Publicação
Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort
| Resumo: | Objective: This study assessed the influence of socioeconomic position at 12 years of age (SEP-12) on the variability in cesarean rates later in life. Methods: As part of the Portuguese Generation XXI birth cohort we evaluated 7358 women with a singleton pregnancy who delivered at five Portuguese public hospitals serving the region of Porto (April/2005–September/2006). Based on the twelve items that described socioeconomic circumstances at age 12, a latent class analysis was used to classify women’s SEP-12 as high, intermediate and low. Multiple Poisson regression was used to estimate adjusted risk ratio (RR) and respective 95% confidence interval (95% CI). Results: The cesarean rates in high, intermediate and low SEP-12 were, respectively, 40.9%, 37.5% and 40.5% (p=0.100) among primiparous women; 14.2%, 11.6% and 15.5% (p=0.04) among multiparous women with no previous cesarean and 78.6%, 72.2% and 70.0% (p=0.08) among women with a previous cesarean. A low to moderate association between SEP-12 and cesarean rates was observed among multiparous women with a previous cesarean, illustrating that women from higher SEP-12 were more likely to have a surgical delivery (RR=1.12;95%CI:1.01-1.24 comparing high with low SEP-12 and RR=1.03:95%CI:0.94-1.14 comparing intermediate with low SEP-12) not explained by potential mediating factors. No such association was found either in primiparous or in multiparous women without a previous cesarean. Conclusions: The association between SEP-12 and cesarean rates suggests the effect of past socioeconomic context on the decision concerning the mode of delivery, but only among women who experienced a previous cesarean. Accordingly, it appears that early-life socioeconomic circumstances drive cesarean rates but the effect can be modified by lived experiences concerning childbirth. |
|---|---|
| Autores principais: | Teixeira, Cristina |
| Outros Autores: | Silva, Susana; Severo, Milton; Barros, Henrique |
| Assunto: | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| Ano: | 2015 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Bragança |
| Idioma: | inglês |
| Origem: | Biblioteca Digital do IPB |
| _version_ | 1867173247682871296 |
|---|---|
| author | Teixeira, Cristina |
| author2 | Silva, Susana Severo, Milton Barros, Henrique |
| author2_role | author author author |
| author_facet | Teixeira, Cristina Silva, Susana Severo, Milton Barros, Henrique |
| author_role | author |
| contributor_name_str_mv | Biblioteca Digital do IPB |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Teixeira, Cristina\",\"Person.identifier.orcid\":\"0000-0001-5194-5141\"},{\"Person.name\":\"Silva, Susana\"},{\"Person.name\":\"Severo, Milton\"},{\"Person.name\":\"Barros, Henrique\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Biblioteca Digital do IPB |
| datacite.creators.creator.creatorName.fl_str_mv | Teixeira, Cristina Silva, Susana Severo, Milton Barros, Henrique |
| datacite.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2015-04-09T14:09:54Z |
| datacite.date.embargoed.fl_str_mv | 2015-04-09T14:09:54Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| datacite.titles.title.fl_str_mv | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| dc.contributor.none.fl_str_mv | Biblioteca Digital do IPB |
| dc.creator.none.fl_str_mv | Teixeira, Cristina Silva, Susana Severo, Milton Barros, Henrique |
| dc.date.Accepted.fl_str_mv | 2015-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2015-04-09T14:09:54Z |
| dc.date.embargoed.fl_str_mv | 2015-04-09T14:09:54Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10198/11747 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| dc.title.fl_str_mv | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Objective: This study assessed the influence of socioeconomic position at 12 years of age (SEP-12) on the variability in cesarean rates later in life. Methods: As part of the Portuguese Generation XXI birth cohort we evaluated 7358 women with a singleton pregnancy who delivered at five Portuguese public hospitals serving the region of Porto (April/2005–September/2006). Based on the twelve items that described socioeconomic circumstances at age 12, a latent class analysis was used to classify women’s SEP-12 as high, intermediate and low. Multiple Poisson regression was used to estimate adjusted risk ratio (RR) and respective 95% confidence interval (95% CI). Results: The cesarean rates in high, intermediate and low SEP-12 were, respectively, 40.9%, 37.5% and 40.5% (p=0.100) among primiparous women; 14.2%, 11.6% and 15.5% (p=0.04) among multiparous women with no previous cesarean and 78.6%, 72.2% and 70.0% (p=0.08) among women with a previous cesarean. A low to moderate association between SEP-12 and cesarean rates was observed among multiparous women with a previous cesarean, illustrating that women from higher SEP-12 were more likely to have a surgical delivery (RR=1.12;95%CI:1.01-1.24 comparing high with low SEP-12 and RR=1.03:95%CI:0.94-1.14 comparing intermediate with low SEP-12) not explained by potential mediating factors. No such association was found either in primiparous or in multiparous women without a previous cesarean. Conclusions: The association between SEP-12 and cesarean rates suggests the effect of past socioeconomic context on the decision concerning the mode of delivery, but only among women who experienced a previous cesarean. Accordingly, it appears that early-life socioeconomic circumstances drive cesarean rates but the effect can be modified by lived experiences concerning childbirth. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://bibliotecadigital.ipb.pt/bitstreams/7d023c1e-cf92-4227-b34c-1699a20c87b4/download |
| id | ipb_3db24fc908ddfa8ae544faaa6d811e59 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10198/11747 |
| instacron_str | ipb |
| institution | Instituto Politécnico de Bragança |
| instname_str | Instituto Politécnico de Bragança |
| language | eng |
| network_acronym_str | ipb |
| network_name_str | Biblioteca Digital do IPB |
| oai_identifier_str | oai:bibliotecadigital.ipb.pt:10198/11747 |
| organization_str_mv | urn:organizationAcronym:ipb |
| person_str_mv | Teixeira, Cristina Teixeira, Cristina https://www.ciencia-id.pt/6E12-F2A0-568F 6E12-F2A0-568F http://orcid.org/0000-0001-5194-5141 0000-0001-5194-5141 Silva, Susana Severo, Milton Barros, Henrique |
| publishDate | 2015 |
| reponame_str | Biblioteca Digital do IPB |
| repository_id_str | urn:repositoryAcronym:ipb |
| service_str_mv | urn:repositoryAcronym:ipb |
| spelling | engporObjective: This study assessed the influence of socioeconomic position at 12 years of age (SEP-12) on the variability in cesarean rates later in life. Methods: As part of the Portuguese Generation XXI birth cohort we evaluated 7358 women with a singleton pregnancy who delivered at five Portuguese public hospitals serving the region of Porto (April/2005–September/2006). Based on the twelve items that described socioeconomic circumstances at age 12, a latent class analysis was used to classify women’s SEP-12 as high, intermediate and low. Multiple Poisson regression was used to estimate adjusted risk ratio (RR) and respective 95% confidence interval (95% CI). Results: The cesarean rates in high, intermediate and low SEP-12 were, respectively, 40.9%, 37.5% and 40.5% (p=0.100) among primiparous women; 14.2%, 11.6% and 15.5% (p=0.04) among multiparous women with no previous cesarean and 78.6%, 72.2% and 70.0% (p=0.08) among women with a previous cesarean. A low to moderate association between SEP-12 and cesarean rates was observed among multiparous women with a previous cesarean, illustrating that women from higher SEP-12 were more likely to have a surgical delivery (RR=1.12;95%CI:1.01-1.24 comparing high with low SEP-12 and RR=1.03:95%CI:0.94-1.14 comparing intermediate with low SEP-12) not explained by potential mediating factors. No such association was found either in primiparous or in multiparous women without a previous cesarean. Conclusions: The association between SEP-12 and cesarean rates suggests the effect of past socioeconomic context on the decision concerning the mode of delivery, but only among women who experienced a previous cesarean. Accordingly, it appears that early-life socioeconomic circumstances drive cesarean rates but the effect can be modified by lived experiences concerning childbirth.application/pdfporSocioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohortPersonalTeixeira, CristinaDSpacehttp://dspace.org/items/9037c83c-43c1-4714-ad3e-9f307dd1d89fDSpacehttp://dspace.org/items/9037c83c-43c1-4714-ad3e-9f307dd1d89fTeixeiraCristinaCiência IDhttps://www.ciencia-id.pt6E12-F2A0-568FORCIDhttp://orcid.org0000-0001-5194-5141Researcher IDhttps://www.researcherid.comO-2296-2013Scopus Author IDhttps://www.scopus.com55207402700Scopus Author IDhttps://www.scopus.com56982501700Silva, SusanaSevero, MiltonBarros, HenriqueHostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.ptISSNIsPartOf1932-6203DOIIsPartOfDOI:10.1371/journal.pone.01195172015-04-09T14:09:54Z20152015-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/11747http://purl.org/coar/access_right/c_abf2open accessCesarean sectionChildbirthMode of deliveryLife-course socioeconomic circumstancesWomen’s health234769 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/7d023c1e-cf92-4227-b34c-1699a20c87b4/downloadPLoS One101/1616/16 |
| spellingShingle | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort Teixeira, Cristina Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| status | SINGLETON |
| subject.fl_str_mv | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| title | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| title_full | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| title_fullStr | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| title_full_unstemmed | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| title_short | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| title_sort | Socioeconomic position early in adolescence and mode of delivery later in life: findings from a portuguese birth cohort |
| topic | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| topic_facet | Cesarean section Childbirth Mode of delivery Life-course socioeconomic circumstances Women’s health |
| url | http://hdl.handle.net/10198/11747 |
| visible | 1 |