Wider determinants of adverse birth outcomes in Birmingham and Solihull DOI Creative Commons
David Ellis,

Chung Him Au-Yeung,

Alexander Dallaway

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: April 15, 2025

Introduction Birmingham and Solihull face significant challenges related to adverse birth outcomes. This study aimed identify demographic, socioeconomic, lifestyle factors associated with an increased risk of low weight, premature birth, stillbirth, neonatal death in Solihull. Methods Births ( n = 41, 231) between October 2020 April 2023 were analysed. The attributable fraction births weight (LBW) socioeconomic ethnic inequality was calculated. Multiple logistic regression analyses identified groups that had odds 3, 312), LBW 1, 197), stillbirth 173), 208). Results Attributable analysis estimated 191 211 LBWs each year would not have occurred if all women the same rates as White living least deprived areas. Ethnicity, deprivation, medical care, lifestyle, vulnerability status found be for Asian Black 1.4–2.7 times compared p < 0.01). (OR : 1.75, 0.017) 1.90, 0.001). 3.3), 27.2), 5.6) significantly twins For smoking at delivery, 2.3), 1.5), 1.6) 0.05). Deprivation, and/or financial housing issues also outcomes Discussion These findings underscore importance targeted interventions support at-risk populations reduce vulnerable communities.

Language: Английский

Wider determinants of adverse birth outcomes in Birmingham and Solihull DOI Creative Commons
David Ellis,

Chung Him Au-Yeung,

Alexander Dallaway

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: April 15, 2025

Introduction Birmingham and Solihull face significant challenges related to adverse birth outcomes. This study aimed identify demographic, socioeconomic, lifestyle factors associated with an increased risk of low weight, premature birth, stillbirth, neonatal death in Solihull. Methods Births ( n = 41, 231) between October 2020 April 2023 were analysed. The attributable fraction births weight (LBW) socioeconomic ethnic inequality was calculated. Multiple logistic regression analyses identified groups that had odds 3, 312), LBW 1, 197), stillbirth 173), 208). Results Attributable analysis estimated 191 211 LBWs each year would not have occurred if all women the same rates as White living least deprived areas. Ethnicity, deprivation, medical care, lifestyle, vulnerability status found be for Asian Black 1.4–2.7 times compared p < 0.01). (OR : 1.75, 0.017) 1.90, 0.001). 3.3), 27.2), 5.6) significantly twins For smoking at delivery, 2.3), 1.5), 1.6) 0.05). Deprivation, and/or financial housing issues also outcomes Discussion These findings underscore importance targeted interventions support at-risk populations reduce vulnerable communities.

Language: Английский

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