Abstract：
OBJECTIVE:The aim was to study whether women having had caesarean sections (index women) have more subsequent health problems, measured by hospital admissions, than women having had vaginal deliveries (control women). DESIGN:The study involved comparison of hospital admissions before (2-5 years) and after (7-10 years) the first caesarean section (exposure) among two cohorts of index and control women. SETTING:National data from the Swedish birth and hospital discharge registries were used. PARTICIPANTS:About 75% of all Swedish primiparas who had a caesarean section in 1973 (n = 2578) and in 1976 (n = 3822), and their age-matched controls, were studied; non-Swedish women and women with certain specific problems at their first birth were excluded. MEASUREMENTS AND MAIN RESULTS:Numbers of discharges from general and mental hospitals excluding discharges relating to birth, and in some analyses to pregnancy, were determined. Total numbers of discharges from general and mental hospitals, and the numbers of discharges with operations, were higher among index than control women both before and after exposure. In analyses by diagnosis, a caesarean section was a risk factor for ectopic pregnancies and sterilisations. CONCLUSIONS:The analyses suggest that the higher rate of hospital admission after caesarean section than after vaginal delivery is not due to the section itself, but to a continuation of a previous pattern of health service use. However, because this was not so for all diagnoses and alternative interpretations are possible, further studies on long term maternal morbidity are needed.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Hemminki Edoi
10.1136/jech.45.1.24subject
Has Abstractpub_date
1991-03-01 00:00:00pages
24-8issue
1eissn
0143-005Xissn
1470-2738journal_volume
45pub_type
杂志文章abstract：BACKGROUND:There is a growing interest in understanding the connection between mental illness (MI) and the onset of new physical illnesses among previously physically healthy individuals. Yet the role of gender is often forgotten in research focused on comorbidity of health problems. The objective of this study was to ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2013-202838
更新日期：2014-01-01 00:00:00
abstract：:Social paediatrics is an approach to child health that focuses on the child, in illness and in health, within the context of their society, environment, school, and family. The glossary clarifies the range of terms used to describe aspects of paediatric practice that overlap or are subsumed under social paediatrics an...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2003.017681
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND:Improving Access to Psychological Therapies (IAPT) is a new programme designed to reduce disease burden to the individual and economic burden to the society of common mental health problems (CMHP). This is the first study to look at the impact of IAPT on health service utilisation and sickness absence using ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2011.139873
更新日期：2012-06-01 00:00:00
abstract：STUDY OBJECTIVE:Several studies have reported an association between income inequality and increased mortality, but few have used net income data, controlled for individual income, or evaluated sensitivity to the choice of inequality measure. The study tested the hypotheses that people in regions of Britain with the gr...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.56.6.436
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbou...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2017-209453
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:This study investigated the association of residential density with overweight among adolescents in an urban area of China. METHODS:Using multistage proportional sampling methods, a population-based cross-sectional study was conducted in Nanjing between September and November 2004 (n=2375; mean age=13.9 ± 1....
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2009.094169
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND AND STUDY AIMS:There is widespread consensus on the need for better indicators of the effectiveness of healthcare. We carried out an analysis of the validity of amenable mortality as an indicator of the effectiveness of healthcare, focusing on the potential use in routine surveillance systems of between-coun...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2012-201471
更新日期：2013-02-01 00:00:00
abstract：:Between 1975 and 1 April 1986, public transport by bus in the metropolitan county of South Yorkshire, England, was increasingly subsidised. Trends in road traffic accident casualties between 1974 and 1983 in all the six provincial English metropolitan counties have been compared in order to examine the possible effect...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.41.1.50
更新日期：1987-03-01 00:00:00
abstract：BACKGROUND:Nerve, nerve root and plexus disorders are common diseases, but little is known about familial clustering in these diseases. This is, to our knowledge, the first systematic family study carried out on these diseases. METHODS:Familial risks for siblings who were hospitalised for nerve, nerve root and plexus ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2006.046615
更新日期：2007-01-01 00:00:00
abstract：:A survey in a London borough showed that 15% of adults living at home were restricted in one or more areas of their lives because of illness. A sample of these adults aged 25 to 75 years was interviewed using a validated medical questionnaire, and the severity of their restrictions was also assessed using a separate i...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.40.1.59
更新日期：1986-03-01 00:00:00
abstract：STUDY OBJECTIVE:Northern Ireland has the highest standardised mortality ratios for colon cancer in the United Kingdom and the Republic of Ireland has some of the highest mortality rates for cancer in the world. The aim of the study therefore was to investigate trends in colorectal cancer in the north and south of Irela...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.44.3.220
更新日期：1990-09-01 00:00:00
abstract：:A commonly used estimate of a screening test's sensitivity, based on the prevalence at screening and the incidence of interval cancers, is shown to be logically unsound and quantitatively poor. An alternative simple estimate is proposed, based only on incidence rates. ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.39.4.364
更新日期：1985-12-01 00:00:00
abstract：STUDY OBJECTIVE:To explore risk factors for symptomatic knee osteoarthritis (OAK) in women, which included wearing high heeled shoes. DESIGN:Matched case-control study. Exposure information obtained by interview, included details about past footwear. Self reported weight and height data obtained representing when wome...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.57.10.823
更新日期：2003-10-01 00:00:00
abstract：STUDY OBJECTIVES:To analyse the factors that determined whether or not people were successful in quitting tobacco during the 1980s in Sweden. DESIGN:A logistic regression model was used for the analyses and included: education, marital status, socioeconomic group, social network, physical activities, cigarette consump...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.50.6.625
更新日期：1996-12-01 00:00:00
abstract：INTRODUCTION:Lifestyle factors in combination have been hypothesised to be associated with the prevention of type 2 diabetes (T2D) and mortality among individuals with T2D. The aim was to conduct a systematic review and meta-analysis to quantify the association between lifestyle indices and incident T2D as well as mort...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章,meta分析
doi：10.1136/jech-2019-213415
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2013-202955
更新日期：2014-01-01 00:00:00
abstract：:Environmental pollutants and nutrients may be present in the same foodstuffs or dietary patterns; share internal mechanisms of transport, metabolism and cellular uptake; or target the same molecular signalling pathways and biological functions. Lipophilic pollutants and nutrients, like dioxins and polyunsaturated fatt...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2020-213789
更新日期：2021-02-01 00:00:00
abstract：OBJECTIVES:The fall in the prevalence of left handedness with age has been attributed to either premature mortality or a cohort effect of forced dextrality. Evidence for forced dextrality was sought to differentiate between these competing theories. DESIGN:6097 Edinburgh handedness inventories were used to calculate l...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.52.1.41
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Previous research suggests that first-generation immigrants have a lower suicide risk than those both born in Sweden and with both parents born in Sweden (natives), while the suicide risk in the second generation seems higher. The aim of this study was to investigate to what extent suicide risk in first-gene...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2014-204648
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:The Wales National Exercise Referral Scheme (NERS) is a 16-week programme including motivational interviewing, goal setting and relapse prevention. METHOD:A pragmatic randomised controlled trial with nested economic evaluation of 2160 inactive participants with coronary heart disease risk (CHD, 1559, 72%), ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章,随机对照试验
doi：10.1136/jech-2011-200689
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:There are few longitudinal data on physical activity patterns from mid-life into older age. The authors examined associations of self-reported physical activity, adiposity and socio-demographic factors in mid-life with objectively assessed measures of activity in older age. METHODS:Participants were 394 hea...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2011-200505
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:This study investigated the impact of the Healthy Housing Programme in reducing acute hospitalisations in South Auckland, New Zealand. The programme involved house modifications to reduce overcrowding, insulation and ventilation improvements, and health and social service assessments, referrals and linkages....
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2009.107441
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Immigrants are sometimes found to have better health than locally born populations. We examined the mortality experience of South Asian origin and white European origin individuals living in Newcastle upon Tyne, UK. METHODS:A linked 17-21 year mortality follow-up of a cross-sectional study of European (n=82...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2017-209348
更新日期：2017-07-25 00:00:00
abstract：BACKGROUND:We examined the associations between socioeconomic trajectories from birth to adulthood and gestational age and birth size in the next generation, using linked data from two population-based birth cohorts carried out in a Brazilian city. By comparing socioeconomic trajectories of mothers and fathers, we atte...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2014-205377
更新日期：2015-10-01 00:00:00
abstract：:To map out area effects on health research, this study had the following aims: (1) to inventory multilevel investigations of area effects on self rated health, cardiovascular diseases and risk factors, and mortality among adults; (2) to describe and critically discuss methodological approaches employed and results obs...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章,评审
doi：10.1136/jech.2006.050740
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:Few studies have examined the causal relationship between transport mode and body mass index (BMI). METHODS:We examined between-person differences and within-person changes in BMI by transport mode over four time points between 2007 and 2013. Data were from the How Areas in Brisbane Influence HealTh and AcT...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech-2017-209957
更新日期：2018-04-01 00:00:00
abstract：STUDY OBJECTIVE:Most studies of place effects on health have followed the multilevel analytical approach that investigates geographical variations of health phenomena by fragmenting space into arbitrary areas. This study examined whether analysing geographical variations across continuous space with spatial modelling t...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2004.025478
更新日期：2005-06-01 00:00:00
abstract：:Public health advocacy is the strategic use of news media to advance a public policy initiative, often in the face of opposition. ...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.2003.018051
更新日期：2004-05-01 00:00:00
abstract：STUDY OBJECTIVE:The aim was to assess the risk of back symptoms in people admitted to hospital because of traffic accidents and falls. DESIGN:The study was a cross sectional survey with information collected by postal questionnaire. Main outcome measures were associations between hospital admission for a traffic accid...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章
doi：10.1136/jech.46.3.231
更新日期：1992-06-01 00:00:00
abstract：BACKGROUND AND AIMS:Many economic factors are associated with diet, yet the evidence is generally cross-sectional. Older people are considered especially vulnerable to poor diets from negative changes to varied economic factors. This review extends current knowledge on known correlates to decipher actual economic deter...
journal_title：Journal of epidemiology and community health
pub_type： 杂志文章,评审
doi：10.1136/jech-2013-202513
更新日期：2013-09-01 00:00:00
