the most deprived mothers, and to propose appropriate follow-up and care to these women and their infants in order to enhance long-term health.
METHODS: We created an individual socio-economic vulnerability index, derived from multiple correspondence analysis based on maternal social information in the French National Perinatal Survey (NPS-2010). Weighted coordinates were applied to families from the EPIPAGE 2 study, a population-based cohort of preterm infants born in 2011, to quantify the infant's exposure to socio-economic vulnerability. Multivariable logistic models were used to relate the socio-economic context to pregnancy and delivery characteristics, and to assess its impact on short-term outcomes of the infants.
RESULTS: Among mothers of preterm infants, gestational age decreased as socio-economic conditions worsened. In the most deprived group, women had more irregular pregnancy care, a higher prevalence of infection during pregnancy, and a lower rate of antenatal corticosteroid administration. The most deprived group was associated with a higher risk of severe morbidity for the preterm neonates.
CONCLUSION: Our results emphasise the need for a large population-based surveillance system to identify the most deprived mothers, and to propose appropriate follow-up and care to these women and their infants in order to enhance long-term health.
Keywords
Female, France/epidemiology, Humans, Infant, Newborn, Infant, Premature, Memory, Episodic, Mothers/psychology, Odds Ratio, Pregnancy, Premature Birth/epidemiology, Risk Factors, Social Environment, Socioeconomic Factors
Pubmed
Web of science
Create date
07/10/2016 16:39
Last modification date
20/08/2019 16:05
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