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Social Context of Preterm Delivery in France in 2011 and Impact on Short-Term Health Outcomes: the EPIPAGE 2 Cohort Study

Germany, Laurence ; Saurel-Cubizolles, Marie-Josèphe ; Ehlinger, Virginie ; Napoletano, Anthony ; Alberge, Corine ; Guyard-Boileau, Beatrice ; Pierrat, Veronique ; Genolini, Christophe ; Ancel, Pierre-Yves ; Arnaud, Catherine

Paediatric and perinatal epidemiology, 2015-05, Vol.29 (3), p.184-195 [Periódico revisado por pares]

England: Blackwell Publishing Ltd

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  • Título:
    Social Context of Preterm Delivery in France in 2011 and Impact on Short-Term Health Outcomes: the EPIPAGE 2 Cohort Study
  • Autor: Germany, Laurence ; Saurel-Cubizolles, Marie-Josèphe ; Ehlinger, Virginie ; Napoletano, Anthony ; Alberge, Corine ; Guyard-Boileau, Beatrice ; Pierrat, Veronique ; Genolini, Christophe ; Ancel, Pierre-Yves ; Arnaud, Catherine
  • Assuntos: Babies ; Female ; France - epidemiology ; Humans ; Infant, Newborn ; Infant, Premature ; Life Sciences ; maternal infection ; Medicin och hälsovetenskap ; Memory, Episodic ; Mothers - psychology ; Odds Ratio ; Population ; Pregnancy ; Premature birth ; Premature Birth - epidemiology ; preterm delivery ; Risk Factors ; Santé publique et épidémiologie ; short-term outcomes ; Social Environment ; socio-economic conditions ; Socioeconomic Factors
  • É parte de: Paediatric and perinatal epidemiology, 2015-05, Vol.29 (3), p.184-195
  • Notas: PREMUP Foundation
    Regional Council of Martinique
    National Institute of Health and Medical Research (INSERM)
    French EQUIPEX
    National Solidarity Fund for Autonomy (CNSA)
    ark:/67375/WNG-7G9GKWKR-X
    French Health Ministry
    istex:9772416BA627AE21BDA9D40894F6CAF194796479
    Figure S1. Graph of eigenvalues after MCA in EPIPAGE 2 data (n = 4589); Cronbach's alpha = 0.60. Figure S2. Distribution of the individual socio-economic index (ISEI) in EPIPAGE 2 data (n = 4589): (a) density, (b) boxplot. Table S1. Parents' socio-economic indicators included in the individual socio-economic index (ISEI) and weighted coordinates obtained from the most discriminant axis from NPS-2010. Table S2. External validity of the individual socio-economic index (ISEI) from NPS-2010 data (n = 14 903, 1440 missing).Appendix S1. EPIPAGE 2 study group.
    National Institute of Cancer
    French Institute of Public Health Research/Institute of Public Health
    ArticleID:PPE12189
    ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Undefined-1
    ObjectType-Feature-3
    content type line 23
  • Descrição: 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.
  • Editor: England: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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