Abstract:
OBJECTIVES:This study aimed to assess the association of socioeconomic conditions with female fertility impairment among women who delivered a live birth. DESIGN:Cross-sectional analysis. SETTING:Population-based birth cohort (Generation XXI) assembled in 2005/2006 from five public maternity units in Porto Metropolitan Region, Northern Portugal. PARTICIPANTS:7472 women aged 18 or more with spontaneous conception and no male diagnosis of infertility were recruited and interviewed immediately after birth with structured questionnaires. EXPOSURES OF INTEREST:Maternal education, occupation and income were recorded as proxy indicators of social conditions. OUTCOME:Impaired female fertility, defined as women who had unsuccessfully tried to conceive for over a year. DATA ANALYSIS:Multivariate logistic regression models were fitted to estimate the association between each socioeconomic indicator and impaired female fertility, stratified by previous pregnancy experience and adjusted for age, pregnancy planning and behavioural characteristics. RESULTS:Among primigravidae, 7.7% (95% CI 6.8% to 8.6%) presented impaired fertility and the prevalence was 9.6% (95% CI 8.7% to 10.6%) in multigravidae. In crude analysis, we found women with impaired fertility to be older, less educated, more likely to have planned the current pregnancy and to be overweight/obese; they had similar levels of income or occupation. In multivariate models, a significant independent association between educational level and female fertility impairment remained among primigravidae (OR (95% CI) vs ≤6 schooling years: 7-9: 0.85 (0.54 to 1.34); 10-12: 0.34 (0.21 to 0.54); >12: 0.24 (0.14 to 0.40), ptrend<0.001) but not in multigravidae. CONCLUSIONS:This study shows that education might be important in understanding female fertility impairment, particularly among first-time pregnant women. It also points out that the association is not totally explained by other sociodemographic and lifestyle characteristics that have been previously found to be important to disclose this relation.
journal_name
BMJ Openjournal_title
BMJ openauthors
Correia S,Rodrigues T,Barros Hdoi
10.1136/bmjopen-2013-003985subject
Has Abstractpub_date
2014-01-02 00:00:00pages
e003985issue
1issn
2044-6055pii
bmjopen-2013-003985journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:To investigate if centre-specific levels of perinatal interventional activity were associated with neonatal and neurodevelopmental outcome at 2 years of age in two separately analysed cohorts of infants: cohort A born at 22-25 and cohort B born at 26-27 gestational weeks, respectively. DESIGN:Geographically...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024560
更新日期:2019-03-15 00:00:00
abstract:OBJECTIVES:This article presents the findings from a scoping review which explored the nature of interprofessional online learning in primary healthcare. The review was informed by the following questions: What is the nature of evidence on online postgraduate education for primary healthcare interprofessional teams? Wh...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016872
更新日期:2017-08-04 00:00:00
abstract:OBJECTIVE:In recent years, quality of life (QoL) in multiple sclerosis (MS) has been gaining considerable importance in clinical research and practice. Against this backdrop, this systematic review aimed to provide a broad overview of clinical, sociodemographic and psychosocial risk and protective factors for QoL in ad...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041249
更新日期:2020-11-30 00:00:00
abstract:OBJECTIVES:To study whether self-reported health problems predict sickness absence (SA) from work in employees from different industries. METHODS:The results of a health risk appraisal (HRA) were combined with archival data of SA of 21 608 employees (59% female, 56% clerical). Exposure variables were self-reported hea...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025967
更新日期:2019-10-31 00:00:00
abstract:OBJECTIVES:Current clinical guidelines discourage long-term prescription of benzodiazepines and Z-drugs (BZD); however, the practice continues to exist. The aim of this study was to investigate the proportion of long-term BZD prescriptions and its risk factors. DESIGN:Retrospective cohort study using a health insuranc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029641
更新日期:2019-07-26 00:00:00
abstract:INTRODUCTION:Schools are promising settings for physical activity promotion; however, they are complex and adaptive systems that can influence the quality of programme implementation. This paper presents an evaluation of a school-based running programme (Marathon Kids). The aims of this study are (1) to identify the pr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022176
更新日期:2018-05-14 00:00:00
abstract:OBJECTIVE:History and physical examination do not reliably exclude serious bacterial infections (SBIs) in infants. We examined potential markers of SBI in young febrile infants. DESIGN:We reviewed white cell count (WBC), absolute neutrophil count (ANC), neutrophil to lymphocyte count ratio (NLR) and C reactive protein...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018092
更新日期:2018-01-24 00:00:00
abstract:OBJECTIVES:To examine the characteristics and persistence in patients newly initiated with oral anticoagulants (OACs) for stroke prevention in non-valvular atrial fibrillation (NVAF). DESIGN:Cohort study in Clinical Practice Research Datalink. SETTING:UK primary care. PARTICIPANTS:15 242 patients with NVAF newly pre...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011471
更新日期:2016-09-26 00:00:00
abstract:OBJECTIVES:This systematic review and meta-analysis provides a quantitative summary of the literature exploring the relationship between maternal diet quality during pregnancy and child cognitive and affective outcomes. We investigate whether there are indications for robust associations and aim to identify methodologi...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2017-016777
更新日期:2017-09-24 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify meteorological factors that could be associated with an increased risk of community-acquired Legionnaires' disease (LD) in two Swiss regions. DESIGN:Retrospective epidemiological study using discriminant analysis and multivariable Poisson regression. SETTING:We analyse...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002428
更新日期:2013-03-05 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the knowledge and practice of health workers about multidrug-resistant tuberculosis (MDR-TB) prevention and control. STUDY DESIGN AND SETTINGS:A cross-sectional study was conducted at Gondar University Referral Hospital and Felege Hiwot Referral Hospital. PARTICIPANTS:Ran...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022948
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVES:Assessing the cost-effectiveness credentials of this intervention in patients with concomitant atrial fibrillation (AF) and heart failure (HF) compared with usual medical therapy. DESIGN:A Markov model comprising two health states (ie, alive or dead) was constructed. The transition probabilities were direct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031033
更新日期:2019-09-05 00:00:00
abstract:INTRODUCTION:Irritable bowel syndrome (IBS) is a common chronic functional gastrointestinal disorder affecting approximately 10% to 25% of the adult population. A large number of clinical trials have been conducted to evaluate the efficacy of probiotics for IBS but the results were inconsistent. Previous meta-analyses ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027376
更新日期:2019-12-02 00:00:00
abstract:OBJECTIVES:The illicit use of anabolic steroids among the gym population continues to rise, along with the number of steroid using clients attending harm reduction services in the UK. This presents serious challenges to public health. Study objectives were to account for the experiences of anabolic steroid users and in...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005275
更新日期:2014-06-04 00:00:00
abstract:PURPOSE:Despite the growing evidence that physical activity and familial factors play a role in low back pain (LBP), there is a lack of robust longitudinal studies that (1) investigate the types and dosages of physical activity that are protective or harmful for LBP, (2) employ objective measures of physical activity a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036301
更新日期:2020-07-28 00:00:00
abstract:OBJECTIVES:Ethiopia is a developing country striving to achieve universal health coverage using the health extension programme. There is limited evidence about Ethiopian women's satisfaction with their urban health extension programme. Thus, this study was aimed at assessing the level of women's satisfaction with their...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039390
更新日期:2020-12-13 00:00:00
abstract:INTRODUCTION:Scabies is a significant contributor to global morbidity, affecting approximately 200 million people at any time. Scabies is endemic in many resource-limited tropical settings. Bacterial skin infection (impetigo) frequently complicates scabies infestation in these settings. Community-wide ivermectin-based ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037305
更新日期:2020-08-30 00:00:00
abstract:INTRODUCTION:Electronic prescribing (ePrescribing) systems are rapidly being introduced into National Health Systems (NHS) hospitals in England following their widespread earlier adoption into primary care settings. Such systems require substantial changes in the way pharmacists organise their work and perform their ro...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008785
更新日期:2015-10-26 00:00:00
abstract:INTRODUCTION:Depressive disorders are very common diseases entailing a great burden on affected people. However, comprehensive information on long-term disease course in patients with severe depression is lacking so far. The objectives of the DELTA study are to examine long-term outcomes and their predicting factors, t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032507
更新日期:2019-12-23 00:00:00
abstract:INTRODUCTION:Many people residing in low-income and middle-income countries (LMICs) are regularly exposed to catastrophic healthcare expenditure. It is therefore pertinent that LMICs should finance their health systems in ways that ensure that their citizens can use needed healthcare services and are protected from pot...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004167
更新日期:2014-02-14 00:00:00
abstract:INTRODUCTION:Chronic pelvic pain (CPP) affects more than 1 million UK women with associated healthcare costs of £158 million annually. Current evidence supporting interventions when no underlying pathology is identified is very limited and treatment is frequently inadequate. Gabapentin (a GABA analogue) is efficacious ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2016-014924
更新日期:2018-01-31 00:00:00
abstract:OBJECTIVES:To assess health worker competence in emergency obstetric care using clinical vignettes, to link competence to availability of infrastructure in facilities, and to average annual delivery workload in facilities. DESIGN:Cross-sectional Health Facility Assessment linked to population-based surveillance data. ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-010963
更新日期:2016-06-13 00:00:00
abstract:INTRODUCTION:Ambient air pollution is a global environmental problem, which causes adverse health effects and premature deaths worldwide. Although regular exercise and physical activity have evident health benefits, the influence of long-term air pollution exposure during regular outdoor running has not been definitive...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040529
更新日期:2020-12-10 00:00:00
abstract:OBJECTIVES:The aim of the study was to explore the associations between the dyad's (person with stroke and informal caregiver) perception of the person with stroke's rehabilitation needs and stroke severity, personal factors (gender, age, sense of coherence), the use of rehabilitation services, amount of informal care ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006784
更新日期:2015-02-12 00:00:00
abstract:OBJECTIVES:To identify patterns in euthanasia requests and practices relating to psychiatric patients; to generate recommendations for future research. DESIGN:Retrospective analysis of data obtained through medical file review. SETTING:Outpatient psychiatric clinical setting in the Dutch-speaking region of Belgium, b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007454
更新日期:2015-07-27 00:00:00
abstract:OBJECTIVE:Screening is a key strategy to address the rising burden of chronic kidney disease (CKD) in low-income and middle-income countries. However, there are few reports regarding the implementation of screening programmes in resource-limited settings. The objectives of this study are to (1) to share programmatic ex...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019778
更新日期:2018-01-21 00:00:00
abstract:OBJECTIVE:This research aims to determine the long-term impact of the Bloor Street Viaduct suicide barrier on rates of suicide in Toronto and whether media reporting had any impact on suicide rates. DESIGN:Natural experiment. SETTING:City of Toronto, Canada; records at the chief coroner's office of Ontario 1993-2003 ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015299
更新日期:2017-06-19 00:00:00
abstract:OBJECTIVE:To assess whether the obesity paradox persists in the long term and to study the effect of optimal medical treatment on this phenomenon. DESIGN:A retrospective cohort study. SETTING:A tertiary care centre in Rotterdam. PARTICIPANTS:From January 2000 to December 2005, 6332 patients undergoing percutaneous c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000535
更新日期:2012-02-09 00:00:00
abstract:OBJECTIVES:To determine the validity and reliability of the Spiritual Care Competency Scale (SCCS) among nurses in China. DESIGN:Methodological research. METHODS:After the SCCS was translated into Chinese, the validity and reliability of the Chinese version of the SCCS (C-SCCS) were evaluated using a convenience samp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030497
更新日期:2019-10-10 00:00:00
abstract:OBJECTIVE:To determine the feasibility of a randomised controlled trial (RCT) assessing the effects of an experience-based website as a resource for the self-management of chronic asthma. DESIGN AND SETTING:Feasibility, single-blind RCT in 2 regions of England. Randomisation used computer-generated random number seque...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-013401
更新日期:2016-12-28 00:00:00