Socioeconomic inequalities in stillbirth rates in Europe: measuring the gap using routine data from the Euro-Peristat Project.
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Authors
Zeitlin, JenniferMortensen, Laust
Prunet, Caroline
Macfarlane, Alison
Hindori-Mohangoo, Ashna D
Gissler, Mika
Szamotulska, Katarzyna
van der Pal, Karin
Bolumar, Francisco
Andersen, Anne-Marie Nybo
Ólafsdóttir, Helga Sól
Zhang, Wei-Hong
Blondel, Béatrice
Alexander, Sophie
Issue Date
2016
Metadata
Show full item recordCitation
BMC Pregnancy Childbirth 2016, 16 (1):15Abstract
Previous studies have shown that socioeconomic position is inversely associated with stillbirth risk, but the impact on national rates in Europe is not known. We aimed to assess the magnitude of social inequalities in stillbirth rates in European countries using indicators generated from routine monitoring systems.Aggregated data on the number of stillbirths and live births for the year 2010 were collected for three socioeconomic indicators (mothers' educational level, mothers' and fathers' occupational group) from 29 European countries participating in the Euro-Peristat project. Educational categories were coded using the International Standard Classification of Education (ISCED) and analysed as: primary/lower secondary, upper secondary and postsecondary. Parents' occupations were grouped using International Standard Classification of Occupations (ISCO-08) major groups and then coded into 4 categories: No occupation or student, Skilled/ unskilled workers, Technicians/clerical/service occupations and Managers/professionals. We calculated risk ratios (RR) for stillbirth by each occupational group as well as the percentage population attributable risks using the most advantaged category as the reference (post-secondary education and professional/managerial occupations).
Data on stillbirth rates by mothers' education were available in 19 countries and by mothers' and fathers' occupations in 13 countries. In countries with these data, the median RR of stillbirth for women with primary and lower secondary education compared to women with postsecondary education was 1.9 (interquartile range (IQR): 1.5 to 2.4) and 1.4 (IQR: 1.2 to 1.6), respectively. For mothers' occupations, the median RR comparing outcomes among manual workers with managers and professionals was 1.6 (IQR: 1.0-2.1) whereas for fathers' occupations, the median RR was 1.4 (IQR: 1.2-1.8). When applied to the entire set of countries with data about mothers' education, 1606 out of 6337 stillbirths (25 %) would not have occurred if stillbirth rates for all women were the same as for women with post-secondary education in their country.
Data on stillbirths and socioeconomic status from routine systems showed widespread and consistent socioeconomic inequalities in stillbirth rates in Europe. Further research is needed to better understand differences between countries in the magnitude of the socioeconomic gradient.
Description
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.Additional Links
http://dx.doi.org/ 10.1186/s12884-016-0804-4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727282/
Rights
openAccessae974a485f413a2113503eed53cd6c53
10.1186/s12884-016-0804-4
Scopus Count
Collections
Related articles
- Stillbirth risk by maternal socio-economic status and country of origin: a population-based observational study in Spain, 2007-08.
- Authors: Luque-Fernández MÁ, Lone NI, Gutiérrez-Garitano I, Bueno-Cavanillas A
- Issue date: 2012 Aug
- Declines in stillbirth and neonatal mortality rates in Europe between 2004 and 2010: results from the Euro-Peristat project.
- Authors: Zeitlin J, Mortensen L, Cuttini M, Lack N, Nijhuis J, Haidinger G, Blondel B, Hindori-Mohangoo AD, Euro-Peristat Scientific Committee.
- Issue date: 2016 Jun
- [Maternal occupation and infant mortality in Japan: Insights from the Vital Statistics (Occupational and Industrial Aspects)].
- Authors: Suzuki Y, Senda Y, Honjo K
- Issue date: 2021 Oct 6
- Quantifying the burden of stillbirths before 28 weeks of completed gestational age in high-income countries: a population-based study of 19 European countries.
- Authors: Smith LK, Hindori-Mohangoo AD, Delnord M, Durox M, Szamotulska K, Macfarlane A, Alexander S, Barros H, Gissler M, Blondel B, Zeitlin J, Euro-Peristat Scientific Committee.
- Issue date: 2018 Nov 3
- The effect of fathers' and mothers' educational level on adult oral health in Japan.
- Authors: Murakami K, Kondo N, Ohkubo T, Hashimoto H
- Issue date: 2016 Jun